scholarly journals Taking care of the sick Veteran – Mental health care within the Department of Veterans Affairs, USA

2013 ◽  
Vol 47 (6) ◽  
pp. 1077-1086
Author(s):  
Katarzyna Klasa ◽  
Joanna Gędzior ◽  
D.R. DePry
2019 ◽  
Vol 34 (12) ◽  
pp. 2700-2701
Author(s):  
Lucinda B. Leung ◽  
Edward P. Post ◽  
Erin Jaske ◽  
Kenneth B. Wells ◽  
Lisa V. Rubenstein

2020 ◽  
Vol 35 (12) ◽  
pp. 3620-3626
Author(s):  
Lucinda B. Leung ◽  
Danielle Rose ◽  
Lisa V. Rubenstein ◽  
Rong Guo ◽  
Timothy R. Dresselhaus ◽  
...  

2019 ◽  
Author(s):  
Maureen Murdoch ◽  
Yvonne Jonk

Background: Critics fear that some Veterans use Department of Veterans Affairs (VA) mental health services solely to establish eligibility for posttraumatic stress disorder (PTSD) disability benefits, then drop out of treatment once their claim is approved. Objective: To examine the long-term effects of receiving VA disability benefits for PTSD on health care in the VA system. Methods: Using VA administrative data, we examined the health care utilization of a nationally representative cohort of former PTSD disability claimants. Veterans filed PTSD disability claims between 1994 and 1998. They returned mailed surveys between 1998 and 2000 (Time 1) and between 2004 and 2006 (Time 2). We examined their health care utilization for the 6 months before and after they received their surveys, comparing the health care use of successful claimants (SC+) to unsuccessful claimants (SC-). Results: Of the 3,337 Veterans in the cohort, 3,090 had at least one episode of care at a VA facility during the study period. Except for rehabilitative services, successful claimants were statistically significantly more likely to have used any outpatient VA service in the year centered on their Time 1 survey than were SC- Veterans (ps < 0.001). At Time 2, SC+ Veterans were more likely than SC- Veterans to have used any outpatient mental health (p < 0.001), primary care (p < 0.01) or surgical care (p < 0.05) services. Among those using any outpatient services at Time 2, the intensity of services used by SC+ and SC- Veterans was comparable (ps >0.08). Hospitalizations were similar in the two groups during both time periods (ps >0.11). From Time 1 to Time 2 (a period of 6 to 8 years), SC+ Veterans reduced the average number of mental health stops they made by 4.6 visits per year, whereas SC- Veterans reduced by 2.9 visits per year (p = 0.81). Conclusion: On net, more SC+ Veterans used outpatient mental health and other services than did SC- Veterans, and this effect persisted for up to 12 years after Veterans initially filed their claims. These data suggest that PTSD disability benefits facilitate access to and use of mental health and other care in the VA system.


2008 ◽  
Vol 23 (2) ◽  
pp. 128-135 ◽  
Author(s):  
JoAnn E. Kirchner ◽  
Richard R. Owen ◽  
Nancy Dockter ◽  
Teresa L. Kramer ◽  
Kathy Henderson ◽  
...  

2019 ◽  
Vol 185 (3-4) ◽  
pp. 499-505
Author(s):  
Chris Gibbs ◽  
Barbara Murphy ◽  
Kate Hoppe ◽  
Patricia Clarke ◽  
Deepika Ratnaike ◽  
...  

Abstract Introduction Military personnel and veterans can have higher rates of mental health problems than the general population, but are no more likely to receive appropriate mental health care. A lack of experience among Australia’s mental health workforce in treating veteran-specific issues has been identified, pointing to a need for strategies to strengthen the workforce capacity. To this end, the Department of Veteran’s Affairs joined with the Mental Health Professionals Network (MHPN) to produce and deliver a series of veteran-specific webinars for health professionals working with military personnel, veterans and their families. Materials and Method Five webinars were produced and delivered between August 2016 and July 2017. Each involved a panel of health professionals with content expertise and was facilitated by a nationally recognized expert in veteran mental health. Each webinar was evaluated using an online survey to address whether learning needs were achieved, likely improvements to work practice, and improvements in knowledge of and confidence in treating veteran mental health issues. Results Of the 5,127 attendees across the five webinars, registration data was collected for 4,809 (94%) and post-webinar data for 3,334 (70%) of registrants. Of these, over 90% indicated that their learning objectives were achieved, that the content was relevant to their practice, and that their work practices would be improved as a result of their participation. Further, almost three quarters reported increased knowledge and skills, and two-thirds increased confidence in treating veterans’ mental health needs. Conclusions The Veterans’ webinar series was effective in engaging a large number and a wide range of professionals working in mental health care in Australia, underscoring the strength of MHPN’s initiatives in terms of scale and reach. With its emphasis on interdisciplinary practice and collaborative care, MHPN is well-placed to continue to support Australia’s mental health workforce.


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