Pedersen Eric R, Marshall Grant N, Kurz Jeremy
RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA, 90407, USA.
J Behav Health Serv Res. 2017 Oct;44(4):536-550. doi: 10.1007/s11414-016-9534-7.
Young adult veterans are at risk for behavioral health problems such as depression, posttraumatic stress disorder (PTSD), and substance misuse. Despite this, studies of veterans within the Veterans Affairs Healthcare System (VA) indicate that about half of those warranting treatment receive it in any form, with few receiving an adequate dose of care. For this study, the behavioral health screening status and behavioral health usage (including care outside of VA settings) among a community sample of 812 young adult veterans recruited from the Internet is described. Although approximately 70% of the sample screened positive for behavioral health problems, only one fifth to three fifths of those screening positive reported any mental health or substance use treatment in the past year, with one third or less receiving a dose of minimally adequate psychotherapy or psychotropic care. Findings expand on prior work and suggest that more effort is necessary to engage young veterans in behavioral health services.
年轻成年退伍军人面临行为健康问题的风险，如抑郁症、创伤后应激障碍（PTSD）和药物滥用。尽管如此，退伍军人事务医疗系统（VA）内对退伍军人的研究表明，约有一半需要治疗的人以任何形式接受了治疗，很少有人接受足够剂量的护理。在本研究中，描述了从互联网招募的812名年轻成年退伍军人社区样本中的行为健康筛查状况和行为健康服务使用情况（包括VA机构以外的护理）。虽然约70%的样本行为健康问题筛查呈阳性，但在过去一年中，筛查呈阳性的人中只有五分之一至五分之三报告接受过任何心理健康或药物使用治疗，三分之一或更少的人接受了最低限度足够剂量的心理治疗或精神药物护理。研究结果扩展了先前的工作，并表明需要做出更多努力，让年轻退伍军人参与行为健康服务。
