Reducing barriers to mental health and social services for Iraq and Afghanistan veterans: Outcomes of an integrated primary care clinic

Journal of General Internal Medicine

Volumn 26, Issue 10, 2011, Pages 1160-1167

  Seal, Karen H ^a,b   Cohen, Greg ^a   Bertenthal, Daniel ^a   Cohen, Beth E ^a,b   Maguen, Shira ^a,b   Daley, Aaron ^a  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

health services utilization; mental health; primary care; veterans

Indexed keywords

ADULT; AGE; ARTICLE; CONTROLLED STUDY; FEMALE; FOLLOW UP; HEALTH CARE UTILIZATION; HUMAN; INTEGRATED HEALTH CARE SYSTEM; INTEGRATED PRIMARY CARE CLINIC; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; MENTAL HEALTH SERVICE; PRIMARY MEDICAL CARE; PUBLIC HEALTH SERVICE; RETROSPECTIVE STUDY; SEX DIFFERENCE; TRAUMATIC BRAIN INJURY; VETERANS HEALTH;

ADOLESCENT; ADULT; AFGHAN CAMPAIGN 2001-; AMBULATORY CARE FACILITIES; COHORT STUDIES; DELIVERY OF HEALTH CARE, INTEGRATED; FEMALE; HUMANS; IRAQ WAR, 2003 -; MALE; MENTAL HEALTH SERVICES; MIDDLE AGED; PATIENT ACCEPTANCE OF HEALTH CARE; PRIMARY HEALTH CARE; RETROSPECTIVE STUDIES; SOCIAL WORK, PSYCHIATRIC; VETERANS; YOUNG ADULT;

EID: 80755189997     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-011-1746-1     Document Type: Article

References (57)

