Drinking as routine practice among re-integrating National Guard and Reservists from Arkansas


Submitted: 7 April 2020
Accepted: 9 September 2020
Published: 29 October 2020
Abstract Views: 883
PDF: 247
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Authors

  • Traci H. Abraham South Central Mental Illness Research, Education, and Clinical Center (MIRECC), Central Arkansas Veterans Healthcare System; Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock,, United States.
  • Ann M. Cheney Department of Social Medicine and Population Health, Center for Healthy Communities, SOM, University of California, Riverside, CA, United States.
  • Geoffrey M. Curran Department of Pharmacy Practice, College of Pharmacy and Division of Health Services Research, Department of Psychiatry, University of Arkansas for Medical Sciences; Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.
  • Karen L. Drummond South Central Mental Illness Research, Education, and Clinical Center (MIRECC), Central Arkansas Veterans Healthcare System; Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, United States.

Active duty enlisted military personnel are more likely to misuse alcohol than civilians – a pattern which persists even after the transition to civilian life. We used in-depth, substance use history interviews to elicit drinking trajectories from 54 re-integrating Army National Guard, Air Force Reserve and Army Reserve personnel from Arkansas with a history of problematic substance use. A hybrid inductive-deductive analytic approach revealed institutional norms, shared beliefs about drinking, and social values and expectations among military peers present in the context of military service that Veterans described as having shaped their drinking trajectories. Framing Veterans’ narratives vis-à-vis practice theory revealed the complex processes by which excessive drinking was embodied as routine practice during military service and subsequently reproduced in a very different post-deployment context, often with deleterious results. Elucidating these implicit processes suggested pro-active strategies for preventing problematic drinking by active duty personnel and improving the re-integration experiences of Veterans.


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Supporting Agencies

Department of Veterans Affairs Office of Academic Affiliations Advanced Fellowship Program in Mental Illness Research and Treatment, Department of Veterans Affairs Center for Mental Healthcare and Outcomes Research, Department of Veterans Affairs Clinical Science & Development Grant, Medical Research Service of the Veterans Affairs of the Central Arkansas Veterans Healthcare System

Abraham, Traci H., Ann M. Cheney, Geoffrey M. Curran, and Karen L. Drummond. 2020. “Drinking As Routine Practice Among Re-Integrating National Guard and Reservists from Arkansas”. Qualitative Research in Medicine and Healthcare 4 (2). https://doi.org/10.4081/qrmh.2020.9001.

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