Unmet Need for Treatment of Substance Use Disorders and Serious Psychological Distress Among Veterans: A Nationwide Analysis Using the NSDUH

Andrew Lang Golub · Peter Važan · Alexander S. Bennett · Hilary James Liberty

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Mental Health Treatment and Access Substance Abuse Treatment and Outcomes Posttraumatic Stress Disorder Research

Abstract

Many veterans returning from Afghanistan and Iraq experience serious mental health (MH) concerns including substance use disorders (SUD), post-traumatic stress disorder, traumatic brain injury, depression, or serious psychological distress (SPD). This article uses data from the 2004 to 2010 National Survey on Drug Use and Health to examine the prevalence of unmet MH needs among veterans aged 21 to 34 in the general population. The prevalence of untreated SUD among veterans (16%) was twice as high as untreated SPD (8%), a nonspecific diagnosis of serious MH concerns. Surprisingly, similar rates of untreated SUD and SPD were found among a nonveteran comparison sample matched on gender and age. These findings suggest that reducing unmet need for MH treatment for veterans in the general population may require improving outreach to all Americans and creating greater acceptance for MH treatment. The need for further analyses of reasons for not obtaining treatment is discussed.

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References

2003Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)2003Screening for Serious Mental Illness in the General Population 2004Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care 2005Twelve-Month Use of Mental Health Services in the United States 2008Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery 2005Failure and Delay in Initial Treatment Contact After First Onset of Mental Disorders in the National Comorbidity Survey Replication 2007Bringing the War Back Home 2001The prevalence and correlates of untreated serious mental illness.

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