Transition from military to VHA care: Psychiatric health services for Iraq/Afghanistan combat-wounded

• Published in: Journal of affective disorders 2011-04, Vol.130 (1), p.226-230
• Main Authors: Copeland, Laurel A, Zeber, John E, Bingham, Mona O, Pugh, Mary Jo, Noël, Polly Hitchcock, Schmacker, Eric R, Lawrence, Valerie A
• Format: Article
• Language: English
• Subjects: Adult; Adult and adolescent clinical studies; Afghan Campaign 2001; Afghanistan; Biological and medical sciences; Combat disorders; Continuity of Patient Care; Female; Health services; Hospitalization; Humans; Iraq; Iraq War 2003; Iraq War, 2003-2011; Male; Medical sciences; Mental Disorders - epidemiology; Mental Disorders - therapy; Mental health services; Mental Health Services - statistics & numerical data; Middle Aged; Military Personnel; Military Psychiatry - organization & administration; Mood disorders; Posttraumatic stress disorder; Psychiatric disorders; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; United States; United States Department of Veterans Affairs - organization & administration; Veterans; Veterans - psychology; Wounds and Injuries - psychology; Young Adult
• ISSN: 0165-0327; 1573-2517
• DOI: 10.1016/j.jad.2010.10.017

Abstract Objective Veterans from the wars in Afghanistan and Iraq (OEF/OIF) report high rates of mental distress especially affective disorders. Ensuring continuity of care across institutions is a priority for both the Department of Defense (DoD) and the Veterans Health Administration (VHA), yet this process is not monitored nor are medical records integrated. This study assessed transition from DoD to VHA and subsequent psychiatric care of service members traumatically injured in OEF/OIF. Methods Inpatients at a DoD trauma treatment facility discharged in FY02–FY06 (n = 994) were tracked into the VHA via archival data (n = 216 OEF/OIF veterans). Mental health utilization in both systems was analyzed. Results VHA users were 9% female, 15% Hispanic; mean age 32 (SD = 10; range 19–59). No DoD inpatients received diagnoses of post-traumatic stress disorder (PTSD); 21% had other mental health diagnoses, primarily drug abuse. In the VHA, 38% sought care within 6 months of DoD discharge; 75% within 1 year. VHA utilization increased over time, with 88–89% of the transition cohort seeking care in FY07–FY09. Most accessed VHA mental health services (81%) and had VHA psychiatric diagnoses (71%); half met criteria for depression (27%) or PTSD (38%). Treatment retention through FY09 was significantly greater for those receiving psychiatric care: 98% vs 62% of those not receiving psychiatric care (x2 = 53.3; p < .001). Limitations DoD outpatient data were not available. The study relied on administrative data. Conclusions Although physical trauma led to hospitalization in the DoD, high rates of psychiatric disorders were identified in subsequent VHA care, suggesting delay in development or recognition of psychiatric problems.