Health Status, Service Use, and Costs Among Veterans Receiving Outreach Services in Jail or Community Settings

2003 ◽  
Vol 54 (2) ◽  
pp. 201-207 ◽  
Author(s):  
James McGuire ◽  
Robert A. Rosenheck ◽  
Wesley J. Kasprow
2018 ◽  
Vol 99 (2) ◽  
pp. S58-S64 ◽  
Author(s):  
Christine A. Elnitsky ◽  
Cara Blevins ◽  
Jan Warren Findlow ◽  
Tabitha Alverio ◽  
Dennis Wiese

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Joseph J. Boscarino ◽  
Charles R. Figley ◽  
Richard E. Adams ◽  
Thomas G. Urosevich ◽  
H. Lester Kirchner ◽  
...  

Abstract Background The majority of Veterans Affair (VA) hospitals are in urban areas. We examined whether veterans residing in rural areas have lower mental health service use and poorer mental health status. Methods Veterans with at least 1 warzone deployment in central and northeastern Pennsylvania were randomly selected for an interview. Mental health status, including PTSD, major depression, alcohol abuse and mental health global severity, were assessed using structured interviews. Psychiatric service use was based on self-reported utilization in the past 12 months. Results were compared between veterans residing in rural and non-rural areas. Data were also analyzed using multivariate logistic regression to minimize the influence by confounding factors. Results A total of 1730 subjects (55% of the eligible veterans) responded to the survey and 1692 of them had complete geocode information. Those that did not have this information (n = 38), were excluded from some analyses. Veterans residing in rural areas were older, more often of the white race, married, and experienced fewer stressful events. In comparison to those residing in non-rural areas, veterans residing in rural areas had lower global mental health severity scores; they also had fewer mental health visits. In multivariate logistic regression, rural residence was associated with lower service use, but not with PTSD, major depression, alcohol abuse, and global mental health severity score after adjusting confounding factors (e.g., age, gender, marital status and education). Conclusions Rural residence is associated with lower mental health service use, but not with poor mental health in veterans with former warzone deployment, suggesting rural residence is possibly protective.


2002 ◽  
Vol 53 (3) ◽  
pp. 293-298 ◽  
Author(s):  
Joseph P. Morrissey ◽  
T. Scott Stroup ◽  
Alan R. Ellis ◽  
Elizabeth Merwin

2004 ◽  
Vol 27 (1) ◽  
pp. 93
Author(s):  
Jeff Fuller ◽  
Jane Edwards

We use our experience as consultants to a regional mental health planning project in South Australia to describe threepractical aspects of regional health planning. First, we systematically summarised various data on socio-demographicindicators, health status and health service use along with qualitative opinion about needs and services fromconsultations with over 200 stakeholders. In addition to these data, we found that attention to two other aspects ofplanning, circumstance and politics, were of critical importance, particularly if the plan was to be implemented andas a way of turning thinking into action.


Author(s):  
Tom Burns ◽  
Mike Firn

Dual diagnosis is used to refer to people with a psychotic illness plus harmful or hazardous substance misuse, which includes alcohol and any legal or illegal drugs. These coexisting morbidities present challenges for the delivery of services which have traditionally specialized in one or the other in the form of different approaches in addictions and community outreach services. The chapter provides data on the high incidence, poorer outcomes, associated risks, and high service use of these dual diagnosis patients. Best practice in service responses and clinical assessment and interventions are presented alongside a case study and care planning documentation.


2005 ◽  
Vol 19 (5) ◽  
pp. 369-375 ◽  
Author(s):  
Patrick J. O'Connor ◽  
Nicolaas P. Pronk ◽  
Agnes Tan ◽  
Robin R. Whitebird

Purpose. To describe the demographics, health-related and preventive-health behaviors, health status, and health care charges of adults who do and do not pray for health. Design. Cross-sectional survey with 1-year follow-up. Setting. A Minnesota health plan. Subjects. A stratified random sample of 5107 members age 40 and over with analysis based on 4404 survey respondents (86%). Measures. Survey data included health risks, health practices, use of preventive health services, satisfaction with care, and use of alternative therapies. Health care charges were obtained from administrative data. Results. Overall, 47.2% of study subjects reported that they pray for health, and 90.3% of these believed prayer improved their health. After adjustment for demographics, those who pray had significantly less smoking and alcohol use and more preventive care visits, influenza immunizations, vegetable intake, satisfaction with care, and social support and were more likely to have a regular primary care provider. Rates of functional impairment, depressive symptoms, chronic diseases, and total health care charges were not related to prayer. Conclusions. Those who pray had more favorable health-related behaviors, preventive service use, and satisfaction with care. Discussion of prayer could help guide customization of clinical care. Research that examines the effect of prayer on health status should adjust for variables related both to use of prayer and to health status.


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