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Readiness for change predicts VA Mental Healthcare utilization among Iraq and Afghanistan war veterans.
J Trauma Stress. 2013 Feb; 26(1):165-8.JT

Abstract

Many veterans present to Veteran Affairs (VA) care intending to seek mental health treatment for symptoms of posttraumatic stress disorder (PTSD), depression, and/or alcohol misuse, yet most subsequently underutilize mental health care. This study examined the association of readiness for change with outpatient VA mental health care utilization in 104 treatment-seeking Iraq and Afghanistan war veterans who screened positive for PTSD, depression, and/or alcohol misuse at intake. Multivariate analyses demonstrated that readiness for change assessed at intake was positively associated (Incident Rate Ratio [IRR] = 1.22) with prospective outpatient mental health care utilization with demographic factors, military characteristics, and mental health burden in the model. Results suggest that interventions that target readiness to change, such as motivational interviewing, may improve treatment utilization in veterans presenting for mental health care.

Authors+Show Affiliations

VA Puget Sound Health Care System, Seattle Division, Seattle, WA 98108, USA. matthew.jakupcak@va.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

23319359

Citation

Jakupcak, Matthew, et al. "Readiness for Change Predicts VA Mental Healthcare Utilization Among Iraq and Afghanistan War Veterans." Journal of Traumatic Stress, vol. 26, no. 1, 2013, pp. 165-8.
Jakupcak M, Hoerster KD, Blais RK, et al. Readiness for change predicts VA Mental Healthcare utilization among Iraq and Afghanistan war veterans. J Trauma Stress. 2013;26(1):165-8.
Jakupcak, M., Hoerster, K. D., Blais, R. K., Malte, C. A., Hunt, S., & Seal, K. (2013). Readiness for change predicts VA Mental Healthcare utilization among Iraq and Afghanistan war veterans. Journal of Traumatic Stress, 26(1), 165-8. https://doi.org/10.1002/jts.21768
Jakupcak M, et al. Readiness for Change Predicts VA Mental Healthcare Utilization Among Iraq and Afghanistan War Veterans. J Trauma Stress. 2013;26(1):165-8. PubMed PMID: 23319359.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Readiness for change predicts VA Mental Healthcare utilization among Iraq and Afghanistan war veterans. AU - Jakupcak,Matthew, AU - Hoerster,Katherine D, AU - Blais,Rebecca K, AU - Malte,Carol A, AU - Hunt,Stephen, AU - Seal,Karen, Y1 - 2013/01/14/ PY - 2013/1/16/entrez PY - 2013/1/16/pubmed PY - 2013/8/24/medline SP - 165 EP - 8 JF - Journal of traumatic stress JO - J Trauma Stress VL - 26 IS - 1 N2 - Many veterans present to Veteran Affairs (VA) care intending to seek mental health treatment for symptoms of posttraumatic stress disorder (PTSD), depression, and/or alcohol misuse, yet most subsequently underutilize mental health care. This study examined the association of readiness for change with outpatient VA mental health care utilization in 104 treatment-seeking Iraq and Afghanistan war veterans who screened positive for PTSD, depression, and/or alcohol misuse at intake. Multivariate analyses demonstrated that readiness for change assessed at intake was positively associated (Incident Rate Ratio [IRR] = 1.22) with prospective outpatient mental health care utilization with demographic factors, military characteristics, and mental health burden in the model. Results suggest that interventions that target readiness to change, such as motivational interviewing, may improve treatment utilization in veterans presenting for mental health care. SN - 1573-6598 UR - https://www.unboundmedicine.com/medline/citation/23319359/Readiness_for_change_predicts_VA_Mental_Healthcare_utilization_among_Iraq_and_Afghanistan_war_veterans_ L2 - https://doi.org/10.1002/jts.21768 DB - PRIME DP - Unbound Medicine ER -