The Veterans Health Administration’s Integrated Model of Care Increases Accessibility and Delivery of Mental Health Services

Samuel C. Peter, Tate F. Halverson, Shannon M. Blakey, Mary Jo Pugh, Jean C. Beckham, Patrick S. Calhoun, Nathan A. Kimbrel

Research output: Contribution to journalArticlepeer-review

Abstract

Depression and posttraumatic stress disorder (PTSD) are two of the most common mental health conditions experienced by veterans. It is unclear what individual and system level factors are associated with receiving mental health treatment for these concerns. Using a national sample of Gulf War Era veterans who endorsed lifetime diagnoses of either depression or PTSD (N = 425), regression analyses were used to predict pastyear treatment utilization. Predictor variables were those indicated in the behavioral model of health care utilization, including predisposing demographic variables (e.g., age, race), enabling variables (e.g., service connection, enrollment in Veterans Health Administration [VHA]), and need-based variables (e.g., current symptom severity). VHA enrollment was associated with a three and five-times higher odds of being treated for depression or PTSD, respectively. Income and symptom severity were also positively associated with treatment utilization. Among individuals with diagnoses of depression and/or PTSD, VHA enrollment was the strongest predictor of receiving mental health treatment for these diagnoses, controlling for all other variables in the model including recent contact with the health care system, current symptom severity, and the presence of other enabling resources. Results suggest that the VHA’s integrated model of care increases accessibility and delivery of effective mental health services.

Original languageEnglish (US)
JournalPsychological Services
DOIs
StateAccepted/In press - 2022

Keywords

  • Depression
  • Health care utilization
  • Ptsd
  • Veterans

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology

Fingerprint

Dive into the research topics of 'The Veterans Health Administration’s Integrated Model of Care Increases Accessibility and Delivery of Mental Health Services'. Together they form a unique fingerprint.

Cite this