ArticleThe Journal of head trauma rehabilitation2026
Use of VA Facility and VA-Purchased Behavioral Health Services Among Post-9/11 Veterans With and Without Traumatic Brain Injury.
Article in The Journal of head trauma rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
objectiveBehavioral health conditions are prevalent among post-9/11-era veterans with traumatic brain injury (TBI); however, little contemporary data exist on their behavioral health services use. We examined outpatient, emergency department (ED), and urgent care behavioral health services use in VA facilities and VA-purchased community care (VACC) among post-9/11 era veterans with and without clinician-confirmed TBI.
settingNationwide VA facility and VACC, 2021 through 2022.
participants1,374,771 veterans who were screened for deployment-related TBI and, where indicated, completed VA Comprehensive TBI Evaluation.
designRetrospective, observational study. MAIN MEASURES: VA facility reliance, measured as the percentage of VA facility and VACC behavioral health services that were delivered in VA facilities. Multivariable fractional logistic regression was used to estimate VA facility reliance by TBI history/severity and behavioral health service type (outpatient, ED, urgent care); models were adjusted for sociodemographic, military history, and clinical variables. VACC and VA facility behavioral health visits and diagnoses were examined by TBI history/severity.
resultsAmong veterans screened for deployment-related TBI, 4.1% had a history of mild TBI and 0.6% moderate/severe TBI. Overall, 49.6% used behavioral health services during 2021 through 2022. There were differences in service use based on TBI history/severity and setting of use. Compared with veterans without TBI, greater percentages of veterans with mild or moderate/severe TBI used outpatient behavioral health services (48.7% vs. 63.3% and 68.6%, respectively). However, more than one-third of veterans with TBI did not use any of the behavioral health services we examined. In adjusted regression models, for each TBI history/severity group, VA facility reliance was the highest for outpatient behavioral health services (94.7%-95.0%) and the lowest for ED behavioral health services (65.9%-69.3%). Among veterans with moderate/severe TBI, 8 in every 10 VACC behavioral health services were for posttraumatic stress or substance use disorder.
conclusionsFindings suggest that further attention to the behavioral health needs of post-9/11 era veterans is warranted and offer targets for monitoring VACC behavioral health care quality.
Indexed as
Identifiers
What OpenQuestion holds
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.