Use of psychiatric and medical health care by veterans with severe mental illness.
Risk behaviors and health care use among 396 initially hospitalized veterans with severe mental illnesses were examined. Health care use was abstracted from Veterans Affairs databases (March 1998 to June 2000) for one year after hospital discharge. Lifetime intravenous drug use was related to increased use of outpatient services, and current alcohol use was related to decreased health care use. Patients with posttraumatic stress disorder had greater use of medical outpatient services than patients with schizophrenia-spectrum disorders, although they had longer hospital stays. These results highlight that veterans with severe mental illness receive more treatment in medical than psychiatric health clinics.
Bosworth
Hayden B
HB
Durham Veterans Affairs Medical Center, North Carolina 27705, USA. hayden.bosworth@duke.edu
Calhoun
Patrick S
PS
Stechuchak
Karen M
KM
Butterfield
Marian I
MI
D015658:HIV Infections / Q000517:prevention & control; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D001523:Mental Disorders / Q000145:classification / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data; D028642:Persons with Psychiatric Disorders / Q000523:psychology* / Q000706:statistics & numerical data; D008875:Middle Aged; D015999:Multivariate Analysis; D012044:Regression Analysis; D012309:Risk-Taking; D014481:United States; D014728:Veterans / Q000523:psychology* / Q000706:statistics & numerical data