From treatment to social reintegration:

principles of medical and psychological support of veterans (on example of the Russian-Ukrainian war)




Mental health, combat veterans, mental trauma, medical and psychological rehabilitation,, psychoeducation, reintegration, hub


Introduction: Analyzing numerical data from different countries around the world that have experience of participating in wars and resolving their consequences, it is important to consider the wide range of war effects on all spheres of society. This influence is discussed in the context of economic, political, state-building, demographic, and other spheres. Special attention is given to analyzing the consequences of this impact on individuals returning from war. These consequences are diverse and include physical and psychological problems, job loss, social exclusion, and other challenges that require an integrated approach to effectively address them.

Purpose: To analyze the main principles of medical and psychological rehabilitation of combat veterans, having conducted a comprehensive analysis of their links and constituent elements, and to consider possible ways of their implementation.

Methodology: We conducted a systematic search in the main electronic medical databases such as: PubMed, Scopus, Web of Science and Google Scholar until January 2024. We used theoretical methods such as systematic, bibliosemantic and retrospective, comparative analysis and generalization of the publication data of the conducted studies that considered links, components, principles and possible ways of their implementation in the field of medical and psychological rehabilitation of combat veterans. Relevant studies were identified by key words: war or combat veterans, rehabilitation, reintegration, psychoeducation, hub.

Results: The research revealed complex challenges in the system of medical and psychological rehabilitation of military veterans, including post-traumatic stress disorder, physical injuries, social isolation and limited resources. The analysis identified key principles important to the planning and implementation of rehabilitation programs, including individualization, comprehensiveness, accessibility, and integration. The results highlighted the importance of a systems approach and collaboration between various parties concerned for the effective implementation of the veterans’ rehabilitation system. The study suggests specific ways of the identified principles implementation. Understanding the modality of the medical and psychological rehabilitation system is a key aspect in improving the quality of rehabilitation and providing adequate support to veterans. In order to achieve these goals, a hierarchy of therapeutic goals was created determining the modalities of the medical and psychological rehabilitation system.

Conclusion: Effective medical and psychological rehabilitation for combat veterans should be based on the systematic organization of care, recognizing the importance of each component in ensuring coordination, efficiency and quality of services. Establishing clear therapeutic goals forms the basis for comprehensive psychological support, contributing to veterans’ self-esteem, mental health, and social integration, ultimately enhancing their overall well-being and quality of life.


Basko, A. V., Sobakar, A. O., Myroniuk, S. A.. (2024). Methods of rehabilitation of military personnel, status of functioning and development of implementation centers as one of the directions of activity of local government bodies Rehabilitation and Recreation,18(1), 78–93. DOI:

Borysova, ?.?. (2023). Psychoeducational models in the process of psychrehabilitation of combat participants:concepts and functions, an example. Scientific Bulletin of Uzhhorod National University. Series: Psychology. 3:7–12. (in Ukrainian). DOI:

Chaban, O. S., Frankova, I. A. (2019). Guilt, shame and social withdrawal in the context of post-traumatic stress disorder. Likars’ka Sprava, (1-2), 83-92. (in Ukrainian). DOI:

Chaban, O.S., Khaustova, O.O. (2022). Medical and psychological consequences of war distress in Ukraine: what do we expect and what should be taken into account when providing medical aid?. 10.32471/umj.1680-3051.150.232297 (in Ukrainian).

Decree of November 29, 2022 No. 1338 of the Cabinet of Ministers of Ukraine. (2022). Retrieved from:

Esmanova, K. (2023). Development of a welfare and leisure program for war veterans and their families based on the example of the charity organization "Veteran Hub Charitable Fund". Retrieved from: (in Ukrainian).

Friedrich, Yu., Lutkefend, T. (2021). The long shadow of Donbas: Reintegration of veterans and strengthening of social unity in Ukraine Retrieved from: https://www. pdf (in Ukrainian).

Inoue, C., Shawler, E.; Jordan, C.H., Moore M. J., Jackson, C. A.(2024).Veteran and Military Mental Health Issues. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from:

Karpa, M., Payenok, A. (2024). ?. Features of reforming medical and social care of war veterans in the context of improvement of state veterans policy of Ukraine. 7:74–82. (in Ukrainian). DOI:

Kirillova, Y., Kozatskyi, D., Legkoduh, V., Kolesnikov, M., Motylyov, D., Bohun-Schyrin, Y., Simoroz, O., Bodnarchuk, A., Budko, O., Melnyk, M., Laguta, V., Lelyukh, T. (2023). How to write about veterans. Recommendations for journalists from the Ukrainian Veterans Fund. Ministry of Veterans Affairs of Ukraine. Retrieved from: (in Ukrainian)

Kirillova, Yu., Znovyak, V., Kazanska, A., Tkalych, M. (2023). Needs of veterans 2023. January - April 2023. Ukrainian Veterans Fund. Sociological group Rating. Retrieved from: (in Ukrainian)

Kligler, B., Hyde, J., Gantt, C., & Bokhour, B. (2022). The Whole Health Transformation at the Veterans Health Administration: Moving From "What's the Matter With You?" to "What Matters to You?". Medical care, 60(5), 387–391. DOI:

Kokun, O. M., Agaev, N. A., Pishko, I. O., Lozinska, N. S., & Ostapchuk, V. V. (2017). Psychological work with servicemen participating in the anti-terrorist operation at the stage of recovery: Methodical guide. Retrieved from: (in Ukrainian)

