Perceived Access Inventory for Veterans Affairs Mental Health Service Users

Pyne, Jeffrey M.; Kelly, P. Adam; Fischer, Ellen P.; Miller, Christopher J.; Wright, Patricia; Zamora, Kara; Koenig, Christopher J.; Stanley, R.; Seal, Karen H.; Burgess, James; Fortney, John C.

doi:10.1037/t68666-000

Cited by 1 publication

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“…All code definitions were discussed and refined orally, circulated via e-mail for written clarification, and incorporated into the next round of coding. After three months, no new inductive codes were proposed, and the codebook was finalized with 49 substantive codes grouped into six domains (Pyne et al, 2018).…”

Section: Methodsmentioning

confidence: 99%

“…In the current study, we used qualitative methods to develop a more complete understanding of veterans’ initial experiences accessing VA mental health care. These analyses were conducted as part of a larger, mixed-methods study that aimed to develop a veteran-centered measure of perceptions of access to health care: the Perceived Access Inventory (PAI; Pyne et al, 2018). Whereas the PAI represents a generalizable measure of perceived access, for the current article, we used qualitative methods to explore experiences by veterans initially accessing VA mental health care.…”

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confidence: 99%

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Veterans’ experiences initiating VA-based mental health care.

Bovin¹,

Miller²,

Koenig³

et al. 2019

Psychological Services

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Military veterans who could benefit from mental health services often do not access them. Research has revealed a range of barriers associated with initiating United States Department of Veterans Affairs (VA) care, including those specific to accessing mental health care (e.g., fear of stigmatization). More work is needed to streamline access to VA mental health-care services for veterans. In the current study, we interviewed 80 veterans from 9 clinics across the United States about initiation of VA mental health care to identify barriers to access. Results suggested that five predominant factors influenced veterans' decisions to initiate care: (a) awareness of VA mental health services; (b) fear of negative consequences of seeking care; (c) personal beliefs about mental health treatment; (d) input from family and friends; and (e) motivation for treatment. Veterans also spoke about the pathways they used to access this care. The four most commonly reported pathways included (a) physical health-care appointments; (b) the service connection disability system; (c) non-VA care; and (d) being mandated to care. Taken together, these data lend themselves to a model that describes both modifiers of, and pathways to, VA mental health care. The model suggests that interventions aimed at the identified pathways, in concert with efforts designed to reduce barriers, may increase initiation of VA mental health-care services by veterans. (PsycINFO Database Record

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%