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Statement of Ethical Conduct in ResearchThe author declares no conflicts of interest or financial interests in any product or service mentioned in this article, including grants, employment, stock holdings, gifts, or honoraria. There was no personally identifiable Protected Health Information (PHI) accessed during this cross sectional analysis and therefore the confidentiality of individual members of the study population was protected at all times throughout the study. Provider specialty was the only significant enabling variable in both direct and purchased care visits and accounted for 7% and 9% respectively of the shared variance in the models. The adjusted R" for the direct care model was .071 and for purchased care .158. Although the diagnosis variable of post-traumatic stress disorder was associated with greater mental health service utilization, need factors, as a whole, were neither a consistent predictor in visits where the sponsor deployed to combat nor for those where the sponsor did not deploy.
Determinants of Mental Health Services Utilization