Peculiarities of the organization of psycho-medical rehabilitation of servicemen in NATO member countries and partnership for peace countries

Keywords: psycho-medical rehabilitation, medical and psychological support, mental health.


The purpouse.  To discover various aspects of the organization of psycho-medical rehabilitation of military personnel in NATO member and partner countries.

Materials and methods. Scientific publications have been studied using the methods of systemic, bibliosemantic and retrospective analysis, which reflect the features of the organization of psycho-medical rehabilitation of servicemen  in the USA, Canada, Germany, France, Great Britain, Israel. A research was carried out for available sources of information from 1995 to 2017, which related to the purpose of the work and terminological phrases “Psycho-medical aid”, “Psycho-medical rehabilitation”, “Medical rehabilitation”, “Psychiatric rehabilitation”, “Psychological Rehabilitation”. Based on a thoughtful-analysis of modern sources of information, various approaches to the formation and maintenance of an appropriate level of mental health care and rehabilitation have been  summarized.

Results. The features of the organization of psycho-medical rehabilitation of servicemen in the Armed Forces of the USA, Canada, Germany, France, Great Britain, Israel have been  revealed. The importance of scientific and methodological support of the Combat and Operational Stress Control system in the US Army, which is provided by the scientific centers for the control of combat and military-professional stress of the combat environtment and the leading scientific university centers of the United States, has been shown. The most active participants in PTSD research programs in the United States are the National Institute of Mental Health (NIMH), the US Department of Veterans Affairs, the Center for Mental Health  of U.S. Department of Defense  (DCEPH TBI DCoE), the University of Military Medicine (USUHS), the Walter Reed Army Institute of Research (WRAIR). The need to introduce modern screening tools for the effectiveness of rehabilitation (Rankine scale /mRS/, special computer programs, etc.), taking into account the International Classification of Functioning and Disability, has been noted. The main trend in the organization of an effective system for maintaining the mental health of servicemen in NATO is the introduction of appropriate training programs to increase the level of psychological resilience of personnel, expanding knowledge among servicemen about cognitive, behavioral and physiological processes in combat, normalization of stress response, providing servicemen with effective coping strategies to overcome stress and assist commanders in maintaining and strengthening the mental health of subordinates.

Conclusions. It was shown that the manifestations of combat and military-professional stress, as well as its maladaptive reactions, as well as the conditions of their occurrence not only increased the risk of adverse combat injuries, but also significantly affected the course of their consequences for mental and physical health. This aspect of organization of psycho-medical rehabilitation of military personnel in the armed forces of the leading NATO member countries and partnership for peace countries is one of the fundamental aspects for implementation in the Armed Forces of Ukraine. A detailed study at a practical level requires psychological assistance techniques at the 1st Role, which, according to the experience of the British Armed Forces, can significantly preserve the mental health of servicemen. One of the important components of high-quality rehabilitation is the construction of effective communication between the system for the implementation of the medical and evacuation process of victims of physical trauma and wounds and the elements of the mental health system of servicemen. This aspect is relevant at all levels of medical care.  There is a need to improve the state system of comprehensive rehabilitation of servicemen participating in hostilities and having suffered combat and military occupational injuries and wounds. This applies to both program activities and methods of monitoring the effectiveness and quality of the ongoing rehabilitation. Such measures will make it possible to purposefully carry out measures to ensure the preservation of the physical and mental health of servicemen, ensure the prevention of PSTD, and will help maintain the readiness of personnel to perform tasks in any operational changes.

Author Biographies

A. V. Shvets, Ukraine military-medical academy

Сol. MS, MD,  DSc, professor, Deputy chief of Ukrainian Military Medical Academy for sciense

O. V. Horishna, Ukrainian Military Medical Academy

MD,  DSc, Associate Professor, Leading Researcher of the Research Department (Preventive Medicine) of the Research Institute of Military Medicine of the Ukrainian Military Medical Academy

A. Yu. Kikh, Military Medical Clinical Treatment & Rehabilitation Center

Сol. MS, MD, PhD, Head of the Military Medical Clinical Treatment & Rehabilitation Center

G. V. Ivantzova, Ukrainian Military Medical Academy

Junior Researcher of the Research Department of the Research Institute of Military Medicine of the Ukrainian Military Medical Academy

O. O. Gorshkov, Ukrainian Military Medical Academy

Cpt MS, Researcher of the Research Department of the Research Institute of Military Medicine of the Ukrainian Military Medical Academy

O. V. Richka, Ukrainian Military Medical Academy

Researcher of the Research Department of the Research Institute of Military Medicine of the Ukrainian Military Medical Academy


Borisov, D.N., Rusev, I.T., Korovin, R.A., Baranovskiy, A.M. (2015). Struktura i dinamika zabolevayemosti voyennosluzhashchikh Vooruzhennykh sil Rossiyskoy Federatsii v 2004-2013 gg. [The structure and dynamics of morbidity in military personnel of the Armed Forces of the Russian Federation in 2004-2013]. biomeditsinskiy zhurnal - biomedical journal (Vols 16), 587–595.

