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Veterans’ Services

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Abstract

The US Department of Veterans Affairs (officially “DVA” but still widely referred to as “VA”) is a Cabinet-level agency that is directed by the Secretary of Veterans Affairs. The largest component within VA is the Veterans Health Administration (VHA), responsible for healthcare and related services. The identified missions of VA include an emphasis on clinical care, advancement in medical research, upholding the educational efforts of medical training programs, as well as assistance during national medical emergencies. This creates the foundation for a comprehensive and progressive healthcare system and is the basis by which mental healthcare for military veterans has evolved in the quality and the breadth of the multitude of services offered by the VA. This chapter provides an in-depth look at the ways that VA strives to realize its four missions for the benefit of veterans, caregivers, and their communities.

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References

  • Abdul-Hamid, W.K., Hughes, J.H. Nothing new under the sun: post-traumatic stress disorders in the ancient world. Early Sci Med. 2014;19:–557.

    Google Scholar 

  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 3rd ed. Washington, D.C.: American Psychiatric Association; 1980.

    Google Scholar 

  • Ashton, C.M., Souchek, J., Petersen, N.J., et al. Hospital use and survival among Veterans Affairs beneficiaries. N Engl J Med 2003; 349:1637–46.

    Article  Google Scholar 

  • Blosnich, J. R., Brown, G. R., Shipherd, P. J., Kauth, M., Piegari, R. I., & Bossarte, R. M. (2013). Prevalence of Gender Identity Disorder and Suicide Risk Among Transgender Veterans Utilizing Veterans Health Administration Care. American Journal of Public Health, 103(10). doi:https://doi.org/10.2105/ajph.2013.301507

  • Byne, W., & Wise, J. (2020). Toward Optimizing Mental Health Care for Sexual and Gender Minority Veterans. Focus, 18(3), 289-295. doi:https://doi.org/10.1176/appi.focus.20200009

    Article  PubMed  PubMed Central  Google Scholar 

  • Cavanaugh, J.M. (2010). Helping those who serve: Veterans treatment courts foster rehabilitation and reduce recidivism for offending combat veterans. New England Law Review, 45, 463–487.

    Google Scholar 

  • Clark, S.C., McGuire, J., & Blue-Howells, J. (2010). Development of veterans treatment courts: Local and legislative initiatives. Drug Court Review, 7, 171–208

    Google Scholar 

  • Cochran, B. N., Balsam, K., Flentje, A., Malte, C. A., & Simpson, T. (2013). Mental Health Characteristics of Sexual Minority Veterans. Journal of Homosexuality, 60(2–3), 419-435. doi:https://doi.org/10.1080/00918369.2013.744932

    Article  PubMed  Google Scholar 

  • Congressional Research Service. Federal Research and Development (R&D) Funding: FY 2020. Updated March 18th, 2020. Retrieved 11/11/2020 from https://fas.org/sgp/crs/misc/R45715.pdf.

  • Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press, 2001.

    Google Scholar 

  • Da Costa, J.M. On irritable heart: A clinical study of a form of functional cardiac disorder and its consequences. Am J Med Sci. 1871;61:17–52.

    Google Scholar 

  • Dalton, A., Oliva, E., Harris, A., Trafton, J. Health services for VA patients with substance use disorders: comparison of utilization in fiscal years 2011, 2010, and 2002. Palo Alto: Program Evaluation and Resource Center; 2012.

    Google Scholar 

  • Department of Veterans Affairs, Department of Defense (2015). Clinical Practice Guideline for the Management of Substance Use Disorders. Version 3.0. Retrieved 11/6/2020 from https://www.healthquality.va.gov/guidelines/MH/sud/VADoDSUDCPGRevised22216.pdf

  • Department of Veterans Affairs, V.H.A. VHA handbook 1162.02: Mental Health Residential Rehabilitation Treatment Program (MH RRTP) Washington, DC: Author; 2010.

