VA Mental Health Services Utilization in Iraq and Afghanistan Veterans in the First Year of Receiving New Mental Health Diagnoses

被引:322
作者
Seal, Karen H. [1 ,2 ,3 ]
Maguen, Shira [1 ,3 ]
Cohen, Beth [2 ]
Gima, Kristian S.
Metzler, Thomas J.
Ren, Li
Bertenthal, Daniel [1 ]
Marmar, Charles R. [3 ]
机构
[1] San Francisco VA Med Ctr, Hlth Serv Res & Dev Res Enhancement Award Program, San Francisco, CA 94121 USA
[2] Univ Calif San Francisco, Dept Med, San Francisco, CA USA
[3] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA 94143 USA
关键词
POSTTRAUMATIC-STRESS-DISORDER; NATIONAL COMORBIDITY SURVEY; TRAUMATIC BRAIN-INJURY; PRIMARY-CARE; WAR; DEPRESSION; INTERVENTION; MANAGEMENT; SYMPTOMS; THERAPY;
D O I
10.1002/jts.20493
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Little is known about mental health services utilization among Iraq and Afghanistan veterans receiving care tit Department of Veterans Affairs (VA)facilities. Of 49,425 veterans with newly diagnosed Posttraumatic stress disorder (PTSD), only 9.5% attended 9 or more VA mental health sessions in 15 weeks or less in the first year of diagnosis. In addition, engagement in 9 or more VA treatment sessions for PTSD within 15 weeks varied by predisposing variables (age and gender), enabling variables (clinic of first mental health diagnosis and distance from VA facility), and need (type and complexity of mental health diagnoses). Thus, only a minority of Iraq and Afghanistan veterans with new PTSD diagnoses received a recommended number and intensity of VA menial health treatment sessions within the first year of diagnosis.
引用
收藏
页码:5 / 16
页数:12
相关论文
共 53 条
  • [1] American Psychiatric Association, 2013, Diagnostic and statistical manual of mental disorders, DOI 10.1176/appi.books.9780890425596
  • [2] REVISITING THE BEHAVIORAL-MODEL AND ACCESS TO MEDICAL-CARE - DOES IT MATTER
    ANDERSEN, RM
    [J]. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1995, 36 (01) : 1 - 10
  • [3] [Anonymous], 2000, Am J Psychiatry, V157, P1
  • [4] [Anonymous], 2002, PRACT GUID TREATM PA
  • [5] [Anonymous], 2008, INT CLASS DIS
  • [6] [Anonymous], 2004, AM J PSYCHIAT
  • [7] Would older medical patients use psychological services?
    Areán, PA
    Alvidrez, J
    Barrera, A
    Robinson, GS
    Hicks, S
    [J]. GERONTOLOGIST, 2002, 42 (03) : 392 - 398
  • [8] Integrative outpatient treatment for returning service members
    Batten, Sonja V.
    Pollack, Stacey J.
    [J]. JOURNAL OF CLINICAL PSYCHOLOGY, 2008, 64 (08) : 928 - 939
  • [9] Psychological interventions for major depression in primary care: a meta-analytic review of randomized controlled trials
    Bortolotti, Biancamaria
    Menchetti, Marco
    Bellini, Francesca
    Montaguti, Milena Barbara
    Berardi, Domenico
    [J]. GENERAL HOSPITAL PSYCHIATRY, 2008, 30 (04) : 293 - 302
  • [10] Identifying hypertension-related comorbidities from administrative data: What's the optimal approach?
    Borzecki, AM
    Wong, AT
    Hickey, EC
    Ash, AS
    Berlowitz, DR
    [J]. AMERICAN JOURNAL OF MEDICAL QUALITY, 2004, 19 (05) : 201 - 206