Evidence map›Paper›PMID 28412888›Full record

Observational studyPsychiatric services (Washington, D.C.)2017

Postdeployment Behavioral Health Screens and Linkage to the Veterans Health Administration for Army Reserve Component Members.

Megan E Vanneman, Alex H S Harris, Cheng Chen, Rachel Sayko Adams, Thomas V Williams, Mary Jo Larson

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Psychiatric services (Washington, D.C.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Tobacco Product Use and Type by Military Veteran Status: Findings from the National Health Interview Survey, 2021-2023.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  4. Article
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  12. A positive screen for military sexual trauma is associated with greater risk for substance use disorders in women veterans.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2019
    Article
  13. Article
  14. Prevalence and predictors of mental distress among Italian Red Cross auxiliary corps: A cross-sectional evaluation after deployment in anti-COVID-19 operations.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association
    Article
  15. Article
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.

Megan E VannemanDr. Vanneman is with the Informatics, Decision-Enhancement and Analytic Sciences Center, Department of Veterans Affairs (VA) Salt Lake City Health Care System, and with the Department of Internal Medicine, Division of Epidemiology, University of Utah School of Medicine, Salt Lake City. Dr. Harris and Ms. Chen are with the Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California. Dr. Harris is also with the Department of Surgery, Stanford University School of Medicine, Stanford, California. Dr. Adams and Dr. Larson are with the Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts. Dr. Williams is with the Defense Health Agency, U.S. Department of Defense (DoD), Falls Church, Virginia.
Alex H S HarrisDr. Vanneman is with the Informatics, Decision-Enhancement and Analytic Sciences Center, Department of Veterans Affairs (VA) Salt Lake City Health Care System, and with the Department of Internal Medicine, Division of Epidemiology, University of Utah School of Medicine, Salt Lake City. Dr. Harris and Ms. Chen are with the Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California. Dr. Harris is also with the Department of Surgery, Stanford University School of Medicine, Stanford, California. Dr. Adams and Dr. Larson are with the Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts. Dr. Williams is with the Defense Health Agency, U.S. Department of Defense (DoD), Falls Church, Virginia.
Cheng ChenDr. Vanneman is with the Informatics, Decision-Enhancement and Analytic Sciences Center, Department of Veterans Affairs (VA) Salt Lake City Health Care System, and with the Department of Internal Medicine, Division of Epidemiology, University of Utah School of Medicine, Salt Lake City. Dr. Harris and Ms. Chen are with the Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California. Dr. Harris is also with the Department of Surgery, Stanford University School of Medicine, Stanford, California. Dr. Adams and Dr. Larson are with the Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts. Dr. Williams is with the Defense Health Agency, U.S. Department of Defense (DoD), Falls Church, Virginia.
Rachel Sayko AdamsDr. Vanneman is with the Informatics, Decision-Enhancement and Analytic Sciences Center, Department of Veterans Affairs (VA) Salt Lake City Health Care System, and with the Department of Internal Medicine, Division of Epidemiology, University of Utah School of Medicine, Salt Lake City. Dr. Harris and Ms. Chen are with the Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California. Dr. Harris is also with the Department of Surgery, Stanford University School of Medicine, Stanford, California. Dr. Adams and Dr. Larson are with the Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts. Dr. Williams is with the Defense Health Agency, U.S. Department of Defense (DoD), Falls Church, Virginia.
Thomas V WilliamsDr. Vanneman is with the Informatics, Decision-Enhancement and Analytic Sciences Center, Department of Veterans Affairs (VA) Salt Lake City Health Care System, and with the Department of Internal Medicine, Division of Epidemiology, University of Utah School of Medicine, Salt Lake City. Dr. Harris and Ms. Chen are with the Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California. Dr. Harris is also with the Department of Surgery, Stanford University School of Medicine, Stanford, California. Dr. Adams and Dr. Larson are with the Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts. Dr. Williams is with the Defense Health Agency, U.S. Department of Defense (DoD), Falls Church, Virginia.
Mary Jo LarsonDr. Vanneman is with the Informatics, Decision-Enhancement and Analytic Sciences Center, Department of Veterans Affairs (VA) Salt Lake City Health Care System, and with the Department of Internal Medicine, Division of Epidemiology, University of Utah School of Medicine, Salt Lake City. Dr. Harris and Ms. Chen are with the Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California. Dr. Harris is also with the Department of Surgery, Stanford University School of Medicine, Stanford, California. Dr. Adams and Dr. Larson are with the Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts. Dr. Williams is with the Defense Health Agency, U.S. Department of Defense (DoD), Falls Church, Virginia.
VA Palo Alto Health Care System · US

Funding

First Longitudinal Study of Missed Treatment Opportunities Using DOD and VA DataR01DA030150 · NIDA · BRANDEIS UNIVERSITY · PI LARSON, MARY JO · 2010 to 2013
$1.9M
HSRD VA RCS 14-232NIDA NIH HHS R01 DA030150
6 · The paper itself

Abstract

objectiveApproximately three to six months after returning from deployment, military service members complete the Post-Deployment Health Reassessment (PDHRA), which includes screens for alcohol misuse, depression, and posttraumatic stress disorder (PTSD). To determine whether Army Reserve Component (RC) members (Army National Guard and Army Reserve) with positive screening scores on the PDHRA receive needed care, the investigators examined the association between positive scores and enrollment and utilization of care ("linkage") in the Veterans Health Administration (VHA), as well as rescreening scores, diagnosis, and behavioral treatment in VHA.

methodsMixed-effects regression models were used to predict linkage to VHA within six months after RC members (N=73,164) completed the PDHRA, with alcohol misuse, depression, and PTSD screen scores as key independent variables. Regression models were stratified by gender and National Guard versus Reserve status. Among those who linked to VHA (N=25,168), screening scores and subsequent diagnosis and treatment in VHA were also examined.

resultsArmy RC members with positive PTSD and depression screening scores were more likely than those with negative screens to link to VHA, and most (54%-84%) received VHA treatment once diagnosed. Positive screens for alcohol misuse were associated with linkage to VHA for men but not for women, and treatment rates for alcohol use disorders were relatively low (0%-25%) for both men and women diagnosed as having an alcohol use disorder.

conclusionsThe finding that Army RC members with greater indications of behavioral health problems linked to VHA is encouraging. However, more outreach and treatment engagement strategies could be directed to those with alcohol use disorder, particularly women.

Indexed as

AlcoholismDepressive DisorderStress Disorders, Post-TraumaticAdultComorbidityFemaleHumansLongitudinal StudiesMaleMental Health ServicesMilitary PersonnelUnited StatesUnited States Department of Veterans AffairsAlcohol/alcoholismDepressionPosttraumatic stress disorder (PTSD)Service delivery systemsVeterans issues

Identifiers

PMID28412888
PMCPMC5697977
OpenAlexW2607223732

What OpenQuestion holds

Textmetadata
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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.