    Google Scholar 

  • Department of Veterans Affairs, V.H.A. VHA handbook 1160.01: Uniform Mental Health Services in VA Medical Centers and Clinics. Washington, DC: Author; 2008.

    Google Scholar 

  • Ellerbe, L. S., Manfredi, L., Gupta, S., Phelps, T. E., Bowe, T. R., Rubinsky, A. D., Burden, J. L., & Harris, A. H. (2017). VA residential substance use disorder treatment program providers' perceptions of facilitators and barriers to performance on pre-admission processes. Addiction science & clinical practice, 12(1), 10. https://doi.org/10.1186/s13722-017-0075-z

    Article  Google Scholar 

  • Frank, J. W., Bohnert, A., Sandbrink, F., McGuire, M., & Drexler, K. (2020). Implementation and Policy Recommendations from the VHA State-of-the-Art Conference on Strategies to Improve Opioid Safety. Journal of general internal medicine, 1–5. Advance online publication. https://doi.org/10.1007/s11606-020-06295-y

  • Finlay, A. K., Smelson, D., Sawh, L., McGuire, J., Rosenthal, J., Blue-Howells, J., Timko, C., Binswanger, I., Frayne, S. M., Blodgett, J. C., Bowe, T., Clark, S. C., & Harris, A. (2016). U.S. Department of Veterans Affairs Veterans Justice Outreach Program: Connecting Justice-Involved Veterans with Mental Health and Substance Use Disorder Treatment. Criminal justice policy review, 27(2), https://doi.org/10.1177/0887403414562601

  • Godleski, L., Darkins, A., Peters, J. Outcomes of 98,609 U.S. Department of Veterans Affairs patients enrolled in telemental health services, 2006–2010. Psychiatr Serv. 2012 Apr;63(4):383-5. doi: https://doi.org/10.1176/appi.ps.201100206.

    Article  PubMed  Google Scholar 

  • Hagedorn, H. J., Brown, R., Dawes, M., Dieperink, E., Myrick, D. H., Oliva, E. M., Wagner, T. H., Wisdom, J. P., & Harris, A. H. (2016). Enhancing access to alcohol use disorder pharmacotherapy and treatment in primary care settings: ADaPT-PC. Implementation science : IS, 11, 64. https://doi.org/10.1186/s13012-016-0431-5

    Article  PubMed  PubMed Central  Google Scholar 

  • Hankin, C.S., Spiro, A., I II, Miller, D.R., Kazis, L. Mental disorders and mental health treatment among U.S. Department of Veterans Affairs outpatients: The Veterans Health Study. American Journal of Psychiatry. 1999;156:1924–1930.

    Google Scholar 

  • Hoge, C.W., Auchterlonie, J.L., Milliken, C.S. Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. JAMA. 2006;295(9):1023–1032.

    Article  Google Scholar 

  • Hoge, C.W., McGurk, D., Thomas, J.L., Cox, A.L., Engel, C.C., Castro, C.A. Mild traumatic brain injury in U.S. Soldiers returning from Iraq. New England Journal of Medicine. 2008;358:453–463.

    Article  Google Scholar 

  • Huddleston, C.W. III, Marlowe, D.B., & Casebolt, R. (2008). Painting the current picture: A national report card on drug courts and other problem-solving court programs in the United States Volume II, Number 1. Washington, DC: National Drug Court Institute

    Google Scholar 

  • Jha, A.K., Perlin, J.B., Kizer, K.W., Dudley, R.A. Effect of the transformation of the Veterans Affairs health care system on the quality of care. N Engl J Med. 2003;348:2218–27.

    Article  Google Scholar 

  • Johnson, N. L., Robinett, S., Smith, L. M., & Cardin, S. (2015). Establishing a new military sexual trauma treatment program: Issues and recommendations for design and implementation. Psychological Services, 12(4), 435-442. doi:https://doi.org/10.1037/ser0000061

    Article  PubMed  Google Scholar 

  • Kaplan, M.S., Huguet, N., McFarland, B.H., Newsom, J.T. Suicide among male veterans: A prospective population-based study. Journal of Epidemiological Community Health. 2007;61(7):619–624.

