VA Healthcare Delivery for OEF/OIF Veterans with Mental & Substance Use Disorders

VA 为 OEF/OIF 退伍军人提供心理医疗服务

• 批准号: 8677269
• 负责人: KIPLING M BOHNERT
• 金额: --
• 依托单位: VETERANS HEALTH ADMINISTRATION
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2019-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8677269
• 关键词: Address; Address; Afghanistan; Afghanistan; Antidepressive Agents; Antidepressive Agents; Belief; Belief; Caring; Caring; Chronic; Conflict (Psychology); Conflict (Psychology); Continuity of Patient Care; Continuity of Patient Care; Coupled; Coupled; Data; Data; Diagnosis; Diagnosis; Disease; Disease; Early identification; Early identification; Early treatment; Early treatment; Emotional; Emotional; Ensure; Ensure; Focus Groups; Focus Groups; Freedom; Freedom; Future; Future; Goals; Goals; Group Interviews; Group Interviews; Healed; Health Personnel; Health Personnel; Health Services; Health Services; Health Services Accessibility; Health Services Administration; Healthcare; Healthcare; High Prevalence; High Prevalence; Individual; Individual; Intervention; Intervention; Iraq; Iraq; Life; Logistics; Mental Health; Mental Health; Mental Health Services; Mental Health Services; Military Personnel; Military Personnel; Outcome; Patient Care; Patient-Focused Outcomes; Patients; Patients; Pharmaceutical Preparations; Pharmaceutical Preparations; Play; Play; Population; Population; Post-Traumatic Stress Disorders; Post-Traumatic Stress Disorders; Primary Care Physician; Primary Care Physician; Primary Health Care; Primary Health Care; Provider; Provider; Psyche structure; Psyche structure; Psychotherapy; Psychotherapy; Quality of Care; Quality of Care; Research; Research; Services; Services; Soldier; Soldier; Substance Use Disorder; Substance Use Disorder; Suggestion; Symptoms; Symptoms; System; System; Testing; Testing; Time; Variant; Variant; Veterans; Veterans; Work; Work; barrier to care; base; base; care seeking; combat; combat; evidence base; evidence base; healing; healing; health administration; health administration; health care delivery; health care delivery; improved; improved; medical specialties; medical specialties; meetings; member; operation; operation; prevent; prevent; programs; screening; screening; screening program; service delivery; service member; social stigma; social stigma; theories; theories; treatment services

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; (

描述（由申请人提供）： 背景资料：关于持久自由行动/伊拉克自由行动/新黎明行动（OEF/OIF/OND）退伍军人在VHA护理中的心理健康研究强调了创伤后应激障碍（PTSD）在这一重要人群中的高患病率。虽然高质量的，循证的创伤后应激障碍治疗是在VHA可用，是必要的，以帮助治愈这些OEF/OIF/OND退伍军人与创伤后应激障碍，并避免慢性的可能性，心理健康治疗寻求和利用是极低的那些与创伤后应激障碍。每年的VHA强制性PTSD筛查计划可能是OEF/OIF/OND退伍军人PTSD的一个重要的早期识别和治疗接入点，这些退伍军人没有积极寻求治疗他们的PTSD症状。然而，尚未完成通过筛查程序确定患有PTSD的OEF/OIF/OND患者中与及时开始治疗和参与相关的特征因素。还需要进一步研究，以确定潜在的方法，以增加及时治疗的启动和参与所有OEF/OIF/OND退伍军人与PTSD，测试干预措施，旨在加强PTSD治疗的启动和参与，并了解实施问题，最大限度地发挥开发的干预措施的潜在影响。目的：该项目的目的是提供关键和及时的证据，以填补现有的差距，关于治疗的开始和参与OEF/OIF/OND退伍军人与创伤后应激障碍在VHA。拟议的CDA-2研究的具体目标是：（1）确定患者和提供者因素，这些因素与及时开始治疗和继续参与VHA护理中接受阳性PTSD筛查并在初级保健中诊断为PTSD的所有OEF/OIF/OND退伍军人有关;（二）进一步阐明与及时启动和持续参与PTSD治疗相关的患者因素，和OEF/OIF/OND退伍军人患者焦点小组;