VA mental health services utilization in Iraq and Afghanistan veterans in the first year of receiving new mental health diagnoses
Little is known about mental health services utilization among Iraq and Afghanistan veterans receiving care at 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 we...
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Veröffentlicht in: | Journal of traumatic stress 2010-02, Vol.23 (1), p.5-16 |
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container_title | Journal of traumatic stress |
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creator | Seal, Karen H. Maguen, Shira Cohen, Beth Gima, Kristian S. Metzler, Thomas J. Ren, Li Bertenthal, Daniel Marmar, Charles R. |
description | Little is known about mental health services utilization among Iraq and Afghanistan veterans receiving care at 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 mental health treatment sessions within the first year of diagnosis. |
doi_str_mv | 10.1002/jts.20493 |
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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 mental health treatment sessions within the first year of diagnosis.</description><identifier>ISSN: 0894-9867</identifier><identifier>EISSN: 1573-6598</identifier><identifier>DOI: 10.1002/jts.20493</identifier><identifier>PMID: 20146392</identifier><language>eng</language><publisher>Germantown: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Afghan Campaign 2001 ; Aged ; Databases, Factual ; Female ; Hospitals, Veterans ; Humans ; Iraq War, 2003-2011 ; Male ; Mental Health Services - utilization ; Middle Aged ; Stress Disorders, Post-Traumatic - diagnosis ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - therapy ; United States - epidemiology ; Veterans - psychology ; Young Adult</subject><ispartof>Journal of traumatic stress, 2010-02, Vol.23 (1), p.5-16</ispartof><rights>Copyright © 2010 International Society for Traumatic Stress Studies</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3933-f9086db31ed0191424abcb5d567feb7dbd479d00becce52c34cafa6ca8390e613</citedby><cites>FETCH-LOGICAL-c3933-f9086db31ed0191424abcb5d567feb7dbd479d00becce52c34cafa6ca8390e613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjts.20493$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjts.20493$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27915,27916,45565,45566</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20146392$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seal, Karen H.</creatorcontrib><creatorcontrib>Maguen, Shira</creatorcontrib><creatorcontrib>Cohen, Beth</creatorcontrib><creatorcontrib>Gima, Kristian S.</creatorcontrib><creatorcontrib>Metzler, Thomas J.</creatorcontrib><creatorcontrib>Ren, Li</creatorcontrib><creatorcontrib>Bertenthal, Daniel</creatorcontrib><creatorcontrib>Marmar, Charles R.</creatorcontrib><title>VA mental health services utilization in Iraq and Afghanistan veterans in the first year of receiving new mental health diagnoses</title><title>Journal of traumatic stress</title><addtitle>J. Traum. Stress</addtitle><description>Little is known about mental health services utilization among Iraq and Afghanistan veterans receiving care at 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 mental health treatment sessions within the first year of diagnosis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Afghan Campaign 2001</subject><subject>Aged</subject><subject>Databases, Factual</subject><subject>Female</subject><subject>Hospitals, Veterans</subject><subject>Humans</subject><subject>Iraq War, 2003-2011</subject><subject>Male</subject><subject>Mental Health Services - utilization</subject><subject>Middle Aged</subject><subject>Stress Disorders, Post-Traumatic - diagnosis</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Stress Disorders, Post-Traumatic - therapy</subject><subject>United States - epidemiology</subject><subject>Veterans - psychology</subject><subject>Young Adult</subject><issn>0894-9867</issn><issn>1573-6598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEFvEzEQRi0EomnhwB9AvqEetrXX6_X6GFpoiioQaoCjNWvPJi4bb2s7acONf86WtD0gcZrL-95Ij5A3nB1xxsrjq5yOSlZp8YxMuFSiqKVunpMJa3RV6KZWe2Q_pSvGWNPo5iXZKxmvaqHLCfn9fUpXGDL0dInQ5yVNGDfeYqLr7Hv_C7IfAvWBnke4oRAcnXaLJQSfMgS6wYwRQroH8hJp52PKdIsQ6dDRiBb9xocFDXj7zxvnYRGGhOkVedFBn_D1wz0g3z5-mJ_MiosvZ-cn04vCCi1E0WnW1K4VHB3jmldlBa1tpZO16rBVrnWV0o6xFq1FWVpRWeigttAIzbDm4oC823mv43CzxpTNyieLfQ8Bh3UySggpSyXLkTzckTYOKUXszHX0K4hbw5m5D27G4OZv8JF9-2Bdtyt0T-Rj4RE43gG3vsft_03m0_zyUVnsFmNivHtaQPxpaiWUND8-n5nZ18v3M3E6N6fiD1DRnG4</recordid><startdate>201002</startdate><enddate>201002</enddate><creator>Seal, Karen H.