    Article  Google Scholar 

  • Knudsen, K.J., Wingenfeld, S. A specialized treatment court for veterans with trauma exposure: Implications for the field. Community Mental Health Journal. 2016;52(2):127–135.

    Article  Google Scholar 

  • Koenig, K. L. (2003). Homeland Security and Public Health: Role of the Department of Veterans Affairs, the US Department of Homeland Security, and Implications for the Public Health Community. Prehospital and Disaster Medicine, 18(4), 327-333. doi:https://doi.org/10.1017/s1049023x0000128x

    Article  PubMed  Google Scholar 

  • Marcus, S. C., Hermann, R. C., Frankel, M. R., & Cullen, S. W. (2018). Safety of Psychiatric Inpatients at the Veterans Health Administration. Psychiatric Services, 69(2), 204-210. doi:https://doi.org/10.1176/appi.ps.201700224

    Article  PubMed  Google Scholar 

  • Marlowe, D.B. (2010). Research update on adult drug courts. Alexandria, VA: National Association of Drug Court Professionals.

    Google Scholar 

  • Massarweh, N. N., Itani, K. M., & Tsai, T. C. (2020). Maximizing the US Department of Veterans Affairs' Reserve Role in National Health Care Emergency Preparedness—The Fourth Mission. JAMA Surgery, 155(10), 913. doi:https://doi.org/10.1001/jamasurg.2020.4153

    Article  PubMed  Google Scholar 

  • Mattocks, K. M., Kauth, M. R., Sandfort, T., Matza, A. R., Sullivan, J. C., & Shipherd, J. C. (2014). Understanding Health-Care Needs of Sexual and Gender Minority Veterans: How Targeted Research and Policy Can Improve Health. LGBT Health, 1(1), 50-57. doi:https://doi.org/10.1089/lgbt.2013.0003

    Article  PubMed  Google Scholar 

  • McCauley, J.L., Killeen, T., Gros, D.F., et al. Posttraumatic stress disorder and co-occurring substance use disorders: advances in assessment and treatment. Clin Psychol Sci Prac. 2012;19:283–304.

    Article  Google Scholar 

  • McQueen, L., Mittman, B.S., Demakis, J.G. Overview of the Veterans Health Administration (VHA) Quality Enhancement Research Initiative (QUERI), Journal of the American Medical Informatics Association. 2004; 11(5):339-343. https://doi.org/10.1197/jamia.M1499

    Article  PubMed  PubMed Central  Google Scholar 

  • Military Sexual Trauma (2020). Retrieved 11/22/2020, from https://www.mentalhealth.va.gov/docs/mst_general_factsheet.pdf

  • Milliken, C.S., Auchterlonie, J.L., Hoge, C.W.Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. JAMA. 2007;298:2141–2148.

    Article  Google Scholar 

  • Mission of the Office of Academic Affiliations. (2019). Retrieved 11/22/2020, from https://www.va.gov/oaa/oaa_mission.asp

  • Mohamed, S., Neale, M. & Rosenheck, R. (2009). VA Intensive Mental Health Case Management in Urban and Rural Areas: Veteran Characteristics and Service Delivery. Psychiatric services (Washington, D.C.). 60. 914-21. https://doi.org/10.1176/appi.ps.60.7.914.

    Article  Google Scholar 

  • Motivans, M.A. Federal Justice Statistics, 2012-Statistical Tables. 2015 Retrieved 11/6/2020 from Washington, DC: http://www.bjs.gov/index.cfm?ty=pbdetail&iid=5217.

