Social networks, mental health problems, and mental health service utilization in OEF/OIF National Guard veterans

Sripada, Rebecca K.; Bohnert, Amy S. B.; Teo, Alan R.; Levine, Debra; Pfeiffer, P.; Bowersox, Nicholas W.; Mizruchi, Mark S.; Chermack, Stephen T.; Ganoczy, Dara; Walters, Heather; Valenstein, Marcia

doi:10.1007/s00127-015-1078-2

Cited by 27 publications

(20 citation statements)

References 110 publications

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“…The combination of substance use, unemployment, life-time arrests, and restoration of peers and relationship building may warrant a further review in order to provide similar Veterans a successful treatment experience. Sripada et al (2015) similarly found that general social support was correlatedwith reduced mental health symptoms. Slattery,Dugger, Lamb, and Williams (2013) suggest that one reason for VTC success is the restoration of peers-both in treatment and in the community, particularly peer mentors.…”

Section: Discussionmentioning

confidence: 87%

Veterans Treatment Court Impact on Veteran Mental Health and Life Satisfaction

Montgomery¹,

Olson²

2018

JPBS

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After discharge from the military, veterans may experience significant readjustment stress, including involvement with the criminal justice system. For veterans who find themselves in the criminal justice system, the Veterans Treatment Court (VTC) offers a pre-trial diversion program rather than incarceration. In 2016, the 285 th District Court in Midland Texas began accepting veterans in theirnew VTC. Participation involved mental health and/or substance use treatment, attending mentoring groups, and employment.Over 18 months, 29 Veterans were invited to participate in the VTC; 26 entered the program, and of these, 16 successfully completed the program (graduated); 3 were discharged due to continued arrests, substance use, or failure to show for services. A battery of mental health and life satisfaction questionnaires were administered upon entry, 6 months, and 1 year. For Veterans who graduated, the PCL-5 and DASS-21 showed reducedPTSD symptoms, depression, anxiety, and stress. Furthermore, the number of Veterans scoring in the normal range of symptoms on the PCL-5 and DASS-21 increased after 6 months. Graduates exhibited greater life satisfaction, social support, and psychological well-being, andhad no interaction with law enforcement. It was suggested that peer restoration components of VTC programs are vital for success.

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Section: Discussionmentioning

confidence: 87%

Veterans Treatment Court Impact on Veteran Mental Health and Life Satisfaction

Montgomery¹,

Olson²

2018

JPBS

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“…Barriers to accessing traditional psychological treatments include a lack of trained interventionists, limited insurance coverage and infrastructure, inequitable distribution of services, geographic isolation, lack of evidence-based protocols used by clinicians, social stigma associated with help-seeking, and lack of cultural appropriateness and acceptability of mental health care generally [11][12][13][14][15]. An epidemiological study in the US suggested that only 53% of individuals with a history of PTSD had received any type of treatment [16]. Low service utilization rates are also evident in lowand middle-income countries; a study in the Eastern Cape Province of South Africa found that just under half of those who qualified for PTSD had accessed health care services [17].…”

Section: Access To Treatmentmentioning

confidence: 99%

A Scoping Review of the Role and Training of Para-professionals Delivering Psychological Interventions for Adults with Post-traumatic Stress Disorder

Xiong¹,

Wozney²,

Olthuis³

et al. 2019

J Dep Anxiety

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Background: The delivery of interventions for traumatic stress disorders by paraprofessionals is of interest across mental health systems as decision-makers work to meet growing need for services and demand for evidence-based care. Given the need for any system change to reflect scientific evidence, our scoping review aimed to identify and summarize the research on paraprofessional-delivered trauma-focused psychological interventions for adults, with a particular focus on the role and training of paraprofessionals. Method: We searched seven databases for peerreviewed published studies that employed controlled trial designs to evaluate paraprofessional-led interventions for traumatic stress. Using Covidence software, we completed iterative eligibility screening and extracted study data. Descriptive statistics were used to identify trends and gaps in the literature and inform synthesis of findings. Results: Fourteen studies met inclusion criteria. The majority of studies (71%; 10/14) evaluated interventions that were delivered face-to-face across a diverse patient populations and clinical contexts. Training of paraprofessionals ranged in length from two training sessions (approx. 16 hours) to a 6-week full day, in-person course. Ongoing supervision of paraprofessionals during the intervention was reported in 64% (9/14) of the studies, but few details of supervision processes were reported. Conclusion: Paraprofessionals are taking on therapeutic roles in the delivery of trauma-focused psychological interventions but there are significant knowledge gaps around training and supervision they require. Lack of consensus on the defining characteristics of a "paraprofessional" makes synthesizing this literature particularly challenging.

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“…Studies have also looked at social support and unit support as enabling factors (Sripada et al. ). While there is a great deal of evidence suggesting a link between social support and lower likelihood of mental health conditions (Sripada et al.…”

Section: Mental Health Needmentioning

confidence: 99%

“…Studies have also looked at social support and unit support as enabling factors (Sripada et al 2015). While there is a great deal of evidence suggesting a link between social support and lower likelihood of mental health conditions (Sripada et al 2015), the evidence that social support increases the likelihood that Guard soldiers will access mental health treatment is less robust. However, these enabling factors should be investigated among Guard soldiers as potential contributors to VA and non-VA mental health service use.…”

Section: Enabling Factorsmentioning

confidence: 99%

Determinants of National Guard Mental Health Service Utilization in VA versus Non‐VA Settings

Gorman

Sripada

Ganoczy

et al. 2016

Health Services Research

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Objective. To determine associations between need, enabling, and predisposing factors with mental health service use among National Guard soldiers in the first year following a combat deployment to Iraq or Afghanistan. Data Sources/Study Setting. Primary data were collected between 2011 and 2013 from 1,426 Guard soldiers representing 36 units. Study Design. Associations between Guard soldier factors and any mental health service use were assessed using multivariable logistic regression models in a cross-sectional study. Further analysis among service users (N = 405) assessed VA treatment versus treatment in other settings. Principal Findings. Fifty-six percent of Guard soldiers meeting cutoffs on symptom scales received mental health services with 81 percent of those reporting care from the VA. Mental health service use was associated with need (mental health screens and physical health) and residing in micropolitan communities. Among service users, predisposing factors (middle age range and female gender) and enabling factors (employment, income above $50,000, and private insurance) were associated with greater non-VA services use. Conclusion. Overall service use was strongly associated with need, whereas sector of use (non-VA vs. VA) was insignificantly associated with need but strongly associated with enabling factors. These findings have implications for the recent extension of veteran health coverage to non-VA providers.

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Social networks, mental health problems, and mental health service utilization in OEF/OIF National Guard veterans

Cited by 27 publications

References 110 publications

Veterans Treatment Court Impact on Veteran Mental Health and Life Satisfaction

Veterans Treatment Court Impact on Veteran Mental Health and Life Satisfaction

A Scoping Review of the Role and Training of Para-professionals Delivering Psychological Interventions for Adults with Post-traumatic Stress Disorder

Determinants of National Guard Mental Health Service Utilization in VA versus Non‐VA Settings

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