Bryndikov, Yu.A. (2017). Zarubizhnyy dosvid reabilitatsiyi viysʹkovosluzhbovtsiv – uchasnykiv boyovykh diy [Foreign experience in the rehabilitation of combatants]. Zbirnyk nauk. pratsʹ - Collection of Sciences (ed. LXXVIII. T.2), 195-200.

Garanyan, N.G. (2013). Kognitivno-bikhevioral'naya psikhoterapiya posttravmaticheskogo stressovogo rasstroystva [Cognitive-behavioral psychotherapy of post-traumatic stress disorder]. Konsul'tativnaya psikhologiya i psikhoterapiya – Counseling psychology and psychotherapy (No.3), 46-72.

D. Domkin, A.A. Marchenko, A.Yu. Goncharenko (2016). Obzor sistemy mediko-psikhologicheskogo soprovozhdeniya v armii SShA [Review of the system of medical and psychological support in the US Army]. Med.-biol. i sots.-psikhol. probl. bezopasnosti v chrezv. situatsiyakh – Med.-Biol. and social psychology. probl. security in emergency situations (No. 2), 52-57.

Yena, A., Maslyuk, V., Serhiyenko, A. (2014). Aktualʹnistʹ i orhanizatsiyni zasady medyko-psykholohichnoyi reabilitatsiyi uchasnykiv antyterorystychnoyi operatsiyi [Relevance and organizational principles of medical and psychological rehabilitation of participants in the anti-terrorist operation]. Naukovyy zhurnal MOZ Ukrayiny – Scientific Journal of the Ministry of Health of Ukraine. (No.1 (5)), 5-16.

Kadler, H.S., Blénk, A.S., Krapnyk, Dzh.L. (2005). Psykhodynamycheskaya terapyya posttravmatycheskoho stressovoho rasstroystva [Psychodynamic therapy of post-traumatic stress disorder]. Zhurn. prakt. psykholohyy y psykhoanalyza - Journal. practice. psychology and psychoanalysis. (February № 3).

Karayany, A.Ya., Podolʹsky, M. (2003). Psykholohycheskaya reabylytatsyya uchastnykov boevykh deystvyy [Psychological rehabilitation of combatants]. Moscow, 80.

Marchenko, A.A., Honcharenko, A.Yu., Krasnov, A.A. (2015). Osobennosty dyahnostyky nevrotycheskykh rasstroystv u voennosluzhashchykh [Features of diagnosis of neurotic disorders in servicemen]. Vestn. ros. voen.-med. akad. - Military Medical Academy Bulletin. 1 (49), 48–53.

Mirov, A. (2010). Organizatsiya psikhologicheskogo obespecheniya v Vooruzhonnykh silakh FRG [Organization of psychological support in the Armed Forces of the Federal Republic of Germany]. psikhicheskie_ zabolevanija _voennosluzhashhikh_ bundesvera_2010/41-1-0-407.

Mukhina, N.A., Yevdokimov, V.I. (2014). “Seksual'naya travma v armii” kak faktor riska posttravmaticheskogo stressovogo rasstroystva u zhenshchin-veteranov v SShA (obzor literatury) ["Sexual Trauma in the Army" as a Risk Factor for PTSD in Female Veterans in the United States (Literature Review)]. Med.-biol. i sots.-psikhol. probl. bezopasnosti v chrezv. Situatsiyakh - Med.-Biol. and social psychology. probl. of security in emergency situations, (3), 84-93.

Rodneva, I. (2012). Organizatsiya psikhiatricheskoy pomoshchi vo Frantsii [Organization of psychiatric care in France]. Neuronews. 10 (45), 4.

Prorok, N. (ed.), (2018). Osnovi reabílítatsíynoí̈ psikhologíí̈: podolannya naslídkív krizi [The basics of rehabilitation psychology: a lot of the legacy of the crisis]. Navchal'niy posíbnik, 1, Kyiv, 208.

