nach oben

Administration and Policy in Mental Health and Mental Health Services Research

Erschienen in:

27.01.2018 | Original Article

The Effect of Support and Training for Family Members on Access to Outpatient Services for Veterans with Posttraumatic Stress Disorder (PTSD)

verfasst von: Megan Shepherd-Banigan, Valerie A. Smith, Matthew L. Maciejewski, Karen M. Stechuchak, Susan Nicole Hastings, G. Darryl Wieland, Katherine E. M. Miller, Margaret Kabat, Jennifer Henius, Margaret Campbell-Kotler, Courtney Harold Van Houtven

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 4/2018

Einloggen, um Zugang zu erhalten

Abstract

The VA Program of Comprehensive Assistance for Family Caregivers (PCAFC) provides landmark support for family caregivers of post-9/11 veterans. This study examines PCAFC support for veterans with and without PTSD and assesses whether program effect differs by PTSD status using a pre-post, non-equivalent, propensity score weighted comparison group design (n = 24,280). Veterans with and without PTSD in PCAFC accessed more mental health, primary, and specialty care services than weighted comparisons. PCAFC participation had stronger effects on access to primary care for veterans with PTSD than for veterans without PTSD. For veterans with PTSD, PCAFC support might enhance health service use.

Nur mit Berechtigung zugänglich

The term “family caregiver” is used by the PCAFC to designate a veteran-identified family member or friend who supports him/her because he/she is unable to perform activities of daily living or needs supervision and protection due to the residual effects of his/her war-related injuries.

Alliance for the Betterment of Citizens with Disabilities. (2016). Supporting family caregiving via the federal waiver. Retrieved from http://www.abcdnj.org/publications/community-based-services/supporting-family-caregiving-via-the-federal-waiver.

Austin, P. C. (2009). Balance diagnostics for comparing the distribution of baseline covariates between treatment groups in propensity-score matched samples. Statistics in Medicine, 28(25), 3083–3107. https://doi.org/10.1002/sim.3697.CrossRefPubMedPubMedCentral

Austin, P. C., & Stuart, E. A. (2015). Moving towards best practice when using inverse probability of treatment weighting (IPTW) using the propensity score to estimate causal treatment effects in observational studies. Statistics in Medicine. https://doi.org/10.1002/sim.6607.CrossRefPubMedPubMedCentral

Brooks, J. M., & Ohsfeldt, R. L. (2013). Squeezing the balloon: Propensity scores and unmeasured covariate balance. Health Services Research, 48(4), 1487–1507. https://doi.org/10.1111/1475-6773.12020.CrossRefPubMed

Calhoun, P. S., Bosworth, H. B., Grambow, S. C., Dudley, T. K., & Beckham, J. C. (2002). Medical service utilization by veterans seeking help for posttraumatic stress disorder. American Journal of Psychiatry, 159(12), 2081–2086. https://doi.org/10.1176/appi.ajp.159.12.2081.CrossRefPubMed

Crawford, E. F., Elbogen, E. B., Wagner, H. R., Kudler, H., Calhoun, P. S., Brancu, M., & Straits-Troster, K. A. (2015). Surveying treatment preferences in U.S. Iraq-Afghanistan Veterans with PTSD symptoms: A step toward veteran-centered care. Journal of Traumatic Stress, 28(2), 118–126. https://doi.org/10.1002/jts.21993.CrossRefPubMed

Elbogen, E. B., Wagner, H. R., Johnson, S. C., Kinneer, P., Kang, H., Vasterling, J. J., … Beckham, J. C. (2013). Are Iraq and Afghanistan veterans using mental health services? New data from a national random-sample survey. Psychiatric Services, 64(2), 134–141. https://doi.org/10.1176/appi.ps.004792011.CrossRefPubMedPubMedCentral

Feinberg, L. F., & Newman, S. L. (2006). Preliminary experiences of the states in implementing the National Family Caregiver Support Program: A 50-state study. Journal of Aging and Social Policy, 18(3–4), 95–113. https://doi.org/10.1300/J031v18n03_07.PubMedCrossRef

