Mental Health Service Utilization by Iraq and Afghanistan Veterans After Entry Into PTSD Specialty Treatment
ObjectiveUse of care by Iraq and Afghanistan veterans was examined after entry into a U.S. Department of Veterans Affairs (VA) specialty outpatient program for treatment of posttraumatic stress disorder (PTSD). Those who had received mental health care before entry (continuing patients) were compare...
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| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 2014-08, Vol.65 (8), p.1066-1069 |
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| container_title | Psychiatric services (Washington, D.C.) |
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| creator | Aakre, Jennifer M Himelhoch, Seth Slade, Eric P |
| description | ObjectiveUse of care by Iraq and Afghanistan veterans was examined after entry into a U.S. Department of Veterans Affairs (VA) specialty outpatient program for treatment of posttraumatic stress disorder (PTSD). Those who had received mental health care before entry (continuing patients) were compared with those who had not (new patients).MethodsRegression analyses compared veterans’ retention in PTSD programs in the 180 days after program entry for new patients (N=172) and continuing patients (N=422). Two retention measures, total visits and completion of nine or more visits, were developed from VA administrative data.ResultsNew patients completed fewer PTSD visits than did continuing patients (5.2±9.5 versus 8.3±14.3; incidence risk ratio=.91, 95% confidence interval [CI]=.85–.97) and were also less likely to complete nine or more visits (OR=.81, CI=.68–.97).ConclusionsContact with providers before entering PTSD specialty care may facilitate veterans’ treatment engagement, suggesting the value of repeated attempts at engaging such veterans in treatment. |
| doi_str_mv | 10.1176/appi.ps.201300117 |
| format | Article |
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Those who had received mental health care before entry (continuing patients) were compared with those who had not (new patients).MethodsRegression analyses compared veterans’ retention in PTSD programs in the 180 days after program entry for new patients (N=172) and continuing patients (N=422). Two retention measures, total visits and completion of nine or more visits, were developed from VA administrative data.ResultsNew patients completed fewer PTSD visits than did continuing patients (5.2±9.5 versus 8.3±14.3; incidence risk ratio=.91, 95% confidence interval [CI]=.85–.97) and were also less likely to complete nine or more visits (OR=.81, CI=.68–.97).ConclusionsContact with providers before entering PTSD specialty care may facilitate veterans’ treatment engagement, suggesting the value of repeated attempts at engaging such veterans in treatment.</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/appi.ps.201300117</identifier><identifier>PMID: 24882427</identifier><language>eng</language><publisher>Arlington, VA: American Psychiatric Association</publisher><subject>Adult ; Adult and adolescent clinical studies ; Afghan Campaign 2001 ; Anxiety disorders. Neuroses ; Biological and medical sciences ; Female ; Humans ; Iraq War, 2003-2011 ; Male ; Medical sciences ; Mental Health Services - statistics & numerical data ; Mental Health Services - utilization ; Patient Acceptance of Health Care - statistics & numerical data ; Post-traumatic stress disorder ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Social psychiatry. Ethnopsychiatry ; Stress Disorders, Post-Traumatic - therapy ; United States ; United States Department of Veterans Affairs - statistics & numerical data ; Veterans - statistics & numerical data</subject><ispartof>Psychiatric services (Washington, D.C.), 2014-08, Vol.65 (8), p.1066-1069</ispartof><rights>Copyright © 2014 by the American Psychiatric Association 2014</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a403t-2e3723421e0589ee1460fad98dde97d125a138fa87172a19324ac387b7d808b13</citedby><cites>FETCH-LOGICAL-a403t-2e3723421e0589ee1460fad98dde97d125a138fa87172a19324ac387b7d808b13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ps.201300117$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ps.201300117$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,780,784,2853,21625,21626,21627,27923,27924,77565,77570</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28692146$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24882427$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aakre, Jennifer M</creatorcontrib><creatorcontrib>Himelhoch, Seth</creatorcontrib><creatorcontrib>Slade, Eric P</creatorcontrib><title>Mental Health Service Utilization by Iraq and Afghanistan Veterans After Entry Into PTSD Specialty Treatment</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>ObjectiveUse of care by Iraq and Afghanistan veterans was examined after entry into a U.S. Department of Veterans Affairs (VA) specialty outpatient program for treatment of posttraumatic stress disorder (PTSD). Those who had received mental health care before entry (continuing patients) were compared with those who had not (new patients).MethodsRegression analyses compared veterans’ retention in PTSD programs in the 180 days after program entry for new patients (N=172) and continuing patients (N=422). Two retention measures, total visits and completion of nine or more visits, were developed from VA administrative data.ResultsNew patients completed fewer PTSD visits than did continuing patients (5.2±9.5 versus 8.3±14.3; incidence risk ratio=.91, 95% confidence interval [CI]=.85–.97) and were also less likely to complete nine or more visits (OR=.81, CI=.68–.97).ConclusionsContact with providers before entering PTSD specialty care may facilitate veterans’ treatment engagement, suggesting the value of repeated attempts at engaging such veterans in treatment.