title: Lifetime and 12-month use of psychiatric services among U.S. Army National Guard soldiers in Ohio.
abstract: OBJECTIVE
  The individual and economic burden of psychiatric illnesses is substantial. Although treatment of psychiatric disorders mitigates the burden of illness, over half of military personnel with disorders do not receive mental health care. However, there is a paucity of research examining the relationship between psychiatric disorder categories and treatment-seeking behavior in representative military populations. This study aimed to document, by psychiatric disorder category, the annualized rate of Guard members who obtained psychiatric services and the factors associated with service utilization.
  
  
  METHODS
  Face-to-face clinical assessments were conducted between 2008 and 2012 to assess lifetime and current psychiatric disorders and recent psychiatric service use among 528 Ohio Army National Guard soldiers.
  
  
  RESULTS
  An annualized rate of 31% of persons per year accessed psychiatric services between 2010 and 2012. Persons with substance use disorders had the lowest annualized rate of service use, and these were the only disorders not predictive of accessing services. Current mood disorder, current anxiety disorder, and lifetime history of service use were the strongest predictors of recent service use. There were no socioeconomic or other group predictors of psychiatric service use.
  
  
  CONCLUSIONS
  About half of the soldiers who could benefit from mental health services used them, yet soldiers with substance use disorders were predominantly going untreated. There were no differences in treatment utilization by group characteristics, suggesting no systematic barriers to care for particular groups. Efforts to encourage broader adoption of treatment seeking, particularly among persons with substance use disorders, are necessary to mitigate psychiatric health burden in this population.
authors: Mr. Fink and Mr. Cohen are with the Department of Epidemiology, Columbia University, New York City (e-mail: dsf2130@columbia.edu ). Ms. Sampson is with the Department of Epidemiology and Dr. Galea is with the School of Public Health, both at Boston University, Boston, Massachusetts. Dr. Tamburrino and Mr. Fine are with the Department of Psychiatry, University of Toledo College of Medicine, Toledo, Ohio. Dr. Liberzon is with the Department of Psychiatry, University of Michigan, Ann Arbor, and with the Mental Health Service, Ann Arbor Veterans Affairs Healthcare System. Ms. Slembarski, Ms. D'Arcangelo, and Dr. Calabrese are with the Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio. Mr. Chan, Dr. Shirley, and Ms. Goto are with the Department of Psychiatry, University Hospitals Case Medical Center, Cleveland. Dr. Reed is with the Biomedical Research Informatics Core, Michigan State University, East Lansing.
authors: David S
authors: DS
authors: Fink
authors: Laura
authors: L
authors: Sampson
authors: Marijo B
authors: MB
authors: Tamburrino
authors: Israel
authors: I
authors: Liberzon
authors: Renee
authors: R
authors: Slembarski
authors: Philip
authors: P
authors: Chan
authors: Gregory H
authors: GH
authors: Cohen
authors: Edwin
authors: E
authors: Shirley
authors: Toyomi
authors: T
authors: Goto
authors: Nicole
authors: N
authors: D'Arcangelo
authors: Thomas
authors: T
authors: Fine
authors: Philip
authors: P
authors: Reed
authors: Sandro
authors: S
authors: Galea
authors: Joseph R
authors: JR
authors: Calabrese
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008889:Military Personnel / Q000523:psychology* / Q000706:statistics & numerical data*; D009820:Ohio; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D014481:United States