New Women Veterans in the VHA: A Longitudinal Profile

Friedman, Sarah; Phibbs, Ciaran S.; Schmitt, Susan; Hayes, Patricia M.; Herrera, Laura; Frayne, Susan M.

doi:10.1016/j.whi.2011.04.025

Cited by 64 publications

(45 citation statements)

References 22 publications

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“…Greater focus on the therapeutic relationship may help to reduce relatively high rates of attrition found among new women users of VA care (Friedman et al, 2011). Overall, study participants sought to feel known, respected, and engaged in trusting relationships with their mental health providers.…”

Section: Discussionmentioning

confidence: 99%

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“Give us respect, support and understanding”: Women veterans of Iraq and Afghanistan recommend strategies for improving their mental health care

Koblinsky

Schroeder

Leslie

2016

Social Work in Mental Health

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Section: Discussionmentioning

confidence: 99%

“…Women are now the fastest growing segment of VA users, but represent only 6% of veterans seeking VA care (Friedman et al, 2011). Research has found that only 30% of all veterans with PTSD or depression seek help from mental health professionals (Tanielian & Jaycox, 2008).…”

mentioning

confidence: 99%

“Give us respect, support and understanding”: Women veterans of Iraq and Afghanistan recommend strategies for improving their mental health care

Koblinsky

Schroeder

Leslie

2016

Social Work in Mental Health

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“…In FY10, 42% of women Veteran patients were 18–44 years old, 45% were 45–64 years old, and 13% were 65+ years old (Frayne, 2012). Women Veterans have health care needs distinctive from their male counterparts (Friedman, 2011) and this difference highlights the need to assure capacity for clinical services necessary for women in their reproductive years and to assure that healthcare providers’ knowledge and skills are up to date in women’s health (Frayne, 2012). Little is known about the women Veterans’ experiences with care from VA providers.…”

Section: Introductionmentioning

confidence: 99%

Association between Women Veterans' Experiences with VA Outpatient Health Care and Designation as a Women's Health Provider in Primary Care Clinics

Bastian

Trentalange

Murphy

et al. 2014

Women's Health Issues

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Background Women Veterans comprise a small percentage of VA healthcare users. Prior research on women Veterans’ experiences with primary care has focused on VA site differences and not individual provider characteristics. In 2010, the VA established policy requiring the provision of comprehensive women’s healthcare by designated women’s health providers (DWHPs). Little is known about the quality of healthcare delivered by DWHPs and women Veterans’ experience with care from these providers. Methods Secondary data were obtained from the VA Survey of Healthcare Experience of Patients (SHEP) using the Consumer Assessment of Healthcare Providers and Systems (CAHPS) patient-centered medical home (PCMH) survey from March 2012 through February 2013, a survey designed to measure patient experience with care and the DWHPs Assessment of Workforce Capacity (DAWC) that discerns between DWHPs versus non-DWHPs. Findings Of the 28,994 surveys mailed to women Veterans, 24,789 were seen by primary care providers and 8,151 women responded to the survey (response rate 32%). A total of 3,147 providers were evaluated by the SHEP-CAHPS-PCMH survey (40%; n=1,267 were DWHPs). In a multivariable model, patients seen by DWHPs (RR=1.02 95% CI=1.01−1.04) reported higher overall experiences with care compared to patients seen by non-DWHPs. Conclusions The main finding is that women Veterans’ overall experiences with outpatient healthcare are slightly better for those receiving care from DWHPs compared to those receiving care from non-DWHPs. Our findings have important policy implications for how to continue to improve women Veterans’ experiences. Our work provides support to increase access to DWHPs at VA primary care clinics.

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“…Recent VHA research (Friedman et al, 2011;Oliva et al, 2012) provide examples of measures that may facilitate additional helpseeking among Army women, including organizational changes such as the availability of women's health services, specialized services for SUD patients with comorbid psychiatric disorders, and increasing the number of licensed psychosocial treatment providers. Future research including organizational and patient-level factors may assist in identifying strategies to increase help-seeking among Army women with SU problems.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in substance use treatment utilization the year prior to deployment in army service members

Wooten

Mohr

Lundgren

et al. 2014

Drug and Alcohol Dependence

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a b s t r a c t a r t i c l e i n f oAlthough military men have heavier drinking patterns, military women experience equal or higher rates of dependence symptoms and similar rates of alcohol-related problems as men at lower levels of consumption. Thus, gender may be important for understanding substance use treatment (SUT) utilization before deployment. Military health system data were analyzed to examine gender differences in both substance use diagnosis (SUDX) and SUT in 152,447 Army service members returning from deployments in FY2010. Propensity score analysis of probability of SUDX indicated that women had lower odds (AOR: 0.91, 95% CI: 0.86-0.96) of military lifetime SUDX. After adjusting for lifetime SUDX using propensity score analysis, multivariate regression found women had substantially lower odds (AOR: 0.61; 95% CI: 0.54-0.70) of using SUT the year prior to deployment. Findings suggest gender disparities in military-provided SUT and a need to consider whether military substance use assessment protocols are sensitive to gender differences.

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New Women Veterans in the VHA: A Longitudinal Profile

Cited by 64 publications

References 22 publications

“Give us respect, support and understanding”: Women veterans of Iraq and Afghanistan recommend strategies for improving their mental health care

“Give us respect, support and understanding”: Women veterans of Iraq and Afghanistan recommend strategies for improving their mental health care

Association between Women Veterans' Experiences with VA Outpatient Health Care and Designation as a Women's Health Provider in Primary Care Clinics

Gender differences in substance use treatment utilization the year prior to deployment in army service members

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