Impact of OEF/OIF Veterans’ Beliefs about Mental Illness and Mental Health Treatment on Treatment Seeking Dawne Vogt, PhD Research Psychologist and Acting.

Slides:

Advertisements

Similar presentations

Effectiveness & Cost-Effectiveness of Collaborative Care Depression Treatment in Veterans who screen positive for PTSD Domin Chan, MHS, PhC Northwest HSRD.

Advertisements

GAP Report 2014 People with disabilities People left behind: People with disabilities Link with the pdf, People with disabilities.

Is Caregiver Depression Associated with Children’s ADHD Symptoms and Overall Functioning? Randi Scott SUMR Final Presentation August 07, 2008.

Associations between Obesity and Depression by Race/Ethnicity and Education among Women: Results from the National Health and Nutrition Examination Survey,

Karol Meza-Englebrecht, California State University, Long Beach May, 2012.

Mental Health Stigma and Self-Concealment as Predictors of Help-Seeking Attitudes in Latino/a College Students. Hadrian Mendoza & Akihiko Masuda, PhD.

Suicidal behaviours among adolescents in Aotearoa: data from the Youth2000 series Dr Pete Watson and Dr Sarah Fortune on behalf of The Adolescent Health.

 More than 2 million men and women have been deployed to Afghanistan and Iraq for Operations Enduring Freedom/Iraqi Freedom (OEF/OIF).  ~21% of men and.

Posttraumatic Stress Disorder: Overview, Treatment, Resources Sonya Norman, Ph.D. Researcher, VA San Diego Healthcare System Consultation Program Director,

Janice H. Goodman, PhD..  “Perinatal depression is associated with potential negative consequences for the mother and infant, and therefore efforts to.

David W. Greaves, Ph.D. Chief of Psychology & Administrative Director Mental Health & Clinical Neurosciences Division Portland VA Medical Center.

Behavioral Health Screening & Referral in Pediatric Clinics

Homelessness among Veterans with Serious Mental Illness Public Health Impact and Outreach Amy M. Kilbourne, PhD, MPH VA Ann Arbor Center for Clinical Management.

Evaluation of Gonorrhea Screening in Family Planning Settings: California 2000 CK Kent, M Brammeier, G Bolan, N Casas, M Funabiku, P Blackburn Region IX.

Gender and the use of Veterans Health Administration homeless services programs among Iraq/Afghanistan Veterans Oni J. Blackstock, MD Yale RWJF Clinical.

Evaluating depression in type 2 diabetes comorbidities in Romanian patients - implications for hypertensive patients Vladut Ioana Corina, MA Center for.

® Introduction Mental Health Predictors of Pain and Function in Patients with Chronic Low Back Pain Olivia D. Lara, K. Ashok Kumar MD FRCS Sandra Burge,

TERMINATION OF LONG-TERM MENTAL HEALTH TREATMENT WITH FOSTER YOUTH Kimberlin Borca, Foster Care Research Group University of San Francisco April 29, 2012.

VA Women’s Mental Health Services Research Paula P. Schnurr, Ph.D VA National Center for PTSD Dartmouth Medical School.

Adi Jaffe Addiction Therapy-2014 Chicago, USA August 4 - 6, 2014.

Implementing NICE guidance

Nursing Care Makes A Difference The Application of Omaha Documentation System on Clients with Mental Illness.

Audrey J. Brooks, PhD University of Arizona CA-AZ node.

1 Predicting Trainee Success Jason Gold, Ph.D. Center Mental Health Consultant Edison Job Corps Center Edison, New Jersey Robert-Wood Johnson Medical School.

Racial Disparities in Antiretroviral Therapy Use and Viral Suppression among Sexually Active HIV-infected Men who have Sex with Men— United States, Medical.

The Long War and Impact of Parental Combat Deployment on Children and At Home Spouses Patricia Lester, MD, UCLA Semel Institute.

Characteristics of Patients Using Extreme Opioid Dosages in the Treatment of Chronic Low Back Pain In this sample of 204 participants, 70% were female,

Demonstration of a Process- Outcome Link for Smoking Cessation Melissa M. Farmer, PhD 1,2 Elizabeth M. Yano, PhD 1,2 Brian S. Mittman, PhD 1,2 Scott E.

Virginia Health Care Conference Engaging Consumers to Purchase Value June 6, 2013.

The Mental Health of UK Military Personnel, Reservists and Veterans: A programme of research Dr Lisa Webster Post-doctoral Research Associate Mental Health.

Need and Unmet Need of Mental Health among Community Dwelling Seniors In New York City Shijian Li, Ph.D. SUNY at Old Westbury William Gallo, Ph.D. CUNY.

David M. Ndetei MBChB (Nrb), DPM (London), MRCPsych. (UK), FRCPsych. (UK), MD (Nrb), DSc (Nrb) Certificate in Psychotherapy (London) Professor of Psychiatry,

American Indian/Alaska Native Epidemiological Profile Jennifer Kawatu, RN, MPH November 9,

RESULTS Individual characteristics % (N) unless otherwise specified Gender Male 65% (255) Female 35% (136) Race/Ethnicity African American 35% (137) White-not.