Kolenichenko, T. (2022). Conceptualization of the concept of "reintegration" in the conditions of the armed conflict in Ukraine. Theoretical and Methodical Problems of Children and Youth Education 26(1), 169-178. (in Ukrainian). DOI:

Lashko, O. V., Varenia, T. V., Tymofiiev, V. H., Koshova, I. V., Petrushko, Ye. M., Orlovska, N. M., Tsyhankova, H. Yu., Ternopolska, I. D., Didenko, O. V. (2023). A guide for veterans and their family members within the system of providing psychological, medico-psychological, psychiatric care. A collection of works and adapted materials from the experience of the Hotline of crisis support of the Ukrainian Veterans Fund. Retrieved from: (in Ukrainian)

Law of Ukraine dated 22.10.1993 ? 3551-XII, About the status of war veterans, guarantees of their social protection" (Current edition 01.16.2024. Valid from u04.04.2024) Retrieved from: (in Ukrainian)

Matiashova, L., Tsagkaris, C., Essar, M. Y., Romash, I. B., & Vus, V. I. (2022). Achilles in Ukraine: Concerns and priorities over the long-term implications of trauma. The International journal of health planning and management, 37(6), 3369–3371. DOI:

Matyash M.M. Medical and psychological rehabilitation of military personnel in the conditions of the Russian-Ukrainian war: ethnopsychological discourse, national perspectives of public health. Ukraine honey. magazine, 1 (153) T. 2 Special issue. DOI:10.32471/umj.1680-3051.153.239628 DOI:

McMahon, B., Guindalini, C., & Mellor, R. (2023). Computerised health interventions targeting Australian veterans and their families: A scoping review. Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals, 10.1002/hpja.832. Advance online publication. DOI:

National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Committee to Evaluate the Department of Veterans Affairs Mental Health Services. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington (DC): National Academies Press (US); 2018 Jan 31. 4, Clinical Management of Mental Health Conditions at the Veterans Health Adminstration. Available from:

Purcell, N., Becker, W. C., Zamora, K. A., McGrath, S. L., Hagedorn, H. J., Fabian, E. R., McCamish, N., & Seal, K. H. (2020). Tailored to Fit: How an Implementation Framework Can Support Pragmatic Pain Care Trial Adaptation for Diverse VA Clinical Settings. Medical Care, 58(Suppl 2 9 Suppl), S80. DOI:

Romash, I. R., Romash, I. B., Dzivak, K. V., Tymkiv, I. S., Neyko, V. Y., Kelly, S. K., & Pustovoyt, M. M. (2023). Traumatic events and mental diseases: the role of certain neurotransmitters, metalloensymes and hormones. Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 51(2), 156–160. DOI:

Romash, I.R., Neyko, V., Romash, I., Dzivak, K., Gerych, P., Panchyshyn, M., Gerych, O., & Pustovoyt, M. (2022). Post-traumatic stress disorder as a nosological unit: difficulties of the past and challenges of the future. Scientific Studios on Social and Political Psychology. DOI:

Sasina, I. O., Grebeniuk, T. M.,. Medvedok L. G. (2023) Key provisions of the international policy regarding the rehabilitation of persons with limitations in daily functioning. Scientific journal of MP Drahomanov NPU. Series 19. Correctional pedagogy and special psychology 44: 73-82. DOI:

Savenkova ?. ?. (2013) A system of corrective instruments for medical and psychological rehabilitation of psychosomatic patients. Actual problems of psychology: coll. scientific papers of the Institute of Psychology named after H.S. Kostyuk of the National Academy of Sciences of Ukraine . (38). 414-418.

Shvets, A. V., Horishna, O. V., Kikh, A. Y., Ivantzova, G. V., Gorshkov, O. O., & Richka, O. V. (2021). Peculiarities of the organization of psycho-medical rehabilitation of servicemen in NATO member countries and partnership for peace countries. Ukrainian Journal of Military Medicine, 2(4), 26-39. (in Ukrainian). DOI:

Stockdale, S. E., Hamilton, A. B., Bergman, A. A., Rose, D. E., Giannitrapani, K. F., Dresselhaus, T. R., Yano, E. M., & Rubenstein, L. V. (2020). Assessing fidelity to evidence-based quality improvement as an implementation strategy for patient-centered medical home transformation in the Veterans Health Administration. Implementation science : IS, 15(1), 18. DOI:

Taylor, S. L., Gelman, H. M., DeFaccio, R., Douglas, J., Hawrilenko, M. J., McGinty, N. K., Resnick, A., Tomlanovich, N. C., Toyama, J., Whitehead, A. M., Kligler, B., & Zeliadt, S. B. (2023). We Built it, But Did They Come: Veterans' Use of VA Healthcare System-Provided Complementary and Integrative Health Approaches. Journal of general internal medicine, 38(4), 905–912. DOI:

Rauch, S. A., et al. (2024). Improving Function through Primary Care Treatment of PTSD: The IMPACT Study Protocol. Contemporary Clinical Trials, vol. 120, 2022, p. 106881, Accessed 3 Jun. 2024. DOI:




How to Cite

Pustovoyt, M. M., Romash, I., Romash, I., Vynnyk, M. I. ., Dzivak, K. V. ., Syniuk, I. I. ., & Matushevskyi, B. M. . (2024). From treatment to social reintegration: : principles of medical and psychological support of veterans (on example of the Russian-Ukrainian war). Mental Health: Global Challenges Journal, 7(1), 55–70.




Most read articles by the same author(s)