Veterans Health Administration Mental Health Treatment Settings of Patients Who Report Military Sexual Trauma

2011 ◽  
Vol 12 (3) ◽  
pp. 232-243 ◽  
Author(s):  
Courtney Valdez ◽  
Rachel Kimerling ◽  
Jenny K. Hyun ◽  
Hanna F. Mark ◽  
Meghan Saweikis ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Sexual Trauma ◽  
Veterans Health Administration ◽  
Military Sexual Trauma ◽  
Veterans Health ◽  
Health Administration ◽  
Health Treatment ◽  
Treatment Settings

Mental health and addiction service use among United States veterans with liver disease nationally in the Veterans Health Administration

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lamia Haque ◽  
Robert Rosenheck
Keyword(s):  
Mental Health ◽  
United States ◽  
Drug Dependence ◽  
Mental Health Treatment ◽  
Addiction Treatment ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration ◽  
Health Treatment ◽  
Content Type

Purpose While many studies have shown that liver diseases (LD) can be caused or exacerbated by substance use disorders (SUD), few have examined the proportion of adults with LD and SUD who receive mental health and addiction treatment or correlates of such use. Design/methodology/approach Using national Fiscal Year (FY) 2012 data from the United States Veterans Health Administration (VHA), the authors studied all 43,246 veterans diagnosed with both LD and SUD in FY 2012 and compared those who received mental health treatment (n = 30,456; 70.4%) to those who did not (n = 12,790; 29.6%). Findings Veterans who received mental health treatment were less like to be older than 75 years of age, more likely to have served during recent Middle East conflicts (Operation Iraqi Freedom or Operation Enduring Freedom), more likely to have been recently homeless and to have drug dependence as contrasted with alcohol dependence when compared with those who did not receive mental health treatment. Although the majority, 70.4%, received mental health treatment, only 30.6% of the total received specialized addiction treatment, and these veterans were more likely to experience homelessness and have drug dependence diagnoses. Originality/value This is the first study as per the authors’ best knowledge that broadly examines mental health and addiction treatment received by veterans with LD and SUD. High rates of mental health treatment in this population likely reflect the integrated nature of the VHA and its emphasis on providing comprehensive services to homeless veterans. Further research is needed to identify barriers to specialized addiction treatment in this population.

scholarly journals The Veterans Health Administration and Military Sexual Trauma

2007 ◽  
Vol 97 (12) ◽  
pp. 2160-2166 ◽  
Author(s):  
Rachel Kimerling ◽  
Kristian Gima ◽  
Mark W. Smith ◽  
Amy Street ◽  
Susan Frayne
Keyword(s):  
Sexual Trauma ◽  
Veterans Health Administration ◽  
Military Sexual Trauma ◽  
Veterans Health ◽  
Health Administration

scholarly journals 1353. Gonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S763-S764
Author(s):  
Shimrit Keddem ◽  
Marissa Maier ◽  
Carolyn Gardella ◽  
Joleen Borgerding ◽  
Elliott Lowy ◽  
...  
Keyword(s):  
Sexual Trauma ◽  
Women Veterans ◽  
Veterans Health Administration ◽  
Military Sexual Trauma ◽  
Veterans Health ◽  
Health Administration ◽  
Infection Rates ◽  
Factors Associated ◽  
Chlamydia Testing ◽  
Case Rate

Abstract Background United States (US) rates of sexually transmitted infection (STI) in women, especially gonorrhea and chlamydia, have increased over the past decade. Women Veterans have many risk factors associated with STIs, including high rates of childhood sexual assault, military sexual trauma and intimate partner violence. Despite the availability of effective diagnostic tests and evidence-based guidelines for annual screening among sexually active women under age 25, screening rates for gonorrhea and chlamydia remain low in the US and among Veterans. Methods We performed a retrospective cohort study of all women Veterans in Veterans Health Administration (VHA) care between January 1, 2018 and December 31, 2019 to examine patient characteristics and health system factors associated with gonorrhea and chlamydia testing and case rates among women Veterans in the VHA in 2019. Results Among women under age 25, 21.3% were tested for gonorrhea or chlamydia in 2019. After adjusting for demographic and other health factors, predictors of testing in women under age 25 included Black race (aOR: 2.11 CI: 1.89, 2.36), rural residence (aOR: 0.84, CI: 0.74, 0.95), and cervical cancer screening (aOR: 5.05 CI: 4.59, 5.56). Women under age 25 had the highest infection rates, with an incidence of chlamydia and gonorrhea of 1,950 and 267 cases/100,000, respectively. Incidence of gonorrhea and chlamydia was higher for women with a history of military sexual trauma (MST) (Chlamydia case rate: 265, Gonorrhea case rate: 97/100,000) and those with mental health diagnoses (Chlamydia case rate: 263, Gonorrhea case rate: 72/100,000.) Over a third of chlamydia cases (35.2%) and gonorrhea cases (35.5%) occurred in women who resided in the South Atlantic census division. Chlamydia cases per 100,000 women Veterans seen in VHA (2019) Gonorrhea cases per 100,000 women Veterans seen in VHA (2019) Conclusion Gonorrhea and chlamydia testing remains underutilized among women in the VHA and infection rates are high among younger women. Patient-centered, system-level interventions are urgently needed to address low testing rates. Disclosures All Authors: No reported disclosures

The influence of gender on suicidal ideation following military sexual trauma among Veterans in the Veterans Health Administration

2016 ◽  
Vol 244 ◽  
pp. 257-265 ◽  
Author(s):  
Lindsey L. Monteith ◽  
Nazanin H. Bahraini ◽  
Bridget B. Matarazzo ◽  
Holly R. Gerber ◽  
Kelly A. Soberay ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Sexual Trauma ◽  
Veterans Health Administration ◽  
Military Sexual Trauma ◽  
Veterans Health ◽  
Health Administration
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