Introduction: As the rate of post-traumatic stress disorder (PTSD) among military personnel and military veterans continues to rise, occupational therapists are increasingly concerned with the impact of this disorder on health, occupational performance, and quality of life. However, the literature on occupational therapy for military personnel and military veterans with PTSD has not been summarised. Method: The objective was to identify what is known from the published, peerreviewed literature, about the services provided by occupational therapists to military personnel and military veterans experiencing PTSD. Arksey and O'Malley's five steps for scoping reviews were utilised. A search of three databases identified 27 articles. Results: Of the 27 papers reviewed, 13 papers discussed military personnel, 13 for military veterans, and 1 reported on both populations. Of these 27, 9 research papers provided data to support the efficacy of interventions, whereas 2 papers reported occupational performance issues. Eight opinion and eight service description papers were included. The most commonly mentioned interventions across the reviewed papers were stress and anger, or coping skills (n = 11), returning to duty (n = 9), physical training (n = 7), and sleep hygiene (n = 6). Conclusion: Occupational therapists provide services to military personnel who are vulnerable to PTSD from combat and operational stress. Rarely did publications address intervention efficacy for military personnel. Additionally, there is a paucity of literature that addresses occupational therapy interventions following transition from military service for veterans with PTSD specific to facilitating reintegration to civilian life. Despite this, occupational therapists are well suited to enable military veterans to build upon their existing strengths, skills, and professional identities to minimise the impact of PTSD on daily life and to reach their full potential.
It is well recognised that the transition from the military to civilian life can create challenges. This study explores the multiple and dynamic experiences former serving Australian Defence Force members report in their transition to civilian life. A narrative inquiry methodology with two rounds of interviews was used to collect the data from 12 former serving Australian Defence Force members. Narrative thematic analysis was used to interpret the data. Our results indicate that transition for each participant is a unique experience that continues in the years following separation. For those who joined in early adulthood and served in high-tempo and/or combat roles, transitioning was complicated by military identity challenges. Their ongoing transition was related to the need to develop an individual civilian identity for civil society, challenged by the development of a collective identity as a member of the Australian Defence Force. We conclude that transition is the process of identifying as an individual following a collective identity, and for those still transitioning, was best supported by their military peers.
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