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Prevalence, comorbidity, and prognosis of mental health among US veterans

Author

Listed:
  • Trivedi, R.B.
  • Post, E.P.
  • Sun, H.
  • Pomerantz, A.
  • Saxon, A.J.
  • Piette, J.D.
  • Maynard, C.
  • Arnow, B.
  • Curtis, I.
  • Fihn, S.D.
  • Nelson, K.

Abstract

Objectives. We evaluated the association of mental illnesses with clinical outcomes among US veterans and evaluated the effects of Primary Care-Mental Health Integration (PCMHI). Methods. A total of 4 461 208 veterans were seen in the Veterans Health Administration's patient-centered medical homes called Patient Aligned Care Teams (PACT) in 2010 and 2011, of whom 1 147 022 had at least 1 diagnosis of depression, posttraumatic stress disorder (PTSD), substance use disorder (SUD), anxiety disorder, or serious mental illness (SMI; i.e., schizophrenia or bipolar disorder). We estimated 1-year risk of emergency department (ED) visits, hospitalizations, and mortality by mental illness category and by PCMHI involvement. Results. A quarter of all PACT patients reported 1 or more mental illnesses. Depression, SMI, and SUD were associated with increased risk of hospitalization or death. PTSD was associated with lower odds of ED visits and mortality. Having 1 or more contact with PCMHI was associated with better outcomes. Conclusions. Mental illnesses are associated with poor outcomes, but integrating mental health treatment in primary care may be associated with lower risk of those outcomes.

Suggested Citation

  • Trivedi, R.B. & Post, E.P. & Sun, H. & Pomerantz, A. & Saxon, A.J. & Piette, J.D. & Maynard, C. & Arnow, B. & Curtis, I. & Fihn, S.D. & Nelson, K., 2015. "Prevalence, comorbidity, and prognosis of mental health among US veterans," American Journal of Public Health, American Public Health Association, vol. 105(12), pages 2564-2569.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302836_8
    DOI: 10.2105/AJPH.2015.302836
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    Cited by:

    1. Michael Weinberg & Shai Shorer & Doron Marom & Lihi Cohen & Miri Cohen, 2024. "Combat military service and male depression: The relationship between social support, PTSD, and male depression following combat military service," International Journal of Social Psychiatry, , vol. 70(4), pages 801-807, June.

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