Similarly, rejection sensitivity tends to be negatively associated with being a perpetrator of relational aggression in romantic relationships for young.

Jim Boehnlein, M.D. Associate Director for Education, VA Northwest Network Mental Illness Research, Education, and Clinical Center (MIRECC) Professor of.

Erin Batchelor California State University, Long Beach May 2013 MSW STUDENTS’ PERCEPTIONS OF AND PREPAREDNESS FOR STRESS AND COPING OF FAMILY CAREGIVING.

APPLIED PSYCHOLOGY LABORATORY East Tennessee State University Johnson City, Tennessee INTRODUCTION CONTACT:

Does a History of Mild Traumatic Brain Injury Increase Suicide Risk In Veterans with PTSD? Sean M. Barnes, Ph.D. 1, 2, Kristen H. Walter, Ph.D. 3, & Kathleen.

CHILDHOOD MALTREATMENT AND ADOLESCENT ANTISOCIAL BEHAVIOR: Romantic Relationship Quality as Moderator Susaye S. Rattigan, M.A. & Manfred H.M. van Dulmen,

Linking Returning Veterans in Rural Community Colleges to Mental Health Care Justin Hunt, MD, MS Assistant Professor, UAMS Department of Psychiatry South.

Disparities Within and Between Hospitals for Inpatient Quality of Care: Targeting Resources to Close the Gap Romana Hasnain-Wynia, PhD Director, Center.

“MENTAL HEALTH LITERACY AND POSTPARTUM DEPRESSION: A QUALITATIVE DESCRIPTION OF VIEWS OF LOWER INCOME WOMEN” – GUY (2014) -Jasmine R.

Exploration of the Substance Abuse Treatment Workforce: Education, Preparation and Certification Traci Rieckmann, Ph.D., Bret Fuller, Ph.D, Dennis McCarty,

Women Veterans’ Health Care Needs and Use Donna L. Washington, MD, MPH Core Investigator and Staff Physician VA Greater Los Angeles Healthcare System December.

How Does Trauma contribute to Substance Abuse and HIV Infection Among Ethnic Women Gail E. Wyatt, Ph.D. Professor, UCLA Department of Psychiatry and Biobehavioral.

Suicide Among Members of the United States Armed Forces.

Alcohol Consumption and Diabetes Preventive Practices: Preliminary Findings from the U.S.-Mexico Border Patrice A.C. Vaeth, Dr.P.H. Raul Caetano, M.D.,

The National Survey of Women Veterans Enhancing Research-Clinical Partnerships for Improving the Care of Women Veterans Donna L. Washington, MD, MPH VA.

The Impact of Killing on Mental Health Symptoms and Functioning Veterans of War Shira Maguen, Ph.D. June 18, 2010 San Francisco VA Medical Center UCSF.

Suicide 101 Peter M. Gutierrez, Ph.D. VA VISN 19 MIRECC Department of Psychiatry University of Colorado Denver School of Medicine.

Edward F. Garrido, Ph.D. and Heather N. Taussig, Ph.D. University of Colorado Denver School of Medicine Kempe Center for the Prevention and Treatment of.

Maternal and Child Health and Mental Health: Time for Action Ken Thompson MD Associate Director for Medical Affairs CMHS/SAMHSA CityMatCH Teleconference.

F UNCTIONAL L IMITATIONS IN C ANCER S URVIVORS A MONG E LDERLY M EDICARE B ENEFICIARIES Prachi P. Chavan, MD, MPH Epidemiology PhD Student Xinhua Yu MD.

BUILDING SKILLS AND STRATEGIES How services for women and families can change within a Recovery Oriented System of Care.

Vivia V. McCutcheon, Howard J. Edenburg, John R. Kramer, Kathleen K. Bucholz 9 th Annual Guze Symposium St. Louis, MO February 19, 2009 Gender Differences.

Lessons Learned in Geriatric Collaborative Care: What if the Status Quo Just Won’t Budge? Katherine Buck, MS, LMFT Psychology Intern, University of Colorado.

Cost of Readmission: Can the VHA Experience Inform National Payment Policy.

Utilization of VA, Military, and Community-Based Care among Iraq and Afghanistan Veterans with PTSD Erin P. Finley, PhD MPH South Texas Veterans Health.

LTC(P) Christopher Warner, MD Consultant to The US Army Surgeon General for Psychiatry.

Copyright restrictions may apply JAMA Pediatrics Journal Club Slides: Psychiatric Diagnoses and Comorbidities in Young Transgender Women Reisner SL, Biello.

OEF/OIF/OND Veterans and the Integrative Health and Wellness (IHW) Program Rena “Liz” Courtney, B. A., Stephanie Brooks-Holliday, Ph.D, Amanda Hull, PhD,

The Nexus of Traumatic Brain Injury and Epilepsy in Veterans from Afghanistan and Iraq Mary Jo Pugh, PhD South Texas Veterans Health Care System, San Antonio,

Acceptability of Offering Emergency Contraception to Women in Domestic Violence Shelter Laura Yantz Advisor: Catherine Haggerty, PhD, MPH Community Mentor:

Civic Engagement in Action : The Reintegration of Veterans Kevin Ross, Adela Anderson, Maribeth Horan, Cina Sorenson Veterans often find themselves in.

