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Cross-system service use among psychiatric patients: Data from the Department of Veterans Affairs

  • Rani A. HoffEmail author
  • Robert A. Rosenheck
Brief Reports

Abstract

This study examines the cross-system use of non-Department of Veterans Affairs (VA) services in a sample of psychiatric patients from the VA in 1990. Data were collected over a two-week period on all mental health outpatients and included demographic information, diagnoses, and self-reported use of non-VA services in the previous two weeks and six months. In the entire sample, 10.6% and 23.3% reported cross-system use in the previous two weeks and six months, respectively. Predictors of cross-system use were lower VA utilization, a nonschizophrenic diagnosis, not having a VA service-connected disability, and being female. These data indicate that a substantial proportion of VA mental health patients are using non-VA services. Utilization patterns indicate that they may be substituting non-VA for VA services. These results are unlikely to be unique to VA, and rates of cross-system use will likely increase in all health care systems as financial restrictions increase.

Keywords

Mental Health Health Care System Veteran Affair Entire Sample Substantial Proportion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Association of Behavioral Healthcare Management 2000

Authors and Affiliations

  1. 1.Northeast Program Evaluation Center/182, VA ConnecticutWest Haven
  2. 2.the Northeast Program Evaluation Center, West Haven VA Medical CareUSA
  3. 3.Department of Psychiatrythe Yale University School of MedicineUSA

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