Mental health and well-being of LGBT+ Veterans dismissed from the British Armed Forces before January 2000
Abstract: Between 1955 and January 2000, the UK Armed Forces and Ministry of Defence enforced a ban on lesbian, gay, bisexual, transgender, and related (LGBT+) service, dismissing or forcing the immediate retirement of thousands of personnel because of their sexual orientation or gender identity. They fell on hard times and were left isolated and unsupported by the nation they had proudly stood to defend. Although more than 21 years has elapsed since the ban was lifted, little academic literature has explored the ban’s impact on the mental health and well-being of the United Kingdom’s LGBT+ Veteran community. Anecdotal evidence suggests many still endure consequential hardship and mental health struggles and remain isolated from the military family and traditional support services. Fighting With Pride, an LGBT+ military charity launched in January 2020, and Northumbria University’s Veterans and Military Families Research Hub joined in partnership to remedy this by determining mental health and well-being impacts and consequences and identifying recovery pathways. Lived experience narratives must be used to help build support ahead of the publication of any formal findings. Research-based evidence is vital in helping to develop recovery and support policy and in further shaping support services to develop the best possible impact-related outcomes.
Abstract: Objectives: Increasing numbers of older adults are reentering community following incarceration (i.e., reentry), yet risk of incident neurodegenerative disorders associated with reentry is unknown. Our objective was to determine association between reentry status (reentry vs never-incarcerated) and mild cognitive impairment (MCI) and/or dementia. Methods: This nationwide, longitudinal cohort study used linked Centers for Medicare & Medicaid Services and Veterans Health Administration data. Participants were aged 65 years or older who experienced reentry between October 1, 2012, and December 31, 2018, with no preincarceration MCI/dementia, compared with age-matched/sex-matched never-incarcerated veterans. MCI/dementia was defined by diagnostic codes. Fine-Gray proportional hazards models were used to examine association. Results: This study included 35,520 veterans, mean age of 70 years, and approximately 1% women. The reentry group (N = 5,920) had higher incidence of MCI/dementia compared with the never-incarcerated group (N = 29,600; 10.2% vs 7.2%; fully adjusted hazard ratio [aHR] 1.12; 95% CI 1.00-1.25). On further investigation, reentry was associated with increased risk of dementia with or without prior MCI diagnosis (aHR 1.21; 95% CI 1.06-1.39) but not MCI only. Discussion: Transition from incarceration to community increased risk of neurocognitive diagnosis. Findings indicate health/social services to identify and address significant cognitive deficits on late-life reentry. Limitations include generalizability to nonveterans.