Mental health care for rural veterans: A systematic literature review, descriptive analysis, and future directions.

Bumgarner, David; Polinsky, Elizabeth J.; Herman, Katharine G.; Fordiani, Joanne; Lewis, Carmen P.; Hansen, Spencer K.; Rutschman, Robert; Bonnell, Melissa; Cardin, Scott A.

doi:10.1037/rmh0000078

Cited by 18 publications

(17 citation statements)

References 67 publications

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“…It must be noted that, although this chapter discusses substance use patterns and disparities related to race and ethnicity among rural populations, health disparities among other minority rural populations (e.g., sexual orientation, military veteran status) are prevalent and problematic. Individuals with this "multiple-minority" status may be at an increased risk of engaging in substance use and experiencing related health disparities, all of which could be further complicated by residing in a rural area for each reason previously mentioned in this chapter (e.g., Bumgarner et al 2017;Rhodes et al 2011;Rosenkrantz et al 2017). Moving forward, it is imperative that researchers and practitioners account for under-represented minorities of all groups to more comprehensively serve rural communities.…”

Section: Intervention Considerations Between Racial and Ethnic Minorimentioning

confidence: 99%

“…Rural populations are often empirically treated as a homogeneous group. This leaves the function of important demographic variables (e.g., race and ethnicity) in health disparities research often overlooked (Bumgarner et al 2017). Many of the factors that contribute to increased substance use (e.g., lowered income, lack of transportation, marginalization) may be particularly salient and/or prevalent among racial and ethnic minority members (Chan et al 2015;Morojele et al 2010).…”

Section: Health Disparities In Substance Use and Treatment Between Ramentioning

confidence: 99%

“…For example, Native American youth living in a reservation community have demonstrated a willingness to engage in MI in order to reduce underage drinking (Gilder et al 2011). Telehealth delivered to rural Native American veterans has also been shown to be a promising area for intervention development (Bumgarner et al 2017). Other prevention and intervention research shows that specific treatments may be particularly useful for implementation with racial and ethnic minority members.…”

Section: Intervention Considerations Between Racial and Ethnic Minorimentioning

confidence: 99%

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Substance Abuse in Rural and Remote Areas

Bray¹,

Zaring-Hinkle²,

Perrotte³

2020

Handbook of Rural, Remote, and Very Remote Mental Health

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Substance abuse is a pervasive problem across the globe, impacting the health and well-being of those who abuse alcohol and substances and their family members. While this problem affects individuals across numerous demographic factors (e.g., gender, race and ethnicity, or socioeconomic status), there are different patterns and types of substance abuse in urban and rural areas. This chapter focuses on the unique aspects of alcohol and substance abuse in rural, frontier, and remote areas and examines health disparities and racial and ethnic differences in substance abuse. In addition, this chapter discusses special challenges in providing prevention and intervention services to the people who live in rural and remote areas of the world and the roles of psychologists in providing this care.

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Section: Intervention Considerations Between Racial and Ethnic Minorimentioning

confidence: 99%

Section: Health Disparities In Substance Use and Treatment Between Ramentioning

confidence: 99%

Section: Intervention Considerations Between Racial and Ethnic Minorimentioning

confidence: 99%

See 1 more Smart Citation

Substance Abuse in Rural and Remote Areas

Bray¹,

Zaring-Hinkle²,

Perrotte³

2020

Handbook of Rural, Remote, and Very Remote Mental Health

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“…Future research will benefit from analyses of ZIP code or census tract level data, which can be aggregated to different levels for inclusion in multilevel analyses (see West et al, 2010). At present, most articles on rural veteran mental health do not explicitly describe how rural was operationalized (Bumgarner et al, 2017). It also would be beneficial to analyze and report results at different levels of aggregation to facilitate cross-study comparisons.…”

Section: Discussionmentioning

confidence: 99%

Intrarural variation in mental health status and help-seeking of veterans in the upper midwest.

Beehler¹,

Chiou²,

Balmer³

et al. 2018

Journal of Rural Mental Health

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Rural-urban disparities in the prevalence of mental disorders and in access to mental health care among veterans have been documented, but no consistent pattern has emerged. Mixed research findings may be because of broad distinctions between rural and urban that mask intrarural variation in veteran mental health. This study explored the extent to which location and veteran status predict lifetime prevalence of mental illness (depression and anxiety or panic attacks), delayed help seeking for an emotional problem, binge drinking, and general health. We analyzed survey data from a regionally representative survey of residents of 9 counties in northeastern Minnesota and northwestern Wisconsin (N ϭ 4,050). Generalized linear models were used to analyze the effects of veteran status, location, and an interaction term on 5 dependent variables. Veterans in the sample (n ϭ 124) were more rural, older, and more male than nonveterans. Within the subgroup of veterans, those who lived in the most rural areas reported the lowest lifetime prevalence of depression and the best general health. Compared with nonveterans, veterans living in the least rural areas reported poorer general health and significantly higher lifetime rates of depression. Our findings show a health advantage for the most rural veterans, extending previous research by analyzing intrarural variation in a community-based sample of veterans. Analyses of more refined geographic categories are needed to identify meaningful disparity patterns and inform community-based interventions to promote veteran mental health.

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“…The majority of research available is limited to specific programs or populations of veterans (i.e., aging or rural Veterans). 9,10 In addition, many Veterans, particularly those who are younger, choose to receive care outside of the VA or are not eligible for VA care. Research must examine the use of telehealth care beyond care provided within the VA.…”

mentioning

confidence: 99%

Satisfaction of the Use of Telehealth and Access to Care for Veterans During the COVID-19 Pandemic

Kintzle

Rivas

Castro

2022

Telemedicine and e-Health

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Background: While many health care providers have shifted toward telehealth services in response to the COVID-19 pandemic, little is known about the perception and acceptance of such services, particularly among vulnerable populations. Veterans, who are at increased risk of physical and mental health needs, may benefit from the use and availability of telehealth services. Materials and Methods: Cross sectional survey data related to telehealth use, satisfaction, and access were collected through an online survey. Participants from previous research studies and veterans receiving care at a national veteran behavioral health organization were invited to participate. Results: A total of 404 veterans participated. Before the pandemic, many veterans had never used telehealth for physical (72%) or mental (76%) health care. Since the start of the pandemic, 62% of participants reported they received some care through telehealth services. Most participants found telehealth valuable and helpful (82%), indicated the technology was well explained (77%), and felt that issues were resolved quickly and easily (67%). Access to care was limited among participants who utilize massage therapy (64%), dental care (53%), routine checkups (50%), acupuncture (50%), and physical therapy (48%). Discussion: These findings showed an increase in the use of telehealth services and overwhelming satisfaction among veterans. Despite this, some veterans indicated barriers to receiving physical and mental health care. Conclusions: This provides an opportunity to expand the use of telehealth services to meet the health care needs of veterans. Barriers to care should be addressed to minimize the impact on the well-being of veterans.

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Mental health care for rural veterans: A systematic literature review, descriptive analysis, and future directions.

Cited by 18 publications

References 67 publications

Substance Abuse in Rural and Remote Areas

Substance Abuse in Rural and Remote Areas

Intrarural variation in mental health status and help-seeking of veterans in the upper midwest.

Satisfaction of the Use of Telehealth and Access to Care for Veterans During the COVID-19 Pandemic

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