Health Services Research and Development Research Enhancement Award Program, San Francisco VA Medical Center and the Department of Medicine, University of California, San Francisco, CA 94121, USA.
J Trauma Stress. 2010 Feb;23(1):5-16. doi: 10.1002/jts.20493.
Little is known about mental health services utilization among Iraq and Afghanistan veterans receiving care at Department of Veterans Affairs (VA) facilities. Of 49,425 veterans with newly diagnosed posttraumatic stress disorder (PTSD), only 9.5% attended 9 or more VA mental health sessions in 15 weeks or less in the first year of diagnosis. In addition, engagement in 9 or more VA treatment sessions for PTSD within 15 weeks varied by predisposing variables (age and gender), enabling variables (clinic of first mental health diagnosis and distance from VA facility), and need (type and complexity of mental health diagnoses). Thus, only a minority of Iraq and Afghanistan veterans with new PTSD diagnoses received a recommended number and intensity of VA mental health treatment sessions within the first year of diagnosis.
关于在退伍军人事务部 (VA) 设施接受治疗的伊拉克和阿富汗退伍军人的心理健康服务利用情况知之甚少。在 49425 名新诊断患有创伤后应激障碍 (PTSD) 的退伍军人中，只有 9.5%的人在诊断后的 15 周内参加了 9 次或更多的 VA 心理健康治疗。此外，在 15 周内接受 9 次或更多 VA 治疗 PTSD 的可能性因潜在变量（年龄和性别）、使能变量（首次心理健康诊断的诊所和与 VA 设施的距离）和需求（心理健康诊断的类型和复杂性）而异。因此，只有少数新诊断患有 PTSD 的伊拉克和阿富汗退伍军人在诊断后的第一年接受了推荐数量和强度的 VA 心理健康治疗。
