2007-2013 年部队缩编期间，在 VHA 接受治疗的退伍军人中心理健康障碍发生率的变化。

Changing Rates of Mental Health Disorders Among Veterans Treated in the VHA During Troop Drawdown, 2007-2013.

机构信息

VISN1 Mental Illness Research Education and Clinical Center (MIRECC), New England Healthcare System, 950 Campbell Avenue, West Haven, CT, 06511, USA.

Department of Psychiatry, Yale School of Medicine, Yale University, New Haven, CT, USA.

出版信息

Community Ment Health J. 2019 Oct;55(7):1120-1124. doi: 10.1007/s10597-019-00437-1. Epub 2019 Jul 10.

DOI:10.1007/s10597-019-00437-1

PMID:31292835

Abstract

Nationally representative data on mental health disorder prevalence are critical to set informed mental health priorities and policies. Data indicating mental health diagnoses within our nation's veteran population treated at the Veterans Health Administration (VHA) are available, but have yet to be examined for changing trends to inform both VHA and community care. We use VHA national program evaluation data from a time of increasing military enrollment (2007) to troop draw down (2013) to examine changes over time in the number of diagnoses in veterans receiving VHA services. The number of veterans in all diagnostic categories increased during our study period with the smallest increase in psychotic disorders (8%) and the largest in posttraumatic stress disorder (71%). Trends in behavioral health diagnoses among veterans have important implications for policy and clinician competencies within VHA and community providers as veteran mental health care needs change.

摘要

全国范围内有关心理健康障碍患病率的代表性数据对于确定明智的心理健康优先事项和政策至关重要。有关在退伍军人事务部（VHA）接受治疗的我国退伍军人人群中心理健康诊断的数据是可用的，但尚未对其进行审查以了解变化趋势，从而为 VHA 和社区护理提供信息。我们使用 VHA 全国计划评估数据，该数据来自于军事招募增加（2007 年）到部队裁员（2013 年）的时期，以研究在接受 VHA 服务的退伍军人中，诊断数量随时间的变化。在我们的研究期间，所有诊断类别的退伍军人人数都有所增加，其中精神病障碍的增幅最小（8％），创伤后应激障碍的增幅最大（71％）。退伍军人的行为健康诊断趋势对 VHA 和社区提供者的政策和临床医生能力具有重要意义，因为退伍军人的心理健康需求正在发生变化。