title: Swept away: use of general medical and mental health services among veterans displaced by Hurricane Katrina.
abstract: OBJECTIVE
  This study examined national patterns of outpatient service use by veterans from regions affected by Hurricane Katrina.
  
  
  METHODS
  Analyses tracked use of general medical and mental/substance use services in September and October through December 2005 in New Orleans and Biloxi-Gulfport compared to a cohort receiving care during the same months in the previous 2 years.
  
  
  RESULTS
  In adjusted models, veterans from New Orleans and Biloxi-Gulfport were, respectively, 73% and 41% less likely in September 2005 to use any outpatient services as were cohorts from 2003-2004. Particularly in New Orleans, the relative decline in service use was substantially greater for specialty mental health and substance use services than for general medical services.
  
  
  CONCLUSIONS
  Although many veterans were able to obtain care after Hurricane Katrina, there was a substantial disruption in delivery of Veterans Administration services, with disproportionate declines in mental health and substance use care.
authors.affiliation: Atlanta VA Medical Center, VA Health System, Atlanta, GA 30322, USA. bdruss@emory.edu
authors.forename: Benjamin G
authors.initials: BG
authors.lastname: Druss
authors.forename: Kathy L
authors.initials: KL
authors.lastname: Henderson
authors.forename: Robert A
authors.initials: RA
authors.lastname: Rosenheck
mesh_terms: D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data*; D015331:Cohort Studies; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D003695:Delivery of Health Care / Q000592:standards / Q000706:statistics & numerical data; D004190:Disasters / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D006296:Health Services / Q000706:statistics & numerical data*; D006787:Hospitals, Veterans / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008145:Louisiana / Q000453:epidemiology; D008922:Mississippi / Q000453:epidemiology; D012559:Schizophrenia / Q000453:epidemiology / Q000628:therapy; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000628:therapy; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000628:therapy; D014481:United States; D014493:United States Department of Veterans Affairs / Q000706:statistics & numerical data; D014728:Veterans / Q000523:psychology / Q000706:statistics & numerical data*