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Published Online: 1 April 2012

Association of Perceived Barriers With Prospective Use of VA Mental Health Care Among Iraq and Afghanistan Veterans

Katherine D. Hoerster, Ph.D., M.P.H. [email protected], Carol A. Malte, M.S.W. [email protected], Zachary E. Imel, Ph.D. [email protected], Zeba Ahmad, Ph.D., Stephen C. Hunt, M.D. [email protected], and Matthew Jakupcak, Ph.D. [email protected]Authors Info & Affiliations
Publication: Psychiatric Services
Volume 63, Number 4
https://doi.org/10.1176/appi.ps.201100187
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Abstract

Objective:

The relationship between perceived barriers and prospective use of mental health care among veterans was examined.

Methods:

The sample included Iraq and Afghanistan veterans (N=305) who endorsed symptoms of depression or posttraumatic stress disorder (PTSD) or alcohol misuse at intake to a postdeployment clinic between May 2005 and August 2009. Data on receipt of adequate treatment (nine or more mental health visits in the year after intake) were obtained from a VA database.

Results:

Adequate treatment was more likely for women (odds ratio [OR]=4.82, 95% confidence interval (CI)=1.37–16.99, p=.014) and for those with more severe symptoms of PTSD (OR=1.03, CI=1.01–1.05, p=.003) and depression (OR=1.06, CI=1.01–1.11, p=.01). Perceived barriers were not associated with adequate treatment.

Conclusions:

Male veterans with mental health problems should be targeted with outreach to reduce unmet need. Research is needed to identify perceived barriers to treatment among veterans. (Psychiatric Services 63:380–382, 2012; doi: 10.1176/appi.ps.201100187)

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Table 1 Characteristics of 305 Iraq and Afghanistan veterans and bivariate associations with receipt of adequate mental health care

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Volume 63 • Number 4 • April 2012
Pages: 380 - 382
PubMed: 22476304

History

Published online: 1 April 2012
Published in print: April 2012

Authors

Details

Katherine D. Hoerster, Ph.D., M.P.H. [email protected]
Except for Dr. Ahmad, the authors are affiliated with the U.S. Department of Veterans Affairs (VA) Puget Sound Healthcare System, Seattle Division, 1660 South Columbian Way (S-116), Seattle, WA 98108 (e-mail: [email protected]).
Dr. Hoerster and Dr. Jakupcak are also with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
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Carol A. Malte, M.S.W. [email protected]
Except for Dr. Ahmad, the authors are affiliated with the U.S. Department of Veterans Affairs (VA) Puget Sound Healthcare System, Seattle Division, 1660 South Columbian Way (S-116), Seattle, WA 98108 (e-mail: [email protected]).
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Zachary E. Imel, Ph.D. [email protected]
Except for Dr. Ahmad, the authors are affiliated with the U.S. Department of Veterans Affairs (VA) Puget Sound Healthcare System, Seattle Division, 1660 South Columbian Way (S-116), Seattle, WA 98108 (e-mail: [email protected]).
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Zeba Ahmad, Ph.D.
Dr. Ahmad is with the Department of Clinical Psychology, Seattle Pacific University, Seattle.
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Stephen C. Hunt, M.D. [email protected]
Except for Dr. Ahmad, the authors are affiliated with the U.S. Department of Veterans Affairs (VA) Puget Sound Healthcare System, Seattle Division, 1660 South Columbian Way (S-116), Seattle, WA 98108 (e-mail: [email protected]).
View all articles by this author
Matthew Jakupcak, Ph.D. [email protected]
Except for Dr. Ahmad, the authors are affiliated with the U.S. Department of Veterans Affairs (VA) Puget Sound Healthcare System, Seattle Division, 1660 South Columbian Way (S-116), Seattle, WA 98108 (e-mail: [email protected]).
Dr. Hoerster and Dr. Jakupcak are also with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
View all articles by this author

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