Evaluation of the Department of Veterans Affairs Mental Health Services
Board on Health Care Services;Health and Medicine Division;Engineering, and Medicine National Academies of Sciences;Committee to Evaluate the Department of Veterans Affairs Mental Health Services
Evaluation of the Department of Veterans Affairs Mental Health Services - Board on Health Care Services;Health and Medicine Division;Engineering, and Medicine National Academies of Sciences;Committee to Evaluate the Department of Veterans Affairs Mental Health Services
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Evaluation of the Department of Veterans Affairs Mental Health Services
Board on Health Care Services;Health and Medicine Division;Engineering, and Medicine National Academies of Sciences;Committee to Evaluate the Department of Veterans Affairs Mental Health Services
Synopsis "Evaluation of the Department of Veterans Affairs Mental Health Services"
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental health-related outcomes—in particular, suicide—at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services. Table of ContentsFront MatterSummary1 Introduction2 The Veterans Health Administration3 The Veterans Health Administration's Mental Health Services4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration5 Methodology6 Department of Veterans Affairs Mental Health Services: Need, Usage, and Access and Barriers to Care7 Dimensions of Quality in Mental Health Care8 Mental Health Workforce and Facilities Infrastructure9 Timely Access to Mental Health Care10 Patient-Centered Care and the Veteran Experience11 Effective Mental Health Care12 Efficient Mental Health Care13 Equitable Mental Health Care14 Health Technology for Mental Health Care15 Quality Management16 Findings, Conclusions, and RecommendationsAppendix A: Supporting Documentation for the SurveyAppendix B: Supporting Documentation for the Site Visits: Questionnaires and NVivo Codes