SPECIFICS OF ASSESSING PSYCHOLOGICAL NEEDS OF MILITARY PATIENTS IN AN OUTPATIENT REHABILITATION FACILITY

Abstract

The article substantiates the authors' original need-oriented model of psychological history-taking for military patients in outpatient rehabilitation. Drawing on more than 160 diagnostic interviews conducted at the Kyiv Institute of Rehabilitation (KIR) between 2022 and 2025, the study traces the evolution of military patients' psychological needs: from acute PTSD symptoms in the early stages of full-scale war to more complex manifestations of chronic adaptation, personal identity disintegration, moral-value conflict, and the absence of a future life perspective in 2024–2025. The fundamental difference between psychological rehabilitation during an ongoing armed conflict and post-conflict recovery models is substantiated: the psychologist does not work with a concluded traumatic event, but with a patient who will return to a stressogenic environment after two to three weeks of rehabilitation. An original five-section assessment form is presented, structured around the distinction between mandatory tools applied with every patient (IAPT complex, PCL-M, GRAS-8, ROAQ) and selective instruments applied according to clinical indications (MoCA, NSI, PCS, MINI). Each diagnostic block is justified not only structurally but in terms of its specific clinical significance in wartime rehabilitation practice.