Recent Trends in the Treatment of Posttraumatic Stress Disorder and Other Mental Disorders in the VHA

Eric D. A. Hermes · Robert Alan Rosenheck · Rani A. Desai · ALAN F. FONTANA

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Posttraumatic Stress Disorder Research Mental Health Treatment and Access Migration, Health and Trauma

Abstract

OBJECTIVE: This study proposed to evaluate Veterans Health Administration (VHA) specialty mental health care workload for treating posttraumatic stress disorder (PTSD) and other mental disorders between 2005 and 2010 in comparison with results from 1997 to 2005. The 2005-2010 time frame represents a period of increased utilization of services by recently returning veterans and of program expansion within VHA. METHODS: VHA administrative databases were queried for all veterans receiving specialty mental health treatment annually between 2005 and 2010. Veterans were categorized by military service era (WWII or Korea, Vietnam, post-Vietnam, Persian Gulf War [including operations in Iraq and Afghanistan], and peacetime or other), diagnosis (PTSD or a non-PTSD mental disorder), and deployment to Iraq or Afghanistan. RESULTS: The total number of veterans served per year increased by 623,326 (117.6%) between 1997 and 2010. Veterans with PTSD increased at a greater rate since 2005 compared with veterans with other mental disorders. Vietnam veterans constituted a majority of all veterans treated for PTSD or for other mental disorders, and the number of Vietnam veterans treated for PTSD continues to grow. The number of visits per veteran with PTSD increased between 2006 and 2010, reversing previous trends. The rate of increase has been highest for Iraq and Afghanistan veterans. CONCLUSIONS: Both the number treated and treatment intensity have increased for veterans with PTSD who served in current conflicts, which might be expected, and in the Vietnam era, now 30 years past. A reversal of past declines in treatment intensity coincides with an increase in PTSD treatment funding and program expansion since 2005.

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2004Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care 2005The Current State of Cognitive Therapy 2010Dissemination of evidence‐based psychological treatments for posttraumatic stress disorder in the Veterans Health Administration 2006The Growth in the Social Security Disability Rolls: A Fiscal Crisis Unfolding 2009A Prospective Study of Depression Following Combat Deployment in Support of the Wars in Iraq and Afghanistan 2009Baseline self reported functional health and vulnerability to post-traumatic stress disorder after combat deployment: prospective US military cohort study 2007Recent Trends In VA Treatment Of Post-Traumatic Stress Disorder And Other Mental Disorders 2011Serving Those Who Served: Retention of Newly Returning Veterans From Iraq and Afghanistan in Mental Health Treatment

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