VA 为 OEF/OIF 退伍军人提供心理医疗服务-猫眼课题宝

VA 为 OEF/OIF 退伍军人提供心理医疗服务

批准号：

10179463

负责人：

KIPLING M BOHNERT

金额：

$0.0万

依托单位：

VETERANS HEALTH ADMINISTRATION

依托单位国家：

美国

项目类别：

财政年份：

2014

资助国家：

美国

项目状态：

已结题

起止时间：

2014-07-01 至 2019-06-30

来源：

https://reporter.nih.gov/project-details/10179463

关键词：

Address Afghanistan Antidepressive Agents Belief Caring Chronic Conflict (Psychology)Continuity of Patient Care Coupled Data Diagnosis Disease Early identification Early treatment Emotional Ensure Focus Groups Freedom Future Goals Group Interviews Health Personnel Health Services Health Services Accessibility Health Services Administration Healthcare High Prevalence Individual Intervention Iraq Logistics Mental Health Mental Health Services Military Personnel Patient Care Patient-Focused Outcomes Patients Pharmaceutical Preparations Play Population Post-Traumatic Stress Disorders Primary Care Physician Primary Health Care Provider Psyche structure Psychotherapy Quality of Care Research Services Soldier Substance Use Disorder Suggestion Symptoms System Testing Time Variant Veterans Work barrier to care base combat evidence base healing health administration health care delivery improved medical specialties operation post-traumatic symptoms prevent screening screening program service delivery service member social stigma theories treatment services

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DESCRIPTION (provided by applicant): Background: Mental health research on Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND) Veterans in VHA care highlights the high prevalence of posttraumatic stress disorder (PTSD) among this important population. Although high quality, evidence-based PTSD treatment is available in VHA, and is necessary to help heal these OEF/OIF/OND Veterans with PTSD and to avoid the possibility of chronicity, mental health treatment seeking and utilization is extremely low among those with PTSD. The yearly VHA mandatory PTSD screening program may be an important early identification and treatment access point for OEF/OIF/OND Veterans with PTSD who have not actively sought care for their PTSD symptoms. However, characterizing factors associated with timely treatment initiation and engagement among OEF/OIF/OND patients who are identified with PTSD via the screening program has not been accomplished. Further research is also needed to identify potential ways to increase timely treatment initiation and engagement for all OEF/OIF/OND Veterans with PTSD, to test interventions aimed at enhancing PTSD treatment initiation and engagement, and to understand implementation issues related to maximizing the potential impact of developed interventions. Objectives: The purpose of this project is to provide critical and timely evidence to fill in the existing gaps regarding treatment initiation and engagement among OEF/OIF/OND Veterans with PTSD in VHA. The specific aims of the proposed CDA-2 research are: (1) to identify patient and provider factors associated with timely treatment initiation and continued engagement among all OEF/OIF/OND Veterans in VHA care who receive positive PTSD screens and are diagnosed with PTSD in primary care; (2) further elucidate patient factors associated with timely initiation and continued engagement in PTSD treatment using a qualitative approach with provider and OEF/OIF/OND Veteran patient focus groups; (

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