Cited by 289Mental Health Treatment and AccessPosttraumatic Stress Disorder ResearchMigration, Health and Trauma

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Mental Disorders and Mental Health Treatment Among U.S. Department of Veterans Affairs Outpatients: The Veterans Health Study

Hankin, Cheryl S., Spiro, Avron, Miller, Donald R., Kazis, Lewis·1999·American Journal of Psychiatry

DOI 10.1176/ajp.156.12.1924

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Abstract

OBJECTIVE: The authors examined the self-reported presence and treatment of current depressive disorder, posttraumatic stress disorder (PTSD), and alcohol-related disorder in a group of outpatient veterans. METHOD: Data were obtained from the Veterans Health Study, a longitudinal investigation of male veterans' health. A representative sample of 2,160 outpatients (mean age = 62 years) was drawn from Boston-area U.S. Department of Veterans Affairs (VA) outpatient facilities. The participants completed screening measures for depression, PTSD, and alcohol-related disorder. Mental health treatment was assessed by interviews. RESULTS: The screening criteria for at least one current mental disorder were satisfied by 40% (N = 856) of the patients. Screening rates were 31% (N = 676) for depression, 20% (N = 426) for PTSD, and 12% (N = 264) for alcohol-related disorder. Patients who screened positively for current mental disorders were younger, less likely to be married or employed, and more likely to report traumatic exposure than were those without mental disorders. Of those who met the screening criteria for any of the targeted mental disorders, 68% (N = 579) reported receiving mental health treatment. Younger, Caucasian men and those who reported more traumatic exposure were more likely to report receiving mental health treatment than were others who screened positively for mental disorders. CONCLUSIONS: Screening rates of depression and PTSD and rates of mental health treatment were considerably higher among these VA outpatients than among similar patients in primary care in the private sector. Although the VA is currently meeting the mental health care needs of its patients, future fiscal constraints could affect most adversely the treatment of non-Caucasian and older patients and those with a history of traumatic exposure.

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Authors: Hankin, C. S., Spiro, A., Miller, D. R., & Kazis, L.
Affiliations: Edith Nourse Rogers Memorial Veterans Hospital (US)
ORCID: Spiro, Avron
Miller, Donald R.
Kazis, Lewis
Venue: American Journal of Psychiatry
Publisher: American Psychiatric Association Publishing
Published: 1999-12-01
Volume: 156
Issue: 12
Pages: 1924-1930
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/ajp.156.12.1924
OpenAlex: W1843780140
Cited by: 289
References: 38
Citations by year: 2026: 1 · 2025: 4 · 2024: 3 · 2023: 8 · 2022: 6 · 2021: 5 · 2020: 7 · 2019: 11 · 2018: 10 · 2017: 9 · 2016: 8 · 2015: 29 · 2014: 34 · 2013: 14 · 2012: 19
FWCI: 6.62
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords: mental illness, psychotherapy, veterans, depression, post-traumatic stress disorder, alcohol-related disorders, mental health screening, veterans' health care, trauma exposure, treatment utilization disparities, Department of Veterans Affairs
MeSH terms: Alcoholism, Ambulatory Care, Mental Disorders, Depressive Disorder, Hospitals, Veterans, Humans, Longitudinal Studies, Male, Mental Health Services, Middle Aged, Stress Disorders, Post-Traumatic, United States, United States Department of Veterans Affairs, Veterans

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Mental Disorders and Mental Health Treatment Among U.S. Department of Veterans Affairs Outpatients: The Veterans Health Study

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