VITAL: Suicide Prevention for Student Veterans

2017 SWAN Survey Results Kate Hendricks Thomas, PhD Assistant Professor of Public Health, Charleston Southern University SWAN Fellow

How many sessions are Enough

Research amongst Physical Therapists in the State of Kuwait: Participation, Perception, Attitude and Barriers Presented by Sameera Aljadi, PT, PhD Assistant.

autoimmune disorders in Iraq and Afghanistan Veterans

Presentation transcript:

Impact of OEF/OIF Veterans’ Beliefs about Mental Illness and Mental Health Treatment on Treatment Seeking Dawne Vogt, PhD Research Psychologist and Acting Deputy Director, WHSD, National Center for PTSD, VA Boston Healthcare System & Associate Professor, Division of Psychiatry, Boston University School of Medicine American Legion TBI and PTSD Symposium June 24, 2014

Background Research indicates that OEF/OIF/OND Veterans are at risk for a variety of mental health problems following return from deployment. o 14% of OEF/OIF Veterans in a large, nationally representative study met criteria for probable PTSD and same proportion also met criteria for major depression. 1 o Another nationally representative study found an identical rate of probable PTSD (14%) and an even higher rate of probable alcohol abuse (39%). 2 Variety of effective treatments for PTSD and other mental health problems - cognitive-behavioral therapy and pharmacotherapy. 3 1 Schell & Marshall (2008) 2 Eisen et al. (2012) 3 Watts et al. (2011)

Background Many Veterans with mental health problems do not receive mental health care. Nearly half (47%) of national sample of OEF/OIF Veterans with probable PTSD or major depression had not received mental health care in the previous year. 1 Treatment drop-out a substantial problem Among both female and male OEF/OIF/OND VA users with newly diagnosed PTSD, median number of psychotherapy visits in last year was three. 2 1 Schell & Marshall (2008) 2 Maguen, Cohen, et al. (2012)

Beliefs about Mental Illness and Mental Health Treatment Concerns about Stigma Beliefs about how loved ones would react if one were to experience a mental health problem Beliefs about stigma in the workplace Personal beliefs about mental illness and mental health treatment Beliefs about mental illness Beliefs about treatment-seeking Beliefs about mental health treatment

Barriers to Care Study Study of a national sample of female and male OEF/OIF Veterans (n=707) conducted in 2011 Nonresponse bias and design weights applied to item-level results to enhance representativeness Overview of findings regarding: Common mental health beliefs that may serve as barriers to care Relationship between mental health beliefs and use of VA mental health treatment among veterans with probable mental health conditions (PTSD, depression, alcohol abuse) Contribution above and beyond VA system factors

Concerns about Stigma from Loved Ones If I had a mental health problem and friends and family knew about it, they would…

Concerns about Stigma in the Workplace If I had a mental health problem and people at work knew…

Beliefs about Mental Illness

Beliefs about Help-Seeking

Beliefs about Mental Health Treatment

Summary of Item-Level Results Substantial minority of OEF/OIF Veterans endorse negative beliefs about mental illness and mental health treatment Concerns about stigma more commonly reported than negative personal beliefs Diversity in responses, with greatest proportion of respondents either explicitly rejecting these beliefs or reporting being “on the fence”

Predictors of VA Mental Health Service Use Note. Analysis controls for comorbidity. *p<.05. VariableBS.E.OR System Factors Availability of services Ease of use Staff skill and sensitivity * Stigma and Personal Beliefs Negative beliefs about mental health treatment * Negative beliefs about treatment seeking * Negative beliefs about mental illness * Concerns about stigma from loved ones * Concerns about stigma in the workplace

Conclusions Veterans report a variety of mental health beliefs that may serve as barriers to care. Findings suggest that concerns about stigma are less important barrier to treatment than personal beliefs about mental illness & mental health treatment Negative mental health beliefs predict service use above and beyond Veterans’ perceptions of system- level barriers Longitudinal studies needed to confirm these findings

Conclusions Need for attention to attitudinal barriers to treatment engagement Findings underscore the value of educational initiatives that target negative beliefs about mental illness and mental health treatment VA’s Make the Connection ( NCPTSD’s About Face (

Acknowledgements Funding for Barriers to Care study was provided by VA HSR&D For more information about this presentation, please contact: Dawne Vogt Women’s Health Sciences Division National Center for PTSD (116B-3) VA Boston Healthcare System 150 S. Huntington Ave Boston, MA

Demographic & Background Factors Factors addressed in Anderson Model (1968) Predisposing factors such as gender, age, and marital status Enabling/impeding factors such as service-connected disability status, caregiving and work responsibilities Need-based factors such as symptom severity, comorbidity, and functional impairment

Institutional Factors Availability of services such as whether preferred type of treatment is available Ease of access such as convenience of location, wait times for care, paperwork Staff skill and sensitivity, including perception that therapists understand client experiences and are trustworthy

Availability of Services

Ease of Use

Staff Skill & Sensitivity