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Social Factors Predict Treatment Engagement in Veterans with PTSD or SUD.

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Title: Social Factors Predict Treatment Engagement in Veterans with PTSD or SUD.
Authors: Fivecoat, Hayley C., Lookatch, Samantha J., Mavandadi, Shahrzad, McKay, James R., Sayers, Steven L.
Source: Journal of Behavioral Health Services & Research. Jul2023, Vol. 50 Issue 3, p286-300. 15p. 4 Charts.
Subjects: Veterans, Post-traumatic stress disorder, Mental health services, Social factors, Mental health of veterans
Abstract: Veterans with PTSD and SUDs often fail to initiate, or prematurely discontinue, mental health treatment in Veteran Affairs Medical Centers (VAMC). While much is known about clinical characteristics and demographic factors impacting treatment engagement in this population, less is known about the role of social factors. This retrospective study examines primary care–based screening assessment and specialty mental healthcare appointment data in a VAMC, to test whether social factors predict treatment initiation and appointment attendance. Findings reveal veterans were more likely to initiate treatment when (a) those with SUDs (n = 235) reported more frequent negative exchanges with others and (b) those with PTSD (n = 2107) reported more perceived support or being partnered. Those with PTSD who were partnered had higher appointment attendance rates. Findings suggest social factors are relevant to treatment initiation among veterans with PTSD and SUDs and that close others may be helpful in facilitating referrals. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Social Factors Predict Treatment Engagement in Veterans with PTSD or SUD.
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  Data: <searchLink fieldCode="AR" term="%22Fivecoat%2C+Hayley+C%2E%22">Fivecoat, Hayley C.</searchLink><br /><searchLink fieldCode="AR" term="%22Lookatch%2C+Samantha+J%2E%22">Lookatch, Samantha J.</searchLink><br /><searchLink fieldCode="AR" term="%22Mavandadi%2C+Shahrzad%22">Mavandadi, Shahrzad</searchLink><br /><searchLink fieldCode="AR" term="%22McKay%2C+James+R%2E%22">McKay, James R.</searchLink><br /><searchLink fieldCode="AR" term="%22Sayers%2C+Steven+L%2E%22">Sayers, Steven L.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Health+Services+%26+Research%22">Journal of Behavioral Health Services & Research</searchLink>. Jul2023, Vol. 50 Issue 3, p286-300. 15p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Veterans%22">Veterans</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Social+factors%22">Social factors</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+of+veterans%22">Mental health of veterans</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Veterans with PTSD and SUDs often fail to initiate, or prematurely discontinue, mental health treatment in Veteran Affairs Medical Centers (VAMC). While much is known about clinical characteristics and demographic factors impacting treatment engagement in this population, less is known about the role of social factors. This retrospective study examines primary care–based screening assessment and specialty mental healthcare appointment data in a VAMC, to test whether social factors predict treatment initiation and appointment attendance. Findings reveal veterans were more likely to initiate treatment when (a) those with SUDs (n = 235) reported more frequent negative exchanges with others and (b) those with PTSD (n = 2107) reported more perceived support or being partnered. Those with PTSD who were partnered had higher appointment attendance rates. Findings suggest social factors are relevant to treatment initiation among veterans with PTSD and SUDs and that close others may be helpful in facilitating referrals. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s11414-022-09823-2
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      – Code: eng
        Text: English
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        PageCount: 15
        StartPage: 286
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      – SubjectFull: Veterans
        Type: general
      – SubjectFull: Post-traumatic stress disorder
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      – SubjectFull: Mental health services
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      – SubjectFull: Social factors
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      – SubjectFull: Mental health of veterans
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              Text: Jul2023
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              Y: 2023
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