Frayne, S. M., Chiu, V. Y., Iqbal, S., Berg, E. A., Laungani, K. J., Cronkite, R. C., … Kimerling, R. (2011). Medical care needs of returning veterans with PTSD: Their other burden. Journal of General Internal Medicine, 26(1), 33–39. https://doi.org/10.1007/s11606-010-1497-4.CrossRefPubMed

Green, K. M., & Stuart, E. A. (2014). Examining moderation analyses in propensity score methods: Application to depression and substance use. Journal of Consulting and Clinical Psychology, 82(5), 773–783. https://doi.org/10.1037/a0036515.CrossRefPubMedPubMedCentral

Gros, D. F., Price, M., Yuen, E. K., & Acierno, R. (2013). Predictors of completion of exposure therapy in OEF/OIF veterans with posttraumatic stress disorder. Depression and Anxiety, 30(11), 1107–1113. https://doi.org/10.1002/da.22207.CrossRefPubMed

Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2008). Combat duty in Iraq and Afghanistan, mental health problems and barriers to care. U.S. Army Medical Department Journal, 7–17.

Hoge, C. W., Terhakopian, A., Castro, C. A., Messer, S. C., & Engel, C. C. (2007). Association of posttraumatic stress disorder with somatic symptoms, health care visits, and absenteeism among Iraq war veterans. American Journal of Psychiatry, 164(1), 150–153. https://doi.org/10.1176/ajp.2007.164.1.150.CrossRefPubMed

Hundt, N. E., Barrera, T. L., Mott, J. M., Mignogna, J., Yu, H. J., Sansgiry, S., … Cully, J. A. (2014). Predisposing, enabling, and need factors as predictors of low and high psychotherapy utilization in veterans. Psychological Services, 11(3), 281–289. https://doi.org/10.1037/a0036907.CrossRefPubMed

Karlin, B. E., Ruzek, J. I., Chard, K. M., Eftekhari, A., Monson, C. M., Hembree, E. A., … Foa, E. B. (2010). Dissemination of evidence-based psychological treatments for posttraumatic stress disorder in the Veterans Health Administration. Journal of Traumatic Stress, 23(6), 663–673. https://doi.org/10.1002/jts.20588.CrossRefPubMed

McCarthy, J. F., & Blow, F. C. (2004). Older patients with serious mental illness: Sensitivity to distance barriers for outpatient care. Medical Care, 42(11), 1073–1080.CrossRefPubMed

Miller, K. M., Kabat, M., Henius, J., & Van Houtven, C. H. (2015). Engaging, supporting, and sustaining the invisible partners in care: Young caregivers of veterans from the post-9/11 era. North Carolina Medical Journal, 76(5), 320–322.CrossRefPubMed

Ouimette, P., Vogt, D., Wade, M., Tirone, V., Greenbaum, M. A., Kimerling, R., … Rosen, C. S. (2011). Perceived barriers to care among veterans health administration patients with posttraumatic stress disorder. Psychological Services, 8(3), 212–223. https://doi.org/10.1037/a0024360.CrossRef

Possemato, K., Wade, M., Andersen, J., & Ouimette, P. (2010). The impact of PTSD, depression, and substance use disorders in disease burden and health care utilization among OEF/OIF veterans. Psychological Trauma: Theory, Research, Practice, and Policy, 2(3), 218–223.CrossRef

Ramchand, R., Tanielian, T., Fisher, M. P., Vaughan, C. A., Trail, T. E., Batka, E., … Ghosh-Dastidar, B. (2014). Hidden heroes: America’s military caregivers. Santa Monica: RAND Corporation.CrossRef

Rubin, D. B. (1974). Estimating causal effects of treatments in randomized and nonrandomzied studies. Journal of Educational Psychology, 66, 688–701.CrossRef

Rubin, D. B. (2010). Propensity score methods. American Journal of Ophthalmology, 149(1), 7–9. https://doi.org/10.1016/j.ajo.2009.08.024.CrossRefPubMed

Schnurr, P. P., & Green, B. L. (2004). Understanding relationships among trauma, post-tramatic stress disorder, and health outcomes. Advances in Mind-Body Medicine, 20(1), 18–29.PubMed

