Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Community Mental Health Journal
Published in: Community Mental Health Journal 2/2016

01-02-2016 | Original Paper

Barriers and Facilitators in Providing Community Mental Health Care to Returning Veterans with a History of Traumatic Brain Injury and Co-occurring Mental Health Symptoms

Authors: Bridget B. Matarazzo, Gina M. Signoracci, Lisa A. Brenner, Jennifer H. Olson-Madden

Published in: Community Mental Health Journal | Issue 2/2016

Login to get access

Abstract

As Veterans from recent conflicts return from deployments, increasing numbers are seeking care for physical (e.g., history of traumatic brain injury) and mental health (e.g., depression, anxiety) symptoms. Data suggest that only about half of recent Veterans are seeking care within the Veterans Health Administration. As such, providers within the community are likely to require additional training to meet the unique needs of these Veterans and their families. Towards this end, meetings were held with administrators and clinicians at Colorado Community Mental Health Centers (CMHCs) to identify current barriers and facilitators, as they relate to working with Veterans with a history of TBI and co-occurring mental health conditions. On-whole, CMHC employees had limited experience with providing care to the cohort of interest. Additional training will assist with increasing capacity and a web-based toolkit was developed to facilitate the transfer of knowledge (www.​mirecc.​va.​gov/​visn19/​tbi_​toolkit).
Literature
Altmire, J. (2007). Testimony of Jason Altmire. Hearing before the Subcommittee on Health of the House Committee on Veterans’ Affairs. Washington, DC.
Bryant, R. A., O’Donnell, M. L., Creamer, M., McFarlane, A. C., Clark, C. R., & Silove, D. (2010). The psychiatric sequelae of traumatic injury. American Journal of Psychiatry, 167(3), 312–320.CrossRefPubMed
Chwalisz, K., Shah, S. R., & Hand, K. M. (2008). Facilitating rigorous qualitative research in rehabilitation psychology. Rehabilitation Psychology, 53(3), 387–399.CrossRef
Department of Veterans Affairs. (2012). Analysis of VA Health Care Utilization among Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) Veterans. Washington, DC: Department of Veterans Affairs.
Faul, M., Xu, L., Wald, M. M., & Coronado, V. G. (2010). Traumatic brain injury in the United States: Emergency Department Visits, Hospitalizations and Deaths 2002–2006. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control.
Friedemann-Sanchez, G., Sayer, N., & Pickett, T. (2008). Provider perspectives on rehabilitation of patients with polytrauma. Archives of Physical Medicine and Rehabilitation, 89, 171–178.CrossRefPubMed
Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough? An experiment with data saturation and variability. Field Methods, 18, 59–82.CrossRef
Hart, T., Brenner, L., Clark, A. N., Bogner, J. A., Novack, T. A., Chervoneva, I., et al. (2011). Major and minor depression after traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 92(8), 1211–1219.CrossRefPubMed
Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351, 13–22.CrossRefPubMed
Hoge, C. W., McGurk, D., Thomas, J. L., Cox, A. L., Engel, C. C., & Castro, C. A. (2008). Mild traumatic brain injury in US Soldiers returning from Iraq. New England Journal of Medicine, 358(5), 453–463.CrossRefPubMed
Johnson, R. L., Thomas, R. G., Thomas, K. E., & Guzman, B. R. (2010) State injury indicators report: Fifth edition-2006 data. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control.
Morissette, S. B., Woodward, M., Kimbrel, N. A., Meyer, E. C., Kruse, M. I., Dolan, S., & Gulliver, S. B. (2011). Deployment-related TBI, persistent postconcussive symptoms, PTSD, and depression in OEF/OIF Veterans. Rehabilitation Psychology, 56(4), 340–350.CrossRefPubMed
Olson-Madden, J. H., Brenner, L. A., Matarazzo, B. B., & Signoracci, G. M. (2013). Identification and treatment of TBI and co-occurring psychiatric symptoms among OEF/OIF/OND veterans seeking mental health services within the state of Colorado: Establishing consensus for best practices. Community Mental Health Journal. doi:10.​1007/​s10597-012-9572-4.
Rubin, H., & Rubin, I. (1995). Qualitative interviewing: The art of hearing data. Thousand Oaks: Sage Publications Inc.
Sayer, N., Rettmann, N. A., Carlson, K. F., Bernardy, N., Sigford, B. J., Hamblen, J. L., & Friedman, M. J. (2009). Veterans with history of mild traumatic brain injury and posttraumatic stress disorder: Challenges from provider perspectives. Journal of Rehabilitation Research and Development, 46(6), 703–716.CrossRefPubMed
Signoracci, G. M., Bahraini, N. B., Matarazzo, B. B., Olson-Madden, J. H., & Brenner, L. A. (2014). Delivering mental health services to OEF/OIF Veterans: A VHA qualitative study. Journal of Holistic Nursing, 32(3), 161–172. doi:10.​1177/​0898010114524484​.CrossRefPubMed
Tanielian, T., & Jaycox, L. H. (Eds.). (2008). Invisible wounds of war: Psychological and cognitive injuries, their consequences and services to assist recovery. Santa Monica, CA: RAND Corporation.
Terrio, H., Brenner, L. A., Iwins, B. J., Cho, J. M., Helmick, K., Schwab, K., et al. (2009). Traumatic brain injury screening: Preliminary findings in a US Army brigade combat team. Journal of Head Trauma Rehabilitation, 24(1), 14–23.CrossRefPubMed
Metadata
Title
Barriers and Facilitators in Providing Community Mental Health Care to Returning Veterans with a History of Traumatic Brain Injury and Co-occurring Mental Health Symptoms
Authors
Bridget B. Matarazzo
Gina M. Signoracci
Lisa A. Brenner
Jennifer H. Olson-Madden
Publication date
01-02-2016
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 2/2016
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-015-9926-9

Other articles of this Issue 2/2016

Community Mental Health Journal 2/2016 Go to the issue

Original Paper

Prescription Opioid Use Among Seriously Mentally Ill Veterans Nationally in the Veterans Health Administration

Original Paper

Comparing Effectiveness of Treatments for Borderline Personality Disorder in Communal Mental Health Care: The Oulu BPD Study

Original Paper

Problem-Solving Coping and Social Support as Mediators of Academic Stress and Suicidal Ideation Among Malaysian and Indian Adolescents

Original Paper

A Specialized Treatment Court for Veterans with Trauma Exposure: Implications for the Field

Original Paper

Unsheltered Homelessness Among Veterans: Correlates and Profiles

Original Paper

Access to and Use of the Internet by Veterans with Serious Mental Illness