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Afghan Campaign 2001</subject><subject>Anxiety disorders. Neuroses</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Iraq War, 2003-2011</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Health Services - statistics & numerical data</subject><subject>Mental Health Services - utilization</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Post-traumatic stress disorder</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Stress Disorders, Post-Traumatic - therapy</subject><subject>United States</subject><subject>United States Department of Veterans Affairs - statistics & numerical data</subject><subject>Veterans - statistics & numerical data</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1P4zAQhi3ECliWH8AF-YLEJV2PncTOEfEtsdqVWrhG02QCRqkTbBep_HrMtsCNk0ejZ95Xfhg7BDEB0OVvHEc7GcNEClBCpNUW24Oi0FmlhdhOs9BFJrUSu-xnCE8iMRrKHbYrc2NkLvUe6_-Qi9jza8I-PvIp-RfbEL-LtrevGO3g-HzFbzw-c3QtP-0eHtHZENHxe4rk0YW0TAO_cNEn0sWB_5tNz_l0pMam0BWfecK4SD2_2I8O-0AHm3ef3V1ezM6us9u_Vzdnp7cZ5kLFTJLSUuUSSBSmIoK8FB22lWlbqnQLskBQpkOjQUuESskcG2X0XLdGmDmofXayzh398LykEOuFDQ31PToalqFOjkDIAkqdUFijjR9C8NTVo7cL9KsaRP0uuX6XXI-h_pScbo428cv5gtrPiw-rCTjeABga7LtkqbHhizNlJdOnEjdZc_87noald0nLN81vXNGUdw</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Aakre, Jennifer M</creator><creator>Himelhoch, Seth</creator><creator>Slade, Eric P</creator><general>American Psychiatric Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140801</creationdate><title>Mental Health Service Utilization by Iraq and Afghanistan Veterans After Entry Into PTSD Specialty Treatment</title><author>Aakre, Jennifer M ; Himelhoch, Seth ; Slade, Eric P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a403t-2e3723421e0589ee1460fad98dde97d125a138fa87172a19324ac387b7d808b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Afghan Campaign 2001</topic><topic>Anxiety disorders. Neuroses</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Iraq War, 2003-2011</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Health Services - statistics & numerical data</topic><topic>Mental Health Services - utilization</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Post-traumatic stress disorder</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Stress Disorders, Post-Traumatic - therapy</topic><topic>United States</topic><topic>United States Department of Veterans Affairs - statistics & numerical data</topic><topic>Veterans - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aakre, Jennifer M</creatorcontrib><creatorcontrib>Himelhoch, Seth</creatorcontrib><creatorcontrib>Slade, Eric P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aakre, Jennifer M</au><au>Himelhoch, Seth</au><au>Slade, Eric P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mental Health Service Utilization by Iraq and Afghanistan Veterans After Entry Into PTSD Specialty Treatment</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><addtitle>Psychiatr Serv</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>65</volume><issue>8</issue><spage>1066</spage><epage>1069</epage><pages>1066-1069</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>ObjectiveUse of care by Iraq and Afghanistan veterans was examined after entry into a U.S. Department of Veterans Affairs (VA) specialty outpatient program for treatment of posttraumatic stress disorder (PTSD). Those who had received mental health care before entry (continuing patients) were compared with those who had not (new patients).MethodsRegression analyses compared veterans’ retention in PTSD programs in the 180 days after program entry for new patients (N=172) and continuing patients (N=422). Two retention measures, total visits and completion of nine or more visits, were developed from VA administrative data.ResultsNew patients completed fewer PTSD visits than did continuing patients (5.2±9.5 versus 8.3±14.3; incidence risk ratio=.91, 95% confidence interval [CI]=.85–.97) and were also less likely to complete nine or more visits (OR=.81, CI=.68–.97).ConclusionsContact with providers before entering PTSD specialty care may facilitate veterans’ treatment engagement, suggesting the value of repeated attempts at engaging such veterans in treatment.</abstract><cop>Arlington, VA</cop><pub>American Psychiatric Association</pub><pmid>24882427</pmid><doi>10.1176/appi.ps.201300117</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; American Psychiatric Publishing Journals (1997-Present); EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Adult and adolescent clinical studies Afghan Campaign 2001 Anxiety disorders. Neuroses Biological and medical sciences Female Humans Iraq War, 2003-2011 Male Medical sciences Mental Health Services - statistics & numerical data Mental Health Services - utilization Patient Acceptance of Health Care - statistics & numerical data Post-traumatic stress disorder Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Social psychiatry. Ethnopsychiatry Stress Disorders, Post-Traumatic - therapy United States United States Department of Veterans Affairs - statistics & numerical data Veterans - statistics & numerical data |
| title | Mental Health Service Utilization by Iraq and Afghanistan Veterans After Entry Into PTSD Specialty Treatment |
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