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

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


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.


Mental Health Health Care System Veteran Affair Entire Sample Substantial Proportion 
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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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