  • National Center for PTSD (2020a). History of the National Center for PTSD. Retrieved 11/12/2020 from https://www.ptsd.va.gov/about/work/ncptsd_history.asp

  • Noonan, M.E., & Mumola, C.J. (2007). Veterans in state and federal prison, 2004. Retrieved 11/6/2020 from http://bjs.gov/content/pub/pdf/vsfp04.pdf

  • Puntasecca, C., Hall, E. A., & Ware, J. (2019). Serving All Who Served: An Analysis of the VA's Visual and Digital Rhetorics for Welcoming Sexual and Gender Minority Veterans into VA Care. World Medical & Health Policy, 11(4), 440-463. doi:https://doi.org/10.1002/wmh3.321

    Article  Google Scholar 

  • Reisman, M. (2016). PTSD Treatment for Veterans: What's Working, What's New, and What's Next. P & T: a peer-reviewed journal for formulary management, 41(10), 623–634. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047000/

    Google Scholar 

  • Richardson, L.K., Frueh, B.C., Acierno, R. Prevalence estimates of combat-related post-traumatic stress disorder: critical review. Aust N Z J Psychiatry. 2010;44:4-19 https://doi.org/10.3109/00048670903393597

    Article  PubMed  PubMed Central  Google Scholar 

  • Rogers, E.S., Fu, S.S., Krebs, P., Noorbaloochi, S., Nugent, S.M., Gravely, A., Sherman, S.E. Proactive tobacco treatment for smokers using VA mental health clinics: a randomized controlled trial. Am J Prev Med. 2018 May; 54(5): 620-9.

    Article  Google Scholar 

  • Runnals, J. J., Garovoy, N., McCutcheon, S. J., Robbins, A. T., Mann-Wrobel, M. C., Elliott, A., & Strauss, J. L. (2014). Systematic Review of Women Veterans' Mental Health. Women's Health Issues, 24(5), 485-502. doi:https://doi.org/10.1016/j.whi.2014.06.012

    Article  PubMed  Google Scholar 

  • Rytwinski, N.K., Scur, M.D., Feeny, N.C., et al. The co-occurrence of major depressive disorder among individuals with posttraumatic stress disorder: a meta-analysis. J Trauma Stress. 2013;26:299–309.

    Article  Google Scholar 

  • Saha, S., Freeman, M., Toure, J., Tippens, K. M., Weeks, C., & Ibrahim, S. (2008). Racial and ethnic disparities in the VA health care system: a systematic review. Journal of general internal medicine, 23(5), 654–671. https://doi.org/10.1007/s11606-008-0521-4

    Article  PubMed  PubMed Central  Google Scholar 

  • SAMSHA (2020). 2018 National Survey on Drug Use and Health: Veterans. Retrieved 11/6/2020 from https://www.samhsa.gov/data/report/2018-nsduh-veterans.

  • Sarteschi, C.M., Vaughn, M.G., & Kim, K. (2011). Assessing the effectiveness of mental health courts: A quantitative review. Journal of Criminal Justice, 39, 12–20. doi: https://doi.org/10.1016/j.crimjus.2010.11.003

    Article  Google Scholar 

  • Saxon, A.J., Davis, T.M., Sloan, K.L., McKnight, K.M., McFall, M.E., Kivlahan, D.R. Trauma, symptoms of posttraumatic stress disorder, and associated problems among incarcerated veterans. Psychiatric Services. 2001;52(7):959–964.

    Article  Google Scholar 

  • Seal, K.H., Cohen, G., Waldrop, A., et al. Substance use disorders in Iraq and Afghanistan veterans in VA healthcare, 2001–2010: implications for screening, diagnosis and treatment. Drug Alcohol Depend. 2011;116:93–101.

