Racial Disparities in VA Service Connection for Posttraumatic Stress Disorder Disability

  title={Racial Disparities in VA Service Connection for Posttraumatic Stress Disorder Disability},
  author={Maureen Murdoch and James Hodges and