Going It Alone: Post-9/11 Veteran Nonuse of Healthcare and Social Service Programs During Their Early Transition to Civilian Life

Aronson, Keith R.; Perkins, Daniel F.; Morgan, Nicole R.; Bleser, Julia A.; Davenport, Katie; Vogt, Dawne; Copeland, Laurel A.; Finley, Erin P.; Gilman, Cynthia L.

doi:10.1080/01488376.2018.1493410

Cited by 16 publications

(24 citation statements)

References 34 publications

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“…Practically, many post-9/11 veterans report barriers to programs that they need (3,(17)(18)(19). From a theoretical perspective, research in program implementation science has consistently demonstrated that barrier reduction is critical to bolster program participation and sustainability (25,26).…”

Section: Discussionmentioning

confidence: 99%

“…Future studies should examine this question. Nonetheless, a sizeable number of recently separated post-9/11 veterans do not access programs often because they do not understand their eligibility, do not know what programs they qualify for, cannot nd an appropriate program, or encounter other challenges to help seeking (17). as importantly, a low proportion of veterans report using and bene ting from barrier reduction components.…”

Section: Discussionmentioning

confidence: 99%

“…Access to VA bene ts is a primary concern for veterans as they transition to civilian life (17). Further research should explore which speci c VA bene ts are the most challenging to navigate, and strategies to help veterans overcome these challenges should be investigated.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the well-documented needs of post-9/11 veterans and the plethora of programs available to them (16), many veterans do not seek out or use veteran programs or services (17). There are a number of real and perceived barriers to accessing support programs.…”

Section: A Typology Of Barriers To Programs and Servicesmentioning

confidence: 99%

“…There are a number of real and perceived barriers to accessing support programs. A recent study indicated there were four primary reasons new veterans reported not using programs during the early military to civilian transition period (17). These included the following: (a) not needing assistance, (b) not identifying a program or service that su ciently met their needs, (c) not understanding the kinds of programs for which they quali ed; and (d) not knowing where to obtain support and assistance.…”

Section: A Typology Of Barriers To Programs and Servicesmentioning

confidence: 99%

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Reducing Barriers to Post-9/11 Veterans’ Use of Programs and Services as They Transition to Civilian Life

Morgan

Aronson

Perkins

et al. 2020

Preprint

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Background - Numerous programs exist to support veterans in their transitions to civilian life. Programs are offered by a host of governmental and non-governmental stakeholders. Veterans report encountering many barriers to program participation. This was the first study to identify barrier reduction strategies offered by programs that post-9/11 veterans report using, determine which strategies veterans use and value, and to examine veteran characteristics that impact their odds of using programs that offer barrier reduction strategies. Method - This study reflects findings from the first wave of data collection of The Veterans Metrics Initiative, a longitudinal study examining the military-to-civilian reintegration of post-9/11 veterans. Veterans were asked to indicate which programs they had used. The websites of these programs were coded for the barrier reduction components. Veterans also indicated which barrier reduction components they found most helpful in meeting their reintegration goals. Results - Of 9,566 veterans who participated in Wave 1 data collection, 84% reported using a program that offered at least one barrier reduction component. Barrier reduction components included tangible supports (e.g., scholarships, cash), increased access to programs, decreased stigma, and encouraged motivation to change. Although only 4% of programs that were used by veterans focused on helping them obtain Veterans Administration benefits, nearly 60% of veterans reported that this component was helpful in reaching their goals. Access assistance to other resources and supports was also reported as a helpful barrier reduction component. For instance, approximately 20% of veterans nominated programs that offered transportation. The study also found evidence of a misalignment between the kinds of barrier reduction components veterans valued and those which programs offered. Veterans from the most junior enlisted ranks, who are at most risk, were less likely than those from other ranks to use barrier reduction components. Conclusions – Despite the evidence that barrier reduction components enhance access to programs and contribute to program sustainability, many programs used by post-9/11 veterans do not offer them. There is also a misalignment between the barrier reduction strategies veterans value and the strategies offered by programs. Veteran serving organizations should increasingly implement barrier reduction strategies that veterans value.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: A Typology Of Barriers To Programs and Servicesmentioning

confidence: 99%

Section: A Typology Of Barriers To Programs and Servicesmentioning

confidence: 99%

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Reducing Barriers to Post-9/11 Veterans’ Use of Programs and Services as They Transition to Civilian Life

Morgan

Aronson

Perkins

et al. 2020

Preprint

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The interaction of exposure to adverse childhood and combat experiences on the current mental health of new post‐9/11 veterans

Morgan

Aronson

Perkins

et al. 2021

Journal Community Psychology

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Military veterans have greater exposure to adverse childhood experiences (ACEs) than civilians and many also encounter warfare exposures, which can increase the likelihood of mental health problems. The purpose of this study was to test an interaction between childhood traumas and warfare exposures on the mental health of a sample of nearly 10,000 new post-9/11 veterans. Results revealed that male veterans exposed to one or two ACEs, but no warfare, were more likely to experience anxiety, depression, suicidal thinking, and angry outbursts than the reference group (i.e., no ACEs and no warfare exposure). Female veterans exposed to one or two ACEs, but no warfare, were only more likely to experience suicidal thinking. Male and female veterans exposed to three or more ACEs and no warfare were more likely to experience probable posttraumatic stress disorder (PTSD), anxiety, depression, suicidality, and angry outbursts. Among those veterans who experienced corollaries of combat only (e.g., seeing someone killed or seriously wounded), male, but not female veterans were more likely to have probable PTSD, anxiety, and depression. Veterans exposed to warfare (i.e., combat and the corollaries of combat), irrespective of ACEs exposure, were the most likely to report mental health symptoms. Implications for community-based mental health services are discussed.adverse childhood experiences, alcohol misuse, anxiety, combat exposure, depression, PTSD, veteran mental health 1 | BACKGROUND Currently, there are more than 20 million military veterans in the United States, including 2.6 million who have served since 9/11. The veteran population is projected to grow to 5 million by 2025 (National Center for Veterans Analysis & Statistics, 2018). The majority of these veterans do not experience ongoing adjustment or reintegration problems and make a successful transition back to their communities (Tsai et al., 2015). However, a substantial minority report struggles with reintegration. Difficult transitions from military to civilian life have the potential to place a tremendous burden on veterans and their families, communities, and healthcare systems.Veterans, as they transition out of active duty service, are returning in large numbers to civilian communities.

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Strengthening Military Social Work Through the Development of a Global Understanding of Practice Similarities and Differences

Forgey

Green-Hurdle²

2022

Military and Veterans Studies

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Going It Alone: Post-9/11 Veteran Nonuse of Healthcare and Social Service Programs During Their Early Transition to Civilian Life

Cited by 16 publications

References 34 publications

Reducing Barriers to Post-9/11 Veterans’ Use of Programs and Services as They Transition to Civilian Life

Reducing Barriers to Post-9/11 Veterans’ Use of Programs and Services as They Transition to Civilian Life

The interaction of exposure to adverse childhood and combat experiences on the current mental health of new post‐9/11 veterans

Strengthening Military Social Work Through the Development of a Global Understanding of Practice Similarities and Differences

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