    Article  Google Scholar 

  • Sherman, S.E. A Framework for Tobacco Control: Lessons learnt from Veterans Health Administration. BMJ, 2008; 336: 1016-9. PMCID: PMC2364861

    Google Scholar 

  • Sherman, S.E., Estrada, M., Lanto, A.B., Farmer, M.M., Aldana, I. Effectiveness of an on-call counselor at increasing smoking treatment. J Gen Intern Med., 2007; 22: 1125-31. PMCID: PMC2305728

    Google Scholar 

  • Sherman, M. D., Kauth, M. R., Ridener, L., Shipherd, J. C., Bratkovich, K., & Beaulieu, G. (2014). An empirical investigation of challenges and recommendations for welcoming sexual and gender minority veterans into VA care. Professional Psychology: Research and Practice, 45(6), 433-442. doi:https://doi.org/10.1037/a0034826

    Article  Google Scholar 

  • Sherman, S.E., Krebs, P., York, L.S., Cummins, S.E., Kuschner, W., Guvenc-Tuncturk, S., Zhu, S.H. Telephone care co-ordination for tobacco cessation: randomized trials testing proactive versus reactive models. Tob Control. 2018 Jan; 27(1): 78-82.

    Article  Google Scholar 

  • Sherman, S.E., Takahashi, N., Kalra, P., Gifford, E., Finney, J., Canfield, J., Kelly, J., Joseph, G., Kuschner, W. Care coordination to increase referrals to smoking cessation telephone counseling: A demonstration project. Am J Managed Care., 2008; 14: 141-8. PMID: 18333706

    Google Scholar 

  • Swartz, M.H. Textbook of Physical Diagnosis: History and Examination. 7th ed. Philadelphia, Pennsylvania: Elsevier; 2014.

    Google Scholar 

  • Tanielian, T.L., Jaycox, L. Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica, CA: Rand Corporation; 2008.

    Google Scholar 

  • Trafton, J.A., Greenberg, G., Harris, A.H., Tavakoli, S., Kearney, L., McCarthy, J., Blow, F., Hoff, R., Schohn, M. VHA mental health information system: applying health information technology to monitor and facilitate implementation of VHA Uniform Mental Health Services Handbook requirements. Med Care. 2013 Mar;51(3 Suppl 1):S29-36. doi: https://doi.org/10.1097/MLR.0b013e31827da836.

    Article  PubMed  Google Scholar 

  • True, G., Frasso, R., Cullen, S. W., Hermann, R. C., & Marcus, S. C. (2017). Adverse events in veterans’ affairs inpatient psychiatric units: Staff perspectives on contributing and protective factors. General Hospital Psychiatry, 48, 65-71. doi:https://doi.org/10.1016/j.genhosppsych.2017.07.001

    Article  PubMed  PubMed Central  Google Scholar 

  • Tsai, J., Finlay, A., Flatley, B., Kasprow, W. J., & Clark, S. (2018). A National Study of Veterans Treatment Court Participants: Who Benefits and Who Recidivates. Administration and policy in mental health, 45(2), 236–244. https://doi.org/10.1007/s10488-017-0816-z

    Article  PubMed  PubMed Central  Google Scholar 

  • Tsai, J., Rosenheck, R.A. Psychosis, lack of job skills, and criminal history: Associations with employment in two samples of homeless men. Psychiatric Services. 2016;67(6):671–675.

    Article  Google Scholar 

  • The US Department of Housing and Urban Development, Office of Community Planning and Development (2018). The 2018 Annual Homeless Assessment report (AHAR) to Congress. Retrieved 11/11/2020 from https://www.hudexchange.info/resource/5783/2018-ahar-part-1-pit-estimates-of-homelessness-in-the-us/

  • US Department of Veterans Affairs (2020a). About Veterans Affairs. Retrieved 11/22/2020 from https://www.va.gov/about_va/

  • U.S. Department of Veterans Affairs (2015). Veterans justice outreach. Retrieved 11/6/2020 from http://www.va.gov/homeless/vjo.asp.

