Journal ArticleDOI
Perceived barriers to care among veterans health administration patients with posttraumatic stress disorder.
Paige Ouimette,Dawne Vogt,Michael Wade,Vanessa Tirone,Mark A. Greenbaum,Rachel Kimerling,Charlene Laffaye,Julie E. Fitt,Craig S. Rosen +8 more
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TLDR
PTSD symptoms were positively associated with perceived barriers to care, with the most consistent results observed for PTSD avoidance symp-toms.Abstract:
VA Palo Alto Health Care System and Stanford UniversityDespite the availability of specialty posttraumatic stress disorder (PTSD) care withinDepartment of Veterans Affairs (VA) facilities, many VA patients with PTSD do notseek needed PTSD treatment. This study examined institutional and stigma-relatedbarriers to care among a large diverse group of Vietnam and Iraq/Afghanistan veteranswho had been diagnosed with PTSD by a VA provider. A total of 490 patients who hadnot received VA treatment for PTSD in the previous 2 years (31% response rate) wereasked about psychological symptoms and reasons for not using care. Stigma relatedbarriers (concerns about social consequences and discomfort with help-seeking) wererated as more salient (rated in the slightly to moderately problematic range) thaninstitutional factors (not tting into VA care, staff skill and sensitivity, and logisticbarriers; rated in the not at all to slightly problematic range). Regression analysesrevealed that younger age and White females were associated with higher ratings on nottting into VA health care, whereas non-White males were associated with higherratings on logistic barriers. PTSD symptoms were positively associated with perceivedbarriers to care, with the most consistent results observed for PTSD avoidance symp-toms. Magnitude of effects was generally small, suggesting the possibility that otherfactors not assessed in this study may also contribute to perceptions of barriers to care.Future research should attend to the effects of stigma, as well as institutional barriersto care, on VA mental health treatment seeking.Keywords:read more
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Journal ArticleDOI
Stigma as a Barrier to Seeking Health Care Among Military Personnel With Mental Health Problems
Marie-Louise Sharp,Nicola T. Fear,Roberto J. Rona,Simon Wessely,Neil Greenberg,Norman Jones,Laura Goodwin +6 more
TL;DR: A systematic review and meta-analysis of studies between 2001 and 2014 to examine the prevalence of stigma for seeking help for a mental health problem and its association with help-seeking intentions/mental health service utilization finds that those that endorsed high anticipated stigma still utilized mental health services or were interested in seeking help.
Journal ArticleDOI
Are Iraq and Afghanistan veterans using mental health services? New data from a national random-sample survey.
Eric B. Elbogen,H. Ryan Wagner,Sally C. Johnson,Patricia M. Kinneer,Han K. Kang,Jennifer J. Vasterling,Christine Timko,Jean C. Beckham +7 more
TL;DR: Treatment for veterans may be improved by increasing awareness of gender differences, integrating mental health and pastoral services, and recognizing that alcohol misuse may reduce utilization.
Journal ArticleDOI
Perceived barriers and facilitators of mental health service utilization in adult trauma survivors: A systematic review.
TL;DR: The data analysis revealed that the most prominent barriers included concerns related to stigma, shame and rejection, low mental health literacy, lack of knowledge and treatment-related doubts, fear of negative social consequences, limited resources, time, and expenses.
BookDOI
Mental Health Stigma in the Military
Joie D. Acosta,Amariah Becker,Jennifer L. Cerully,Michael P. Fisher,Laurie T. Martin,Raffaele Vardavas,Mary E Slaugher,Terry L. Schell +7 more
TL;DR: An inventory and assessment of stigma-reduction strategies across both the services and DoD as a whole was asked to identify strengths and gaps that should be addressed, and a set of recommended priorities for stigma reduction was developed.
Journal ArticleDOI
Characteristics of U.S. veterans who begin and complete prolonged exposure and cognitive processing therapy for PTSD.
Juliette M. Mott,Juliette M. Mott,Sasha Mondragon,Sasha Mondragon,Natalie E. Hundt,Natalie E. Hundt,Melissa A. Beason-Smith,Melissa A. Beason-Smith,Rebecca H. Grady,Rebecca H. Grady,Ellen J. Teng,Ellen J. Teng +11 more
TL;DR: This retrospective chart-review study examined patient-level correlates of initiation and completion of evidence-based psychotherapy (EBP) for posttraumatic stress disorder (PTSD) among treatment-seeking U.S. veterans to reveal that Iraq and Afghanistan veterans were less likely to begin EBP than veterans from other service eras.
References
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