0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Articles   |    
Effect of Rural Residence on Use of VHA Mental Health Care Among OEF/OIF Veterans
Teresa J. Hudson, Pharm.D.; John C. Fortney, Ph.D.; James Silas Williams, B.S.; Mark A. Austen, M.S.; Sandra K. Pope, Ph.D.; Corey J. Hayes, Pharm.D., M.P.H.
Psychiatric Services 2014; doi: 10.1176/appi.ps.201300041
View Author and Article Information

Dr. Hudson, Dr. Fortney, Mr. Williams, Mr. Austen, and Dr. Pope are with the Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, Little Rock (e-mail: teresa.hudson@va.gov). Dr. Hudson, Dr. Fortney, and Dr. Pope are also with the Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock. When this work was done, Dr. Hayes was a student at the Colleges of Pharmacy and Public Health, University of Arkansas for Medical Sciences, Little Rock. He is now with Baptist Health in Little Rock. These findings were presented in a poster session at the national meeting of the Veterans Health Administration Health Services Research and Development program, National Harbor, Maryland, February 16–18, 2011.

Copyright © 2014 by the American Psychiatric Association

text A A A
PDF of the full text article.
Abstract

Objective  The Veterans Health Administration (VHA) has worked to increase availability of mental health treatment for rural veterans. The objective was to understand the impact of rural residence on screening for, diagnosis of, and treatment for depression and posttraumatic stress disorder (PTSD) among veterans of Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) using VHA care.

Methods  A cohort of veterans from a five-state region was identified whose first VHA clinic visit occurred between January 1, 2008, and March 17, 2009. The cohort was retrospectively followed for three months to identify a cohort who used VHA care at least twice.

Results  The sample included 4,782 OEF/OIF veterans known to be using VHA care; mean age was 31 years (range 18–64); most were male (88%). Screening rates were 85% for depression and 84% for PTSD. Compared with veterans in small or isolated rural towns, those in urban areas were less likely to be diagnosed as having PTSD (odds ratio [OR]=.79, 95% confidence interval [CI]=.66–.95, p<.05) and less likely to receive psychotropic medications (OR=.52, CI=.33–.79, p<.01) or psychotherapy (OR=.61, CI=.40–.94, p<.05) for PTSD. Veterans living in urban areas were also less likely to receive antidepressants (OR=.56, CI=.32–.98, p<.05) or psychotherapy (OR=.61, CI=.40–.93, p<.05) for treatment of depression.

Conclusions  Among veterans who used VHA care at least twice, those living in urban areas were less likely than those living in rural areas to receive diagnoses of and treatment for PTSD and depression.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Articles
Books
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 33.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 45.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 33.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 33.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 1.  >
Topic Collections
Psychiatric News
Read more at Psychiatric News >>
PubMed Articles