  • US Department of Veterans Affairs (2015a). Women Veterans Health Care. Retrieved 11/22/2020 from https://www.womenshealth.va.gov/WOMENSHEALTH/healthcare.asp

  • VAntage Point, July 2016. VA conducts nation’s largest analysis of veteran suicide. Retrieved 10/20/20 from https://www.blogs.va.gov/VAntage/28983/va-conductsnations-largest-analysis-veteran-suicide.

  • US Department of Veterans Affairs (2020). Office of Research and Development. Retrieved 11/11/2020 from https://www.research.va.gov/about/.

  • US Department of Veterans Affairs (2020b). Office of Research and Development. Retrieved 12/17/2020 from https://www.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/video_archive.cfm?SessionID=3527&Seriesid=78

  • US Department of Veterans Affairs. Profile of Veteran: 2017 Highlights. Retrieved 11/22/2020 from https://www.va.gov/vetdata/Quick_Facts.asp

  • US Department of Veterans Affairs (2020c). Veteran Readiness and Employment. Retrieved 11/15/2020 from https://www.benefits.va.gov/vocrehab/

  • VA National Center on Homelessness Among Veterans (2020). Veterans Experiencing Homelessness. Retrieved 5/15/2020 from https://www.va.gov/homeless/nchav/research/index.asp.

  • Veterans Affairs Fourth Mission Summary (2020). Retrieved November 22, 2020, from https://www.va.gov/health/coronavirus/statesupport.asp

  • Warren, M. B., & Smithkors, L. A. (2020). Suicide Prevention in the U.S. Department of Veterans Affairs: Using the Evidence Without Losing the Narrative. Psychiatric Services, 71(4), 398-400. doi:https://doi.org/10.1176/appi.ps.201900482

    Article  PubMed  Google Scholar 

  • Wise, J. E. (2019). Loss of moral high-ground: The transgender ban, a military psychiatrist’s perspective and call to action. Journal of Gay & Lesbian Mental Health, 23(2), 114-116. doi:https://doi.org/10.1080/19359705.2019.1579037

    Article  Google Scholar 

  • Willenbring, M.L., Hagedorn, H., Postier, A., Kenny, M. Variations in evidence-based clinical practices in nine VA opioid agonist therapy clinics. Drug Alcohol Depend. 2004;75:97–106.

    Article  Google Scholar 

  • Wilson, N., Kariisa, M., Seth, P., Smith, H. IV, Davis, N.L. Drug and Opioid-Involved Overdose Deaths — United States, 2017–2018. MMWR Morb Mortal Wkly Rep 2020;69:290–297.

    Article  Google Scholar 

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Authors and Affiliations

  1. VA NY Harbor Healthcare System, NYU Grossman School of Medicine, New York, NY, USA

    Liliya Gershengoren MD & Adam Wolkin MD

  2. NYU Grossman School of Medicine, New York, NY, USA

    Pantea Farahmand MD

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  1. Liliya Gershengoren MD
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  2. Pantea Farahmand MD
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  3. Adam Wolkin MD
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Correspondence to Adam Wolkin MD .

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Editors and Affiliations

  1. Clinical Professor of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Wesley E. Sowers

  2. Clinical Professor of Psychiatry, New York University Grossman School of Medicine | NYU Langone Health, New York, NY, USA

    Hunter L. McQuistion

  3. Clinical Professor of Psychiatry, Columbia University, Vagelos College of Physicians and Surgeons, New York, NY, USA

    Jules M. Ranz

  4. Professor Emerita of Psychiatry, Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, USA

    Jacqueline Maus Feldman

  5. Vice Chair/Professor, Department of Psychiatry, Case Western Reserve School of Medicine, Ohio, OH, USA

    Patrick S. Runnels

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Gershengoren, L., Farahmand, P., Wolkin, A. (2022). Veterans’ Services. In: Sowers, W.E., McQuistion, H.L., Ranz, J.M., Feldman, J.M., Runnels, P.S. (eds) Textbook of Community Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-031-10239-4_45

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