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Abstract

Mental health disorders and other types of impairments resulting from deployment experiences are beginning to emerge, but fundamental gaps remain in our knowledge about the needs of veterans returning from Iraq and Afghanistan, the services available to meet those needs, and the experiences of veterans who have tried to use these services. The current study focuses directly on the veterans living in New York state; it includes veterans who currently use U.S. Department of Veterans Affairs (VA) services as well as those who do not; and it looks at needs across a broad range of domains. The authors collected information and advice from a series of qualitative interviews with veterans of Operation Iraqi Freedom (OIF)/Operation Enduring Freedom (OEF) residing in New York, as well as their family members. In addition, they conducted a quantitative assessment of the needs of veterans and their spouses from a sample that is broadly representative of OEF/OIF veterans in New York state. Finally, they conducted a review the services currently available in New York state for veterans. The study found substantially elevated rates of post-traumatic stress disorder (PTSD) and major depression among veterans. It also found that both VA and non-VA services are critically important for addressing veterans' needs, and that the health care systems that serve veterans are extremely complicated. Addressing veterans' mental health needs will require a multipronged approach: reducing barriers to seeking treatment; improving the sustainment of, or adherence to, treatment; and improving the quality of the services being delivered. Finally, veterans have other serious needs besides mental health care and would benefit from a broad range of services.

Table of Contents

  • Chapter One

    Introduction

  • Chapter Two

    Qualitative Needs Assessment of New York State Veterans

    Carrie Farmer, Terry L. Schell, Lisa H. Jaycox, Terri Tanielian, and Glenda Wrenn

  • Chapter Three

    Quantitative Needs Assessment of New York State Veterans and Their Spouses

    Christine Anne Vaughan, Terry L. Schell, Lisa H. Jaycox, Grant N. Marshall, and Terri Tanielian

  • Chapter Four

    Report Summary and Conclusions

  • Appendix

    Resource Guide for Veterans' Mental and Behavioral Health Services

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The research described in this report was sponsored by the New York State Health Foundation and was conducted in RAND Health, a division of the RAND Corporation.

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