Barriers and Facilitators of Behavioral Health Care Utilization in a Military Context: Implications for Interventions

2012 ◽  
Author(s):  
Thomas Britt
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Barriers And Facilitators ◽  
Care Utilization

Beyond stigma: Understanding the “inclined abstainers” in military behavioral health-care utilization

2020 ◽  
Vol 32 (5) ◽  
pp. 419-427
Author(s):  
Deane E. Aikins ◽  
Robert H. Pietrzak ◽  
Joseph C. Geraci ◽  
Todd Benham ◽  
Paul Morrissey ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Care Utilization

scholarly journals The Association Between Stimulant, Opioid, and Multiple Drug Use on Behavioral Health Care Utilization in a Safety-Net Health System

2015 ◽  
Vol 36 (4) ◽  
pp. 407-412 ◽  
Author(s):  
Susan L. Calcaterra ◽  
Angela Keniston ◽  
Joshua Blum ◽  
Tessa Crume ◽  
Ingrid A. Binswanger
Keyword(s):  
Health Care ◽  
Drug Use ◽  
Health Care Utilization ◽  
Health System ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Safety Net ◽  
Care Utilization ◽  
Multiple Drug

scholarly journals Assessing the Well-being of Sexual Minority Soldiers at a Military Academic Institution

2020 ◽  
Vol 185 (Supplement_1) ◽  
pp. 342-347
Author(s):  
Jennifer L McDonald ◽  
Michelle L Ganulin ◽  
Michael N Dretsch ◽  
Maura R Taylor ◽  
Oscar A Cabrera
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Behavioral Health ◽  
Sexual Minority ◽  
Organizational Support ◽  
Behavioral Health Care ◽  
Perceived Support ◽  
Group Differences ◽  
Care Utilization ◽  
Care Providers

ABSTRACT Introduction The goal of the present study was to characterize behavioral health rates, behavioral health care utilization, loneliness, and perceived prejudice and support among sexual minority soldiers. Materials and Methods Cross-sectional survey data were obtained from 640 active-duty U.S. soldiers enrolled in an academic training institute who provided information on their sexual orientation. Survey topics included demographics, behavioral health, behavioral health care utilization, and mitigating factors (eg, perceived prejudice, perceived support, and loneliness). Chi-square analyses were utilized to determine any differences between groups for behavioral health rates and behavioral health care utilization. Robust regression was used for analysis of self-reported loneliness. Results A higher proportion of lesbian, gay, bisexual (LGB) soldiers than heterosexual soldiers screened positive for anxiety, post-traumatic stress disorder, and suicidality. No between-group differences in behavioral health care utilization were found; however, a higher proportion of LGB soldiers sought help from military family life counselors. No between-group differences for loneliness were found. Finally, perceived prejudice was higher for LGB soldiers and perceived support was lower. Conclusion Organizational barriers, such as perceived prejudice and lack of support, appear to still exist for sexual minority soldiers. Increasing organizational support and implementing training and education for health care providers in order to better support the LGB soldier community may mitigate these barriers.

The impact of stigma on behavioral health care utilization among active duty service members

2018 ◽  
Vol 31 (1) ◽  
pp. 11-17 ◽  
Author(s):  
Andrew J. Seidman ◽  
Nathaniel G. Wade ◽  
David L. Vogel ◽  
Patrick Armistead-Jehle
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Active Duty ◽  
Service Members ◽  
Care Utilization ◽  
The Impact

scholarly journals Burden of Behavioral Health Comorbidities on Outpatient Health Care Utilization by Active Duty Service Members With a First Documented mTBI

2021 ◽  
Vol 186 (Supplement_1) ◽  
pp. 567-571
Author(s):  
Lalon M Kasuske ◽  
Peter Hoover ◽  
Tim Wu ◽  
Louis M French ◽  
Jesus J Caban
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Behavioral Health ◽  
Active Duty ◽  
Service Members ◽  
Care Utilization ◽  
Men And Women ◽  
Outpatient Visits ◽  
Outpatient Utilization ◽  
Health Comorbidities

ABSTRACT Objective More than 280,000 Active Duty Service Members (ADSMs) sustained a mild traumatic brain injury (mTBI) between 2000 and 2019 (Q3). Previous studies of veterans have shown higher utilization of outpatient health clinics by veterans diagnosed with mTBI. Additionally, veterans with mTBI and comorbid behavioral health (BH) conditions such as post-traumatic stress disorder, depression, and substance use disorders have significantly higher health care utilization than veterans diagnosed with mTBI alone. However, few studies of the relationship between mTBI, health care utilization, and BH conditions in the active duty military population currently exist. We examined the proportion of ADSMs with a BH diagnosis before and after a first documented mTBI and quantified outpatient utilization of the Military Health System in the year before and following injury. Materials and Methods Retrospective analysis of 4,901,840 outpatient encounters for 39,559 ADSMs with a first documented diagnosis of mTBI recorded in the Department of Defense electronic health record, subsets of who had a BH diagnosis. We examined median outpatient utilization 1 year before and 1 year after mTBI using Wilcoxon signed rank test, and the results are reported with an effect size r. Outpatient utilization is compared by BH subgroups. Results Approximately 60% of ADSMs experience a first mTBI with no associated BH condition, but 17% of men and women are newly diagnosed with a BH condition in the year following mTBI. ADSMs with a history of a BH condition before mTBI increased their median outpatient utilization from 23 to 35 visits for men and from 32 to 42 visits for women. In previously healthy ADSMs with a new BH condition following mTBI, men more than tripled median utilization from 7 to 24 outpatient visits, and women doubled utilization from 15 to 32 outpatient visits. Conclusions Behavioral health comorbidities affect approximately one-third of ADSMs following a first mTBI, and approximately 17% of previously healthy active duty men and women will be diagnosed with a new BH condition in the year following a first mTBI. Post-mTBI outpatient health care utilization is highly dependent on the presence or absence of BH condition and is markedly higher is ADSMs with a BH diagnosis in the year after a first documented mTBI.

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