title: Effect of center-based counseling for veterans and veterans' families on long-term mental health outcomes.
abstract: The Veterans and Veterans Families Counselling Service (VVCS), established by the Australian government, plays a pivotal role in providing mental health services to veterans and their families. This research explored the impact of center-based psychological counseling on depression, anxiety, stress, and alcohol use severity. A stratified sample of VVCS clients were invited to participate in this study. Data were collected on intake to the program, at the fifth counseling session, and 12 months after the commencement of counseling. Repeated-measures general linear model analyses were conducted to examine the impact of center-based counseling on depression, anxiety, stress, and alcohol severity over time. VVCS center-based counseling resulted in a significant reduction in depression, anxiety, stress, and alcohol use severity after five sessions, and these improvements were maintained over the next 12 months. Despite these improvements, however, participants continued to report moderate-to-severe levels of mental health problems. VVCS center-based counseling successfully reduced depression, anxiety, stress, and alcohol use symptom severity of veterans and their families. However, the clinical profiles of this population are often complex and challenges remain in terms of addressing the mental health needs of this group.
authors.affiliation: Australian Centre for Posttraumatic Mental Health and Department of Psychiatry, University of Melbourne, Level 1, 340 Albert Street, East Melbourne, VIC 3002, Australia.
authors.forename: Meaghan
authors.initials: M
authors.lastname: O'Donnell
authors.forename: Tracey
authors.initials: T
authors.lastname: Varker
authors.forename: Desmond
authors.initials: D
authors.lastname: Perry
authors.forename: Andrea
authors.initials: A
authors.lastname: Phelps
mesh_terms: D000328:Adult; D000368:Aged; D001315:Australia; D003376:Counseling; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D009679:Nuclear Family / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D014728:Veterans / Q000523:psychology*