title: Mental health service use in a representative sample of National Guard soldiers.
abstract: OBJECTIVE
  With Operation Iraqi Freedom and Operation Enduring Freedom winding down, large numbers of National Guard members have recently returned from active deployment. No prospective, longitudinal studies have examined predictors of mental health service use in a representative sample of National Guard soldiers. This study investigated the prevalence and predictors of mental health service use in a representative sample of National Guard soldiers.
  
  
  METHODS
  A representative sample (N=1,189) of Ohio Army National Guard participants was enrolled. Demographic characteristics, mental health problems, and deployment status in 2009-2010 and mental health service use during the subsequent one-year period (2010-2011) were assessed.
  
  
  RESULTS
  Approximately 16% of National Guard members used mental health services during the one-year period. Among those with depression, posttraumatic stress disorder, anxiety, alcohol use disorders, or suicidal ideation, a little over one-third (37%) reported using services in the subsequent 12 months. Among all National Guard soldiers, being female, black, Hispanic, and insured and having comorbid general medical and mental health problems predicted mental health service use. Among those with mental health problems, only black race predicted mental health service use.
  
  
  CONCLUSIONS
  Results suggest that there is a substantial level of unmet need for mental health treatment among National Guard soldiers. Efforts to identify National Guard soldiers with a need for mental health services and improving access to care might be warranted.
authors.affiliation: Dr. Goodwin is with the Department of Psychology, The Graduate Center, Queens College, City University of New York, and she is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City (e-mail: renee.goodwin@qc.cuny.edu ), where Mr. Cohen and Dr. Galea are affiliated. Dr. Tamburrino is with the Department of Psychiatry, University of Toledo Health Science Center, Toledo, Ohio. Dr. Calabrese is with the Department of Psychiatry, Case Western Reserve University, Cleveland, Ohio. Dr. Liberzon is with the Department of Psychiatry, University of Michigan, Ann Arbor.
authors.forename: Renee D
authors.initials: RD
authors.lastname: Goodwin
authors.forename: Gregory H
authors.initials: GH
authors.lastname: Cohen
authors.forename: Marijo
authors.initials: M
authors.lastname: Tamburrino
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Calabrese
authors.forename: Israel
authors.initials: I
authors.lastname: Liberzon
authors.forename: Sandro
authors.initials: S
authors.lastname: Galea
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D008889:Military Personnel / Q000523:psychology*; D009820:Ohio / Q000453:epidemiology; D055815:Young Adult