Radets'ka, L.V., Laba, Í.O., Smachilo, A.Í. et all. (2020). Osoblivostí proyavív boyovikh stresovikh rozladív u poranenikh víys'kovosluzhbovtsív Zbroynikh Sil Ukraí̈ni – uchasnikív boyovikh díy [Particularities of fighting stress disorders among wounded military servicemen of the Defense Forces of Ukraine - participants of fighting actions]. Medsestrinstvo - Nursing, (40), 23-26.

Felʹdman, A. (2015). Intervʺyu [Interview]. NeyroNEWS: psykhonevrolohyya y neyropsykhyatryya - NeuroNEWS: psychoneurology and neuropsychiatry,.9 (73).

Yakubova, L. (2017). Strukturno-funktsionalʹna modelʹ sotsialʹnoyi reabilitatsiyi osib, shcho povernulysʹ iz zony ATO [Structural and functional model of social rehabilitation of persons returning from the ATO zone]. Molodʹ i rynok - Youth and Market, . 5 (148), 50–54.

Yakushkyn, N. (1996). Psykholohycheskaya pomoshchʹ voynam-«afhantsam» v Respublykanskom tsentre Respublyky Belarusʹ [Psychological assistance to "Afghan" soldiers in the Republican Center of the Republic of Belarus]. Psykhol. Zhurn - Psychol. Journal, 17(5), 102-105.

Army U.S. (2014). Army Strategic Planning Guidance. Army Plan, 158

Besemann,M.H. (2011). Physical rehabilitation following polytrauma. The Canadian Forces Physical Rehabilitation program 2008–2011. Can J Surg, ( 54) 35–41.

Gatchel, R. (2004). Comorbidity of chronic pain and mental health disorders: the biopsychosocial perspective. Am Psychol., (59), 795–805.

Greenberg, N. A. (2010). Cluster randomized controlled trial to determine the efficacy of Trauma Risk Management (TRiM) in a military population. Journal of traumatic stress. 23(4), 430-436.

Hall, D. (1996). Stress, Suicide, and Military Service during operation Uphold Democracy. Military Medicine, 3, 159-162.

Hammermeister, J. (2011). Military applications of performance psychology methods and techniques: an overview of practice and research from the. U. S. Army,. J. of Performace Psychology, 3, 56–62.

Harms, P.D. (2013). Evaluation of Resilience Training and Mental and Behavioral Outcomes . The Comprehensive Soldier and Family Fitness Program Evaluation, (Report №4), 19

Hotopf, M. (2006). The health of UK military personnel who deployed to the 2003 Iraq war: a cohort study. Lancet, 367 (9524), 1731 – 1741.

Hughes, J. G. (2008). Use of psychological decompression in military operational environments. Mil Med. 173 (6), 534 – 538.

Iversen, A. (2005). Goodbye and good luck: the mental health needs and treatment experiences of British ex-service personnel. Br J Psychiatry. 186, 480 – 486.

La santé mentale chez les vétérans canadiens: une mission de famille Rapport du Comité permanent des anciens combattants Le président Neil R. Ellis (JUIN 2017), 42e LÉGISLATURE, 1 re SESSION,

Le Service de santé royal canadien - Métiers Québec,

Martin, J., Sparacino, R., Belenky, G. (1996). The Gulf War and Mental Health. A Comprehensive Guide. Westport . Greenwood, 28.

Pinder, R. J. (2010). Mental health care provision in the UK armed forces. Military medicine, 175 (10), 805-810.

Puchalski, C.M., Vitillo, R., Hull, S.K., et al. (2014). Improving the spiritual dimension of whole person care: reaching national and international consensus. J Palliat Med, .17, 642–656.

Sweeney, P. J., Hannah, S. T., & Snider, D. M. (2007). The domain of the human spirit. In D. M. Snider & L. J. Matthews (Eds.), Forging the warrior’s character: Moral precepts from the cadet prayer (pp. 55–99).Sisters, OR: Jerico

Susskind, O., Ruzek, J. I., & Friedman, M. J. (2012). The VA/DOD clinical practice guideline for management of post-traumatic stress (update 2010): Development and methodology. Journal of Rehabiliation Research and Development, 49.

WHOQOL Group. The WHO quality of life assessment (WHOQOL) position paper from the World Health Organization (1995). Soc Sci Med. .41, 1403–1409.

How to Cite
Shvets, A. V., Horishna, O. V., Kikh, A. Y., Ivantzova, G. V., Gorshkov, O. O., & Richka, O. V. (2021). Peculiarities of the organization of psycho-medical rehabilitation of servicemen in NATO member countries and partnership for peace countries. Ukrainian Journal of Military Medicine, 2(4), 26-39.
Organization of military health care

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