Evidence map›Paper›PMID 25177213›Full record

ArticlePsychological services2008

Psychotherapy in the Veterans Health Administration: Missed Opportunities?

Jeffrey A Cully, Laura Tolpin, Louise Henderson, Daniel Jimenez, Mark E Kunik, Laura A Petersen

Open access · greenAbstract read
In one paragraph

Article in Psychological services, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 81 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Jeffrey A CullyHouston Center for Quality of Care & Utilization Studies, Veterans Affairs Health Services Research and Development Center of Excellence, Baylor College of Medicine, Michael E. DeBakey Veterans Affairs Medical Center, and Veterans Affairs South Central Mental Illness Research, Education, & Clinical Center.
Laura TolpinMichael E. DeBakey Veterans Affairs Medical Center.
Louise HendersonHouston Center for Quality of Care & Utilization Studies, Veterans Affairs Health Services Research and Development Center of Excellence.
Daniel JimenezMenninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine.
Mark E KunikHouston Center for Quality of Care & Utilization Studies, Veterans Affairs Health Services Research and Development Center of Excellence, Baylor College of Medicine, Michael E. DeBakey Veterans Affairs Medical Center, and Veterans Affairs South Central Mental Illness Research, Education, & Clinical Center.
Laura A PetersenHouston Center for Quality of Care & Utilization Studies, Veterans Affairs Health Services Research and Development Center of Excellence, Baylor College of Medicine, and Michael E. DeBakey Veterans Affairs Medical Center.
Baylor College of Medicine · US

Funding

Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
NIMH NIH HHS T32 MH073553
6 · The paper itself

Abstract

Informed by data on the dose-response effect, the authors assessed use of psychotherapy in the Veterans Health Administration (VA). The authors identified 410,923 patients with newly diagnosed depression, anxiety, or posttraumatic stress disorder using VA databases (October 2003 through September 2004). Psychotherapy encounters were identified by Current Procedural Terminology codes for the 12 months following patients' initial diagnosis. Psychotherapy was examined for session exposure received within the 12-month follow-up period and time (in days) between diagnosis and treatment. Of the cohort, 22% received at least one session of psychotherapy; 7.9% received four or more sessions; 4.2% received eight or more sessions; and 2.4% received 13 or more sessions. Delays between initial mental health diagnosis and initiation of care averaged 57 days. Patient variables including age, marital status, income, travel distance, psychiatric diagnosis, and medical-illness burden were significantly related to receipt of psychotherapy. Treatment delays and general underuse of psychotherapy services are potential missed opportunities for higher-quality psychotherapeutic care in integrated health care settings.

Indexed as

anxietydepressionmental healthposttraumatic stress disorderpsychotherapy

Identifiers

PMID25177213
PMCPMC4145407
OpenAlexW2041447392

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.