skip to Main Content

While there is good demand for army soldiers, competition for certain specialized roles can be high. For each leave, the reason for medical leave was determined and coded using the International Classification of Diseases, Tenth Revision, Australian Amendment (ICD-10-AM), World Health Organization, Geneva, Switzerland. Two additional codes in order of importance were used to designate other serious illnesses detected by the medical examiner at the time of discharge. These conditions may have contributed to the decision, but were not the reason for the release. The discharge category assigned by physicians at the time of discharge (DG1 and DG2) was also recorded. Soldiers with an illness resulting in permanent disability will be released from DG1, and those who have fallen below an acceptable medical standard will be released from DG2 category. To make sure you can meet fitness requirements throughout the year, it`s important to exercise regularly. Individuals will receive a reminder one month before their fitness test qualification expires. The individual must attend their unit test session or register for a mandatory testing session conducted by their local gym prior to this expiration date. If the non-disclosure of medical information is revealed after your conscription, you may be released from the armed forces. There are some limitations to this report. First of all, it is important to highlight the possible inaccuracy of the data entered in the EHEA and the way in which the staff was managed.

While some processes were put in place to ensure standardization of reporting and management, not all cases were treated equally, such as, for example, some cases were “medicalized” when they should have been released administratively and vice versa. Local customs, lack of policies and seniority of staff can all contribute to the way business is handled within NZDF. Therefore, it is important that this error is taken into account when interpreting the results of this study. Second, the study was unable to link clinically important comorbidities, relationships, and commonalities beyond ICD-10 chapters. Some of the terms and expressions used to designate a reason for dismissal were in fact synonymous with the same term. Misclassification bias can therefore occur when ill-defined descriptions of medical leave are given. More research is needed to examine mapping epidemiological data like this, from strict single-hierarchical taxonomy like ICD-1028 to polyhierarchical systems like SNOMED CT29, which may reveal richer relationships of common codes. Discharge rates do not capture the true burden on mental health. It is not known how many of those who seek or are referred for medical support for a mental health problem are subsequently released.

In NZDF, there are several ways to support mental health, including public health workers, psychologists, and pastors. However, there are significant barriers in the military due to the stigma of mental illness and seeking care.22-24 Mental health research is often seen as a sign of weakness, and many are skeptical that mental health services can remain confidential for those who need to know. 23. Gould et al.22 and Warner et al.24 both showed that military skepticism more often stemmed from their concern about how they would be treated by their peers and, more importantly, by their own leaders. A recent study by Rand25 showed that 20% of military personnel returning from Iraq and Afghanistan reported symptoms of post-traumatic stress disorder or major depression, but only about half sought treatment. Given that stigma exists and the perceived barriers are similar to those of other national military services, including 22.26 NZDF, one wonders how many personnel are not seeking or receiving the medical assistance they need. It is recommended that mental illness and terminations be analyzed against current health screening processes and guidelines. Further analysis is also needed to examine the etiology and epidemiology of mental illness and behavioural disorders in the NZDF, as well as an examination of barriers to mental health care in day-to-day operations at home and abroad. Your medical history is confidential and will not be shared with anyone who is not authorized to store the information.

Most members (88.1%) were medically released from DG2 because they did not meet an acceptable medical standard, but there were still a significant number (11.9%) who were released from DG1 due to permanent disability (Table 1). For the period studied, the New Zealand Army had the highest proportion of dismissals due to permanent disability (20.5%). Conversely, the NNZR had the lowest proportion of permanent disability dismissals (4.2%), but the highest overall medical discharge rate (13.2 per 1,000). This was twice as high as that of the New Zealand Army at 5.32 per 1,000 and again significantly higher than the RNZAF at 1.6 per 1,000. The annual outflow of RNZN varied from year to year, unlike the other two services, where it remained relatively stable (Figure 1). In some cases, your preferred role may not be available to you due to the special health requirements of trading. In this case, your FEC can discuss other more appropriate options with you. Admittedly, this study does not comprehensively address the etiology and epidemiology of NZDF medical referral.

However, it does provide a preliminary study of staff demographics and the prevalence of conditions in services. It also provides a rationale for future research on preventive approaches to the health and well-being of NZDF staff. After basic training, recruits undergo corps training to learn the basics of a particular army trade.

What Viewers Are Saying...

Back To Top