A review of initial entry training discharges at Fort Leonard Wood, MO, for accuracy of discharge classification type: fiscal year 2003

This study examines the extent to which discharges from Initial Entry Training can be adequately characterized by the current policy of a single descriptive category. Service records of each trainee discharged from Fort Leonard Wood in 2003 were examined. Discharged trainee's counseling and out...

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Bibliographic Details
Published in:Military medicine 2006-11, Vol.171 (11), p.1142-1146
Main Authors: Niebuhr, David W, Powers, Timothy E, Krauss, Margot R, Cuda, Amanda S, Johnson, Bryan M
Format: Article
Language:English
Subjects:
Adult
Armed forces
Classification
Counseling
Counseling - statistics & numerical data
Employment - statistics & numerical data
Female
Health Surveys
Humans
Male
Medical screening
Mental disorders
Mental Disorders - classification
Mental Disorders - diagnosis
Mental Disorders - epidemiology
Mental health
Mental Health Services - statistics & numerical data
Military Medicine - statistics & numerical data
Military Personnel - education
Military Personnel - psychology
Military Personnel - statistics & numerical data
Military training
Missouri
Musculoskeletal Diseases - classification
Musculoskeletal Diseases - diagnosis
Musculoskeletal Diseases - epidemiology
Office Visits - statistics & numerical data
Physical Education and Training
Prevalence
Respiration Disorders - classification
Respiration Disorders - diagnosis
Respiration Disorders - epidemiology
Retrospective Studies
United States
Work Capacity Evaluation
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Summary:This study examines the extent to which discharges from Initial Entry Training can be adequately characterized by the current policy of a single descriptive category. Service records of each trainee discharged from Fort Leonard Wood in 2003 were examined. Discharged trainee's counseling and outpatient clinic visit records were reviewed for evidence of multiple reasons for discharge. Evidence of medical involvement was found by record review in 13% of administrative discharges. Among discharges classified as being for medical or physical conditions that did not exist before service, 17% had clear evidence of preexisting chronic conditions. The policy of allowing only one categorization code to describe reasons for an Initial Entry Training discharge frequently resulted in incomplete characterization of factors leading to discharge. Pre-existing medical and mental health conditions were found in a much greater percentage of discharges than indicated by a simple review of discharge codes.
ISSN:0026-4075
1930-613X
DOI:10.7205/MILMED.171.11.1142