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RESPECT-Mil Is Identifying a Considerable Number of Service Members Who Are Reporting Depression and PTSD Symptoms.

• Of those who visited primary care, 93 percent of service members were screened for PTSD and depression.
• Of the screened visits, 13 percent resulted in a positive screen.
• Of the positive screens, 61 percent resulted in a probable diagnosis of a mental health disorder.

Army Installations Sometimes Varied with Respect to the Identification and Referral of Service Members with Mental Health Needs.

• A majority of installations (25 out of 37) were screening a high proportion of visits (ranging from 91 to 99 percent); 31 of 37 installations were screening at least 80 percent of their visits.
• For ten of the 37 installations, at least 20 percent of positive screens resulted in an accepted referral to RESPECT-Mil; 24 of the installations had rates between 10 percent and 19 percent.

Rates of Treatment Response and Remission Seen in RESPECT-Mil Were Within the Range of Other Collaborative Care Studies.

• Of service members in the "depression prominent" category, 42 percent experienced a 50 percent reduction in depression symptoms from baseline to the last follow-up assessment. Other studies have reported a range of 19 percent to 53 percent of patients showing similar improvement.
• Of service members in the "PTSD prominent" category, 33 percent experienced similar decreases in symptoms. In a civilian collaborative care study with PTSD patients, 50 percent experienced decreases in symptoms with a less stringent criterion and with a longer follow-up period.