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Changing Rates of Mental Health Disorders Among Veterans Treated in the VHA During Troop Drawdown, 2007–2013

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Abstract

Nationally representative data on mental health disorder prevalence are critical to set informed mental health priorities and policies. Data indicating mental health diagnoses within our nation’s veteran population treated at the Veterans Health Administration (VHA) are available, but have yet to be examined for changing trends to inform both VHA and community care. We use VHA national program evaluation data from a time of increasing military enrollment (2007) to troop draw down (2013) to examine changes over time in the number of diagnoses in veterans receiving VHA services. The number of veterans in all diagnostic categories increased during our study period with the smallest increase in psychotic disorders (8%) and the largest in posttraumatic stress disorder (71%). Trends in behavioral health diagnoses among veterans have important implications for policy and clinician competencies within VHA and community providers as veteran mental health care needs change.

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References

  • Borowsky, S. J., & Cowper, D. C. (2001). Dual use of VA and non-VA primary care. Journal of General Internal Medicine, 14(5), 274–280. https://doi.org/10.1046/j.1525-1497.1999.00335.x.

    Article  Google Scholar 

  • Bureau of Labor Statistics, U.S. Department of Labor. The Economics Daily, International comparisons of employment, 20072013. Retrieved from June 12, 2015, from http://www.bls.gov/opub/ted/2013/ted_20130605.htm.

  • Compilation of Patient Protection and Affordable Care Act, 111th Congress, 2nd Session. (2010). Retrieved January 28, 2016, from http://www.hhs.gov/sites/default/files/ppacacon.pdf.

  • Defense Manpower Data Center. DoD Personnel, Workforce Reports & Publications, Historical Reports. (n.d.). Retrieved January 26, 2016, from https://www.dmdc.osd.mil/appj/dwp/dwp_reports.jsp.

  • Hwang, S., & Henderson, M. J. (2010). Health care utilization in homeless people: Translating research into policy and practice. Agency for Healthcare Research and Quality Working Paper (10002).

  • Hynes, D. M., Koelling, K., Stroupe, K., Arnold, N., Mallin, K., Sohn, M.-W., et al. (2007). Veterans’ access to and use of Medicare and Veterans Affairs Health Care. Medical Care, 45(3), 214–223.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Berglund, P., Delmer, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005a). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Birnbaum, H., Demler, O., Falloon, I. R. H., Gagnon, E., Guyer, M., et al. (2005b). The prevalence and correlates of non-affective psychosis in the National Comorbidity Survey Replication (NCS-R). Biological Psychiatry, 58(8), 668–676.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005c). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627.

    Article  PubMed  PubMed Central  Google Scholar 

  • Merikangas, K. R., Akiskal, H. S., Angst, J., Greenberg, P. E., Hirschfeld, R. M., Petukhova, M., et al. (2007). Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey replication. Archives of General Psychiatry, 64(5), 543–552.

    Article  PubMed  PubMed Central  Google Scholar 

  • National Center for Veterans Analysis and Statistics. Annual reports. (n.d.). Retrieved January 28, 2016, from http://www.va.gov/vetdata/veteran_population.asp.

  • Presidential Executive Order Supporting Our Veterans during Their Transition from Uniformed Service to Civilian Life. (2018). Retrieved from January 15, 2018, from https://www.whitehouse.gov/presidential-actions/presidential-executive-order-supporting-veterans-transition-uniformed-service-civilian-life/.

  • Substance Abuse and Mental Health Services Administration. (2012). Results from the 2010 National Survey on Drug Use and Health: Mental Health Findings, NSDUH Series H-42, HHS Publication No. (SMA) 11-4667. Rockville, MD: Substance Abuse and Mental Health Services Administration.

  • Substance Abuse and Mental Health Services Administration. (2013). Results from the 2012 National Survey on Drug Use and Health: Mental Health Findings, NSDUH Series H-47, HHS Publication No. (SMA) 13-4805. Rockville, MD: Substance Abuse and Mental Health Services Administration.

  • Substance Abuse and Mental Health Services Administration. (2014). Center for Behavioral Health Statistics and Quality. The NSDUH Report: Substance Use and Mental Health Estimates from the 2013 National Survey on Drug Use and Health: Overview of Findings. Rockville, MD.

  • Veterans Choice and Accountability Act of 2014, Public Law 113-146. Retrieved from January 28, 2016, from https://www.gpo.gov/fdsys/pkg/PLAW-113publ146/pdf/PLAW-113publ146.pdf.

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Correspondence to Marcia G. Hunt.

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Hunt, M.G., Cuddeback, G.S., Bromley, E. et al. Changing Rates of Mental Health Disorders Among Veterans Treated in the VHA During Troop Drawdown, 2007–2013. Community Ment Health J 55, 1120–1124 (2019). https://doi.org/10.1007/s10597-019-00437-1

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  • DOI: https://doi.org/10.1007/s10597-019-00437-1

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