</creator><creator>Maguen, Shira</creator><creator>Cohen, Beth</creator><creator>Gima, Kristian S.</creator><creator>Metzler, Thomas J.</creator><creator>Ren, Li</creator><creator>Bertenthal, Daniel</creator><creator>Marmar, Charles R.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</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>201002</creationdate><title>VA mental health services utilization in Iraq and Afghanistan veterans in the first year of receiving new mental health diagnoses</title><author>Seal, Karen H. ; Maguen, Shira ; Cohen, Beth ; Gima, Kristian S. ; Metzler, Thomas J. ; Ren, Li ; Bertenthal, Daniel ; Marmar, Charles R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3933-f9086db31ed0191424abcb5d567feb7dbd479d00becce52c34cafa6ca8390e613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Afghan Campaign 2001</topic><topic>Aged</topic><topic>Databases, Factual</topic><topic>Female</topic><topic>Hospitals, Veterans</topic><topic>Humans</topic><topic>Iraq War, 2003-2011</topic><topic>Male</topic><topic>Mental Health Services - utilization</topic><topic>Middle Aged</topic><topic>Stress Disorders, Post-Traumatic - diagnosis</topic><topic>Stress Disorders, Post-Traumatic - epidemiology</topic><topic>Stress Disorders, Post-Traumatic - therapy</topic><topic>United States - epidemiology</topic><topic>Veterans - psychology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seal, Karen H.</creatorcontrib><creatorcontrib>Maguen, Shira</creatorcontrib><creatorcontrib>Cohen, Beth</creatorcontrib><creatorcontrib>Gima, Kristian S.</creatorcontrib><creatorcontrib>Metzler, Thomas J.</creatorcontrib><creatorcontrib>Ren, Li</creatorcontrib><creatorcontrib>Bertenthal, Daniel</creatorcontrib><creatorcontrib>Marmar, Charles R.</creatorcontrib><collection>Istex</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>Journal of traumatic stress</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seal, Karen H.</au><au>Maguen, Shira</au><au>Cohen, Beth</au><au>Gima, Kristian S.</au><au>Metzler, Thomas J.</au><au>Ren, Li</au><au>Bertenthal, Daniel</au><au>Marmar, Charles R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>VA mental health services utilization in Iraq and Afghanistan veterans in the first year of receiving new mental health diagnoses</atitle><jtitle>Journal of traumatic stress</jtitle><addtitle>J. Traum. Stress</addtitle><date>2010-02</date><risdate>2010</risdate><volume>23</volume><issue>1</issue><spage>5</spage><epage>16</epage><pages>5-16</pages><issn>0894-9867</issn><eissn>1573-6598</eissn><abstract>Little is known about mental health services utilization among Iraq and Afghanistan veterans receiving care at 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 mental health treatment sessions within the first year of diagnosis.</abstract><cop>Germantown</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>20146392</pmid><doi>10.1002/jts.20493</doi><tpages>12</tpages></addata></record> |
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subjects | Adolescent Adult Afghan Campaign 2001 Aged Databases, Factual Female Hospitals, Veterans Humans Iraq War, 2003-2011 Male Mental Health Services - utilization Middle Aged Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - therapy United States - epidemiology Veterans - psychology Young Adult |
title | VA mental health services utilization in Iraq and Afghanistan veterans in the first year of receiving new mental health diagnoses |
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