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Jeffrey V Hill

Publications and source records attributed to Jeffrey V Hill.

4 recordsLinked to original sources
PubMed2006

Suicidal and homicidal soldiers in deployment environments.

Suicidal and homicidal soldiers present one of the most frequent and challenging scenarios for deployed mental health providers. A chart review of 425 deployed soldiers seen for mental health reasons found that 127 (nearly 30%) had considered killing themselves and 67 (nearly 16%) had considered killing someone else (not the enemy) within the past month. Of these, 75 cases were considered severe enough to require immediate intervention. Interventions included unit watch, comprehensive treatment, and medical evacuation. Of the 75 dangerous soldiers, 5 were evacuated out of theater. The rest were returned to duty. Evacuation to a hospital in the rear is often the quickest and most risk-free option but is seldom the best choice for maintaining the fighting force. This article presents several case examples and describes methods for dealing with suicidal and homicidal soldiers during deployment.

Adult↗
PubMed2004

Behavioral health care of isolated military personnel by videoconference.

The changing role of the military presents a unique challenge for military behavioral health organizations in dealing with the geographic isolation of personnel. Telemedical solutions should help to meet this challenge. In the behavioral health arena, there are many uses for videoconferencing and other communications technology in maintaining continuity when patients or clinicians travel or deploy; assisting isolated behavioral health-care providers and general practitioners; evaluating and treating isolated military personnel; and addressing family issues. Family interventions by videoconference and other communications technology may be particularly useful in treating military personnel and in promoting morale of the fighting force. Although much remains to be researched and proven empirically, anecdotal experience supports the utility of using communications technology to enhance behavioral health interventions. This article describes the clinical videoconference experience within the Department of Psychiatry at Tripler Army Medical Center (TAMC), during a Multinational force deployment to the Sinai, and during training at the Joint Readiness Training Center, Fort Polk, Louisiana. A brief discussion of potential legal issues involving videoconferencing in behavioral health is also included.

Communication↗
PubMed2002

September 11th--ripples across the ocean: perspectives from Tripler Army Medical Center.

The events of September 11, 2001, or 9-11 as called by the media, will live in United States' memory forever. Even far-flung Hawaii shuddered with the rest of the United States. This brief article describes the September 11th experiences and fallout of three individuals living in Hawaii. One is a description of how the events worsened a client's illness. Two others are psychiatrists' accounts: one staff, another child fellow. These accounts describe how even those living in remote locales may be affected by significant world events. Even though individuals may not appear to be at risk to have much risk of psychopathology, they may experience subclinical symptoms. Individuals who do have mental illness may risk worsening of their symptoms.

Hawaii↗