Seal, K. H., Maguen, S., Cohen, B., Gima, K. S., Metzler, T. J., Ren, L., … Marmar, C. R. (2010). VA mental health services utilization in Iraq and Afghanistan veterans in the first year of receiving new mental health diagnoses. Journal of Traumatic Stress, 23(1), 5–16. https://doi.org/10.1002/jts.20493.PubMedCrossRef

Shepherd-Banigan, M., McDuffie, J. R., Shapiro, A., Brancu, M., Sperber, N., Mehta, N. N., … Williams, J. W. J. (2017). Interventions to support caregivers or families of patients with TBI, PTSD, or polytrauma: A systematic review (09 – 001). Retrieved from https://www.hsrd.research.va.gov/publications/esp/reports.cfm.

Spiegelman, D., & Hertzmark, E. (2005). Easy SAS calculations for risk or prevalence ratios and differences. American Journal of Epidemiology, 162(3), 199–200. https://doi.org/10.1093/aje/kwi188.CrossRefPubMed

Spoont, M. R., Nelson, D. B., Murdoch, M., Rector, T., Sayer, N. A., Nugent, S., & Westermeyer, J. (2014). Impact of treatment beliefs and social network encouragement on initiation of care by VA service users with PTSD. Psychiatric Services, 65(5), 654–662. https://doi.org/10.1176/appi.ps.201200324.CrossRefPubMed

Tanielian, T., & Jaycox, L. (2008). Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Retrieved from http://www.rand.org/pubs/monographs/MG720.html.

Van Houtven, C. H., Smith, V. A., Stechuchak, K. M., Shepherd-Banigan, M., Hastings, S. N., Maciejewski, M. L., … Oddone, E. Z. (2017). Comprehensive support for family caregivers. Medical Care Research and Review. https://doi.org/10.1177/1077558717697015.CrossRefPubMed

Van Houtven, C. H., Voils, C. I., & Weinberger, M. (2011). An organizing framework for informal caregiver interventions: Detailing caregiving activities and caregiver and care recipient outcomes to optimize evaluation efforts. BMC Geriatrics, 11, 77. https://doi.org/10.1186/1471-2318-11-77.CrossRefPubMedPubMedCentral

Veterans Health Administration. (2014). Blueprint for excellence. Washington, DC: Veterans Health Administration.

Wagner, T. H., Upadhyay, A., Cowgill, E., Stefos, T., Moran, E., Asch, S. M., & Almenoff, P. (2016). Risk adjustment tools for learning health systems: A comparison of DxCG and CMS-HCC V21. Health Services Research. https://doi.org/10.1111/1475-6773.12454.CrossRefPubMedPubMedCentral

Williamson, T., Eliasziw, M., & Fick, G. H. (2013). Log-binomial models: Exploring failed convergence. Emerging Themes in Epidemiology, 10(1), 14. https://doi.org/10.1186/1742-7622-10-14.CrossRefPubMedPubMedCentral

Titel: The Effect of Support and Training for Family Members on Access to Outpatient Services for Veterans with Posttraumatic Stress Disorder (PTSD)
verfasst von: Megan Shepherd-Banigan
Valerie A. Smith
Matthew L. Maciejewski
Karen M. Stechuchak
Susan Nicole Hastings
G. Darryl Wieland
Katherine E. M. Miller
Margaret Kabat
Jennifer Henius
Margaret Campbell-Kotler
Courtney Harold Van Houtven
Publikationsdatum: 27.01.2018
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 4/2018
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-017-0844-8

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2018

Measuring Use of Evidence Based Psychotherapy for Posttraumatic Stress Disorder in a Large National Healthcare System

Are Randomized Control Trials the Best Method to Assess the Effectiveness of Community Treatment Orders?

Strategies to Support the Education Goals of Youth and Young Adults with Serious Mental Health Conditions: A Case Study

Informing Federal Policy on Firearm Restrictions for Veterans with Fiduciaries: Risk Indicators in the Post-Deployment Mental Health Study

Patient-Centered Values and Experiences with Emergency Department and Mental Health Crisis Care