Finlay Andrea K, Smelson David, Sawh Leon, McGuire Jim, Rosenthal Joel, Blue-Howells Jessica, Timko Christine, Binswanger Ingrid, Frayne Susan M, Blodgett Janet C, Bowe Tom, Clark Sean C, Harris Alex H S
Veteran Affairs Substance Use Disorder Quality Enhancement Research Initiative, Department of Veterans Affairs.
Center for Innovation to Implementation, VA Palo Alto Health Care System.
Crim Justice Policy Rev. 2016;27(2). doi: 10.1177/0887403414562601. Epub 2013 Dec 18.
The Veterans Justice Outreach (VJO) program of the U.S. Veterans Health Administration has a primary mission of linking military veterans in jails, courts, or in contact with law enforcement to mental health and substance use disorder treatment. National data of veterans with VJO contact were used to describe demographic characteristics, and mental health and substance use disorder diagnoses and treatment use and test correlates of treatment entry and engagement using multi-level logistic regression models. Of the 37,542 VJO veterans, treatment entry was associated with being homeless and having a mental health disorder or both a mental health and a substance use disorder versus a substance use disorder only. Being American Indian/Alaskan Native was associated with lower odds of treatment entry. Engagement was associated with female gender, older age, Asian race, urban residence, and homeless status. Increased utilization of substance use disorder treatment, especially pharmacotherapy, is an important quality improvement target.
美国退伍军人健康管理局的退伍军人司法外联（VJO）项目的主要任务是，将监狱、法庭中的退伍军人或与执法部门有接触的退伍军人与心理健康及物质使用障碍治疗联系起来。利用与VJO有接触的退伍军人的全国数据，描述其人口统计学特征、心理健康及物质使用障碍诊断情况、治疗使用情况，并使用多层次逻辑回归模型检验治疗进入和参与的相关因素。在37542名VJO退伍军人中，治疗进入与无家可归、患有心理健康障碍或同时患有心理健康和物质使用障碍而非仅患有物质使用障碍有关。属于美国印第安人/阿拉斯加原住民与治疗进入的较低几率有关。参与与女性、年龄较大、亚洲种族、城市居住和无家可归状态有关。增加物质使用障碍治疗的利用率，尤其是药物治疗，是一个重要的质量改进目标。
