Evidence map›Paper›PMID 29781656›Full record

ArticlePsychological services2019

Veterans' experiences initiating VA-based mental health care.

Michelle J Bovin, Christopher J Miller, Christopher J Koenig, Jessica M Lipschitz, Kara A Zamora, Patricia B Wright, Jeffrey M Pyne, James F Burgess

Open access · greenAbstract read
In one paragraph

Article in Psychological services, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% 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, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  13. Mental Health Pharmacists: Increasing Necessary Mental Health Service Delivery.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022
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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

8 authors at 5 institutions in 1 country.

Michelle J BovinNational Center for PTSD at Veterans Affairs Boston Healthcare System.ORCID 0000-0002-3296-4360
Christopher J MillerVeterans Affairs Boston Healthcare System.ORCID 0000-0002-8695-6833
Christopher J KoenigDepartment of Communication Studies, San Francisco State University.ORCID 0000-0003-0884-4120
Jessica M LipschitzCenter for Healthcare Organization and Implementation Research, Veterans Affairs Boston Healthcare System.
Kara A ZamoraSan Francisco Veterans Affairs Healthcare System.
Patricia B WrightCollege of Nursing, University of Arkansas for Medical Sciences.ORCID 0000-0003-1651-6899
Jeffrey M PyneCenter for Mental Healthcare and Outcomes Research and South Central Mental Illness Research, Education and Clinical Center, Central Arkansas Veterans Healthcare System.ORCID 0000-0001-9501-6053
James F BurgessCenter for Healthcare Organization and Implementation Research, Veterans Affairs Boston Healthcare System.ORCID 0000-0002-6646-7071
VA Boston Healthcare System · USCentral Arkansas Veterans Healthcare System · USNational Center for PTSD · USSan Francisco State University · USUniversity of Arkansas for Medical Sciences · US

Funding

HSRD VA CRE 12-300HSRD VA I01 HX001114United States Department of Veterans Affairs; Health Services Research & Development
6 · The paper itself

Abstract

Military veterans who could benefit from mental health services often do not access them. Research has revealed a range of barriers associated with initiating United States Department of Veterans Affairs (VA) care, including those specific to accessing mental health care (e.g., fear of stigmatization). More work is needed to streamline access to VA mental health-care services for veterans. In the current study, we interviewed 80 veterans from 9 clinics across the United States about initiation of VA mental health care to identify barriers to access. Results suggested that five predominant factors influenced veterans' decisions to initiate care: (a) awareness of VA mental health services; (b) fear of negative consequences of seeking care; (c) personal beliefs about mental health treatment; (d) input from family and friends; and (e) motivation for treatment. Veterans also spoke about the pathways they used to access this care. The four most commonly reported pathways included (a) physical health-care appointments; (b) the service connection disability system; (c) non-VA care; and (d) being mandated to care. Taken together, these data lend themselves to a model that describes both modifiers of, and pathways to, VA mental health care. The model suggests that interventions aimed at the identified pathways, in concert with efforts designed to reduce barriers, may increase initiation of VA mental health-care services by veterans. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Indexed as

Mental Health ServicesVeterans Health ServicesAdultAlcoholismFemaleHumansMajor Depressive DisorderMaleMiddle AgedPatient Acceptance of Health CareQualitative ResearchStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeterans

Identifiers

PMID29781656
PMCPMC7444826
OpenAlexW2803553071

What OpenQuestion holds

Textmetadata
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.