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The effects of age on initiation of mental health treatment after positive PTSD screens among Veterans Affairs primary care patients.
Gen Hosp Psychiatry. 2012 Nov-Dec; 34(6):654-9.GH

Abstract

OBJECTIVE

The objective was to examine differences by age in mental health treatment initiation in Veterans Health Administration (VA) primary care patients after positive posttraumatic stress disorder (PTSD) screens.

METHODS

This was a retrospective cohort study of 71,039 veterans who were administered PTSD screens during primary care encounters in 2007 at four Pacific Northwest VA medical center sites and who had no specialty mental health clinic visits or PTSD diagnoses recorded in the year before screening. Main outcome measures were attendance of any specialty mental health clinic visits or receipt of any antidepressant medication in the year after a positive PTSD screen.

RESULTS

Older veterans, compared with veterans less than 30 years old, were less likely to attend any specialty mental health visits after positive PTSD screens [adjusted odds ratios (ORs) ranged from .57 to .12, all P<.001], and veterans 75 years and older were less likely to receive any antidepressant medication (adjusted OR=.56, P<.001).

CONCLUSIONS

Initiation of mental health treatment among veterans who screen positive for PTSD varies significantly by age. Further research should examine whether this is due to differences in base rates of PTSD, treatment preferences, provider responses to screens or other age-related barriers to mental health treatment.

Authors+Show Affiliations

Mental Health and Neurosciences Division, Portland VA Medical Center, Portland, OR, USA. Mary.Lu@va.govNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

22898446

Citation

Lu, Mary W., et al. "The Effects of Age On Initiation of Mental Health Treatment After Positive PTSD Screens Among Veterans Affairs Primary Care Patients." General Hospital Psychiatry, vol. 34, no. 6, 2012, pp. 654-9.
Lu MW, Carlson KF, Duckart JP, et al. The effects of age on initiation of mental health treatment after positive PTSD screens among Veterans Affairs primary care patients. Gen Hosp Psychiatry. 2012;34(6):654-9.
Lu, M. W., Carlson, K. F., Duckart, J. P., & Dobscha, S. K. (2012). The effects of age on initiation of mental health treatment after positive PTSD screens among Veterans Affairs primary care patients. General Hospital Psychiatry, 34(6), 654-9. https://doi.org/10.1016/j.genhosppsych.2012.07.002
Lu MW, et al. The Effects of Age On Initiation of Mental Health Treatment After Positive PTSD Screens Among Veterans Affairs Primary Care Patients. Gen Hosp Psychiatry. 2012 Nov-Dec;34(6):654-9. PubMed PMID: 22898446.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of age on initiation of mental health treatment after positive PTSD screens among Veterans Affairs primary care patients. AU - Lu,Mary W, AU - Carlson,Kathleen F, AU - Duckart,Jonathan P, AU - Dobscha,Steven K, Y1 - 2012/08/13/ PY - 2012/05/08/received PY - 2012/07/05/revised PY - 2012/07/07/accepted PY - 2012/8/18/entrez PY - 2012/8/18/pubmed PY - 2013/5/4/medline SP - 654 EP - 9 JF - General hospital psychiatry JO - Gen Hosp Psychiatry VL - 34 IS - 6 N2 - OBJECTIVE: The objective was to examine differences by age in mental health treatment initiation in Veterans Health Administration (VA) primary care patients after positive posttraumatic stress disorder (PTSD) screens. METHODS: This was a retrospective cohort study of 71,039 veterans who were administered PTSD screens during primary care encounters in 2007 at four Pacific Northwest VA medical center sites and who had no specialty mental health clinic visits or PTSD diagnoses recorded in the year before screening. Main outcome measures were attendance of any specialty mental health clinic visits or receipt of any antidepressant medication in the year after a positive PTSD screen. RESULTS: Older veterans, compared with veterans less than 30 years old, were less likely to attend any specialty mental health visits after positive PTSD screens [adjusted odds ratios (ORs) ranged from .57 to .12, all P<.001], and veterans 75 years and older were less likely to receive any antidepressant medication (adjusted OR=.56, P<.001). CONCLUSIONS: Initiation of mental health treatment among veterans who screen positive for PTSD varies significantly by age. Further research should examine whether this is due to differences in base rates of PTSD, treatment preferences, provider responses to screens or other age-related barriers to mental health treatment. SN - 1873-7714 UR - https://www.unboundmedicine.com/medline/citation/22898446/The_effects_of_age_on_initiation_of_mental_health_treatment_after_positive_PTSD_screens_among_Veterans_Affairs_primary_care_patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0163-8343(12)00211-3 DB - PRIME DP - Unbound Medicine ER -