ArticleBMC health services research2018
Veteran-centered barriers to VA mental healthcare services use.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
49 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A rapid review of the barriers and facilitators of mental health service access among Veterans and their families.Frontiers in health services · 2024Pooled it
- A Mobile App for Student Veterans With Co-Occurring Academic and Psychiatric Concerns: Pilot Usability and Feasibility Study.JMIR formative research · 2026Trial
- Brief Peer-Supported Web-Based Skills Training in Affective and Interpersonal Regulation (BPS webSTAIR) for Trauma-Exposed Veterans in the Community: Randomized Controlled Trial.Journal of medical Internet research · 2024Trial
- Veterans' views on alcohol use and experience of alcohol withdrawal syndrome treatment and subsequent alcohol use disorder care at two highly rural-serving VA hospitals: a qualitative study.Journal of behavioral medicine · 2026Article
- Exploring needs and perceptions about telemental healthcare among Veterans with spinal cord injuries, a qualitative study.Journal of behavioral medicine · 2026Article
- Use of VA Facility and VA-Purchased Behavioral Health Services Among Post-9/11 Veterans With and Without Traumatic Brain Injury.The Journal of head trauma rehabilitation · 2026Article
- Evidence-based culturally informed mental health treatment for Veterans and their family members: A non-VA U.S. telehealth pilot program.Journal of military, veteran and family health · 2026Article
- Barriers and Facilitators in Access to Care Among Adults With Traumatic Spinal Cord Injuries: A Qualitative Study Comparing VA and Commercial Insurance.Health services insights · 2026Article
- Review
- Steeping in how "shut up and color" mindset manifests: Semantic analysis of open-ended responses for barriers to support seeking among veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2026Article
- "No one takes it seriously": U.S. military personnel with gambling concerns: recommendations for expanding treatment and public health efforts.Frontiers in public health · 2026Article
- Process Improvement for Engaging With Trauma-Focused Evidence-Based Psychotherapy for PTSD.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- Brief group adaptation of the Unified Protocol for integrated primary care: Open trial of a transdiagnostic intervention delivered via telehealth.Psychological services · 2025Article
- Rural Native Veterans' Perceptions of Care in the Context of Navigator Program Development.Journal of racial and ethnic health disparities · 2025Article
- Area-Level socioeconomic disadvantage and access to primary care: A rapid review.Health affairs scholar · 2025Review
- Mental Health Challenges and Barriers to Veterans' Adjustment to Civilian Life on the U.S.-Mexico Border.Healthcare (Basel, Switzerland) · 2025Article
- Sounds of Strength: a programmatic evaluation of a music therapist led community-based program for Veterans in supportive housing.Frontiers in psychiatry · 2025Article
- Increasing access to behavioral health care: Examples of task shifting in two U.S. government health care systems.Families, systems & health : the journal of collaborative family healthcare · 2024Article
- Healing trauma through theatre: A therapeutic vignette from the DE-CRUIT Veterans' theatre program.Journal of military, veteran and family health · 2024Article
- Black veteran use of video telehealth for mental health care.Psychological services · 2024Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundSome veterans face multiple barriers to VA mental healthcare service use. However, there is limited understanding of how veterans' experiences and meaning systems shape their perceptions of barriers to VA mental health service use. In 2015, a participatory, mixed-methods project was initiated to elicit veteran-centered barriers to using mental healthcare services among a diverse sample of US rural and urban veterans. We sought to identify veteran-centric barriers to mental healthcare to increase initial engagement and continuation with VA mental healthcare services.
methodsCultural Domain Analysis, incorporated in a mixed methods approach, generated a cognitive map of veterans' barriers to care. The method involved: 1) free lists of barriers categorized through participant pile sorting; 2) multi-dimensional scaling and cluster analysis for item clusters in spatial dimensions; and 3) participant review, explanation, and interpretation for dimensions of the cultural domain. Item relations were synthesized within and across domain dimensions to contextualize mental health help-seeking behavior.
resultsParticipants determined five dimensions of barriers to VA mental healthcare services: concern about what others think; financial, personal, and physical obstacles; confidence in the VA healthcare system; navigating VA benefits and healthcare services; and privacy, security, and abuse of services.
conclusionsThese findings demonstrate the value of participatory methods in eliciting meaningful cultural insight into barriers of mental health utilization informed by military veteran culture. They also reinforce the importance of collaborations between the VA and Department of Defense to address the role of military institutional norms and stigmatizing attitudes in veterans' mental health-seeking behaviors.
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Registered trials
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.