1. Department of Defense. Defense Manpower Data Center: Contingency Tracking System Deployment File. Data current as of Dec. 2009.
2. CS Milliken JL Auchterlonie CW Hoge 2007 Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war JAMA 298 2141 2148 18000197 10.1001/jama.298.18.2141 1:CAS:528:DC%2BD2sXhtlSksbrM (Pubitemid 350106652)
3. KH Seal TJ Metzler KS Gima D Bertenthal S Maguen CR Marmar 2009 Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002-2008 Am J Publ Health 99 1651 1658 10.2105/AJPH.2008.150284
4. Tanielian TL, Jaycox LH, eds. Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica, CA: RAND Corporation; 2008.
5. J Andersen M Wade K Possemato P Ouimette 2010 Association between posttraumatic stress disorder and primary care provider-diagnosed disease among iraq and afghanistan veterans Psychosom Med 72 498 504 20368471 10.1097/PSY.0b013e3181d969a1
6. SM Frayne VY Chiu S Iqbal, et al. 2010 Medical Care Needs of Returning Veterans with PTSD: Their Other Burden J Gen Intern Med 26 33 39 20853066 10.1007/s11606-010-1497-4
7. BE Cohen C Marmar L Ren D Bertenthal KH Seal 2009 Association of cardiovascular risk factors with mental health diagnoses in Iraq and Afghanistan war veterans using VA health care JAMA 302 489 492 19654382 10.1001/jama.2009.1084 1:CAS:528:DC%2BD1MXpsleqtLo%3D
8. Schnurr PP, Green BL, Kaltman S. Trauma exposure and physical health. In: Friedman MJ, Keane TM, Resick PA, eds. Handbook of PTSD. New York, NY: The Guilford Press; 2007.
9. PP Schnurr CA Lunney MJ Bovin BP Marx 2009 Posttraumatic stress disorder and quality of life: extension of findings to veterans of the wars in Iraq and Afghanistan Clin Psychol Rev 29 727 735 19744758 10.1016/j.cpr.2009.08.006
10. RH Pietrzak MB Goldstein JC Malley AJ Rivers DC Johnson SM Southwick 2010 Risk and protective factors associated with suicidal ideation in veterans of Operations Enduring Freedom and Iraqi Freedom J Affect Disord 123 102 107 19819559 10.1016/j.jad.2009.08.001
11. M Jakupcak J Cook Z Imel A Fontana R Rosenheck M McFall 2009 Posttraumatic stress disorder as a risk factor for suicidal ideation in Iraq and Afghanistan War veterans J Trauma Stress 22 303 306 19626682 10.1002/jts.20423
12. NA Sayer S Noorbaloochi P Frazier K Carlson A Gravely M Murdoch 2010 Reintegration problems and treatment interests among Iraq and Afghanistan combat veterans receiving VA medical care Psychiatr Serv 61 589 597 20513682 10.1176/appi.ps.61.6.589
13. KH Seal D Bertenthal S Maguen K Gima A Chu CR Marmar 2008 Getting beyond "Don't ask; don't tell": an evaluation of US Veterans Administration postdeployment mental health screening of veterans returning from Iraq and Afghanistan Am J Publ Health 98 714 720 10.2105/AJPH.2007.115519 (Pubitemid 351573694)
14. CW Hoge CA Castro SC Messer D McGurk DI Cotting RL Koffman 2004 Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care N Engl J Med 351 13 22 15229303 10.1056/NEJMoa040603 1:CAS:528: DC%2BD2cXltlOjsLg%3D (Pubitemid 38857243)
15. CW Hoge JL Auchterlonie CS Milliken 2006 Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan JAMA 295 1023 1032 16507803 10.1001/jama.295.9.1023 1:CAS:528:DC%2BD28XhvFynu70%3D
16. RH Pietrzak DC Johnson MB Goldstein JC Malley SM Southwick 2009 Perceived stigma and barriers to mental health care utilization among OEF-OIF veterans Psychiatr Serv 60 1118 1122 19648201 10.1176/appi.ps.60.8.1118
17. PY Kim JL Thomas JE Wilk CA Castro CW Hoge 2010 Stigma, barriers to care, and use of mental health services among active duty and National Guard soldiers after combat Psychiatr Serv 61 582 588 20513681 10.1176/appi.ps.61.6.582
18. BE Cohen K Gima D Bertenthal S Kim CR Marmar KH Seal 2010 Mental health diagnoses and utilization of VA non-mental health medical services among returning Iraq and Afghanistan veterans J Gen Intern Med 25 18 24 19787409 10.1007/s11606-009-1117-3
19. C Hoge A Terhakopian C Castro S Messer CC Engel 2007 Association of posttraumatic stress disorder with somatic symptoms, health care visits, and absenteeism among Iraq war veterans Am J Psychiatr 164 150 153 17202557 10.1176/appi.ajp.164.1.150 (Pubitemid 46154794)
20. Department of Veterans Affairs. Uniform Mental Health Services in VA Medical Centers and Clinics: Veterans Health Administration; 2008.
21. S Maguen G Cohen B Cohen GD Lawhon C Marmar KH Seal 2010 The role of psychologists in the care of Iraq and Afghanistan Veterans in primary care settings Prof Psychol Res Pract 41 135 142 10.1037/a0018835
22. A Prins P Ouimette R Kimmerling RP Camerond DS Hugelshofer J Shaw-Hegwer A Thrailkill FD Gusman JI Sheikh 2004 The primary care PTSD screen (PC-PTSD): development and operating characteristics Prim Care Psychiatr 9 9 14 10.1185/135525703125002360
23. K Kroenke RL Spitzer JB Williams 2003 The Patient Health Questionnaire-2: validity of a two-item depression screener Med Care 41 1284 1292 14583691 10.1097/01.MLR.0000093487.78664.3C
24. K Bush DR Kivlahan MB McDonell SD Fihn KA Bradley 1998 The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test Arch Intern Med 158 1789 1795 9738608 10.1001/archinte.158.16.1789 1:STN:280:DyaK1cvgvV2rug%3D%3D (Pubitemid 28421422)
25. KA Bradley KR Bush AJ Epler, et al. 2003 Two brief alcohol-screening tests From the Alcohol Use Disorders Identification Test (AUDIT): validation in a female Veterans Affairs patient population Arch Intern Med 163 821 829 12695273 10.1001/archinte.163.7.821 (Pubitemid 36438054)
26. KA Schwab B Ivins G Cramer, et al. 2007 Screening for traumatic brain injury in troops returning from deployment in Afghanistan and Iraq: initial investigation of the usefulness of a short screening tool for traumatic brain injury J Head Trauma Rehabil 22 377 389 18025970 10.1097/01.HTR.0000300233. 98242.87 (Pubitemid 350145106)
27. OEF/OIF ROSTER. Department of Veterans Affairs; 2009.
28. G Zou 2004 A modified poisson regression approach to prospective studies with binary data Am J Epidemiol 159 702 706 15033648 10.1093/aje/kwh090 (Pubitemid 38405384)
29. Stata Statistical Software: Release 11. [computer program]. College Station, TX: StataCorp LP; 2009.
30. T Stecker J Fortney F Hamilton I Ajzen 2007 An assessment of beliefs about mental health care among veterans who served in Iraq Psychiatr Serv 58 1358 1361 17914017 10.1176/appi.ps.58.10.1358 (Pubitemid 350043590)
31. S Batten S Pollack 2008 Integrative outpatient treatment for returning service members J Clin Psychol 64 928 939 18561182 10.1002/jclp.20513
32. W Mittenberg DV DiGiulio S Perrin AE Bass 1992 Symptoms following mild head injury: expectation as aetiology J Neurol Neurosurg Psychiatry 55 200 204 1564481 10.1136/jnnp.55.3.200 1:STN:280:DyaK383is1OmtA%3D%3D
33. SC Hunt RD Richardson CC Engel Jr DC Atkins M McFall 2004 Gulf War veterans' illnesses: a pilot study of the relationship of illness beliefs to symptom severity and functional health status J Occup Environ Med 46 818 827 15300134 10.1097/01.jom.0000135529.88068.04 (Pubitemid 39093773)
34. VA Consensus Conference. Practice recommendations for treatment of veterans with comorbid TBI, pain, and PTSD. 2008.
35. WD Killgore DI Cotting JL Thomas, et al. 2008 Post-combat invincibility: Violent combat experiences are associated with increased risk-taking propensity following deployment J Psychiatr Res 42 1112 1121 18291419 10.1016/j.jpsychires. 2008.01.001
36. E Kuhn K Drescher J Ruzek C Rosen 2010 Aggressive and unsafe driving in male veterans receiving residential treatment for PTSD J Trauma Stress 23 399 402 20564373
37. HK Kang TA Bullman 2008 Risk of suicide among US veterans after returning from the Iraq or Afghanistan war zones JAMA 300 652 653 18698062 10.1001/jama.300.6.652 1:CAS:528:DC%2BD1cXpslyhsLg%3D
38. National Institute on Alcohol Abuse and Alcoholism. Helping patients with alcohol problems: a clinician's guide. NIH Pub No. 05-3769. Bethesda, MD: The National Institute of Health; 2005.
39. B Andrews CR Brewin R Philpott L Stewart 2007 Delayed-onset posttraumatic stress disorder: a systematic review of the evidence Am J Psychiatry 164 1319 1326 17728415 10.1176/appi.ajp.2007.06091491 (Pubitemid 47461130)
40. D Vogt A Bergeron D Salgado J Daley P Ouimette J Wolfe 2006 Barriers to Veterans Health Administration care in a nationally representative sample of women veterans J Gen Intern Med 21 Suppl 3 S19 25 16637940 10.1111/j.1525-1497. 2006.00370.x
41. AE Street D Vogt L Dutra 2009 A new generation of women veterans: stressors faced by women deployed to Iraq and Afghanistan Clin Psychol Rev 29 685 694 19766368 10.1016/j.cpr.2009.08.007
42. S Maguen L Ren JO Bosch CR Marmar KH Seal 2010 Gender differences in mental health diagnoses among Iraq and Afghanistan veterans enrolled in veterans affairs health care Am J Publ Health 100 2450 2456 10.2105/AJPH.2009.166165
43. VA Health Services Research and Development Service. Collaborative care for depression in the primary care setting. A Primer on VA's Translating Initiatives for Depression into Effective Solutions (TIDES) Project. Washington, DC: Department of Veterans Affairs; 2008.
44. BL Felker E Chaney LV Rubenstein, et al. 2006 Developing effective collaboration between primary care and mental health providers Prim Care Companion J Clin Psychiatry 8 12 16 16862248 10.4088/PCC.v08n0102 (Pubitemid 44371595)
45. LV Rubenstein EF Chaney S Ober, et al. 2010 Using evidence-based quality improvement methods for translating depression collaborative care research into practice Fam Syst Health 28 91 113 20695669 10.1037/a0020302
46. W Katon M Von Korff E Lin, et al. 1995 Collaborative management to achieve treatment guidelines. Impact on depression in primary care JAMA 273 1026 1031 7897786 10.1001/jama.273.13.1026 1:STN:280:DyaK2M3gsFGnsQ%3D%3D
47. W Katon J Russo M Von Korff, et al. 2002 Long-term effects of a collaborative care intervention in persistently depressed primary care patients J Gen Intern Med 17 741 748 12390549 10.1046/j.1525-1497.2002.11051.x (Pubitemid 35286239)
48. K Wells C Sherbourne M Schoenbaum, et al. 2004 Five-year impact of quality improvement for depression: results of a group-level randomized controlled trial Arch Gen Psychiatry 61 378 386 15066896 10.1001/archpsyc.61.4. 378 (Pubitemid 38451547)
49. S Gilbody P Bower J Fletcher D Richards AJ Sutton 2006 Collaborative care for depression: a cumulative meta-analysis and review of longer-term outcomes Arch Intern Med 166 2314 2321 17130383 10.1001/archinte.166.21.2314 (Pubitemid 44833355)
50. P Roy-Byrne MG Craske G Sullivan, et al. 2010 Delivery of evidence-based treatment for multiple anxiety disorders in primary care: a randomized controlled trial JAMA 303 1921 1928 20483968 10.1001/jama.2010.608 1:CAS:528:DC%2BC3cXmtl2msbc%3D
51. TE Oxman AJ Dietrich JW Williams Jr K Kroenke 2002 A three-component model for reengineering systems for the treatment of depression in primary care Psychosomatics 43 441 450 12444226 10.1176/appi.psy.43.6.441 (Pubitemid 35286051)
52. DJ van Schaik AF Klijn HP van Hout, et al. 2004 Patients' preferences in the treatment of depressive disorder in primary care Gen Hosp Psychiatry 26 184 189 15121346 10.1016/j.genhosppsych.2003.12.001 (Pubitemid 38581923)
53. CC Engel T Oxman C Yamamoto, et al. 2008 RESPECT-Mil: feasibility of a systems-level collaborative care approach to depression and post-traumatic stress disorder in military primary care Mil Med 173 935 940 19160608
54. LA Zoellner NC Feeny JN Bittinger 2009 What you believe is what you want: modeling PTSD-related treatment preferences for sertraline or prolonged exposure J Behav Ther Exp Psychiatry 40 455 467 19577224 10.1016/j.jbtep.2009. 06.001
55. Seal KH, Maguen S, Cohen B, et al. VA mental health services utilization in Iraq and Afghanistan veterans in the first year of receiving new mental health diagnoses. J Trauma Stress. Feb;23:5-16.
56. D Zatzick P Roy-Byrne J Russo, et al. 2004 A randomized effectiveness trial of stepped collaborative care for acutely injured trauma survivors Arch Gen Psychiatry 61 498 506 15123495 10.1001/archpsyc.61.5.498 (Pubitemid 38620849)
57. S Wessely RA Bryant N Greenberg M Earnshaw J Sharpley JH Hughes 2008 Does psychoeducation help prevent post traumatic psychological distress? Psychiatry 71 287 302 19152276 10.1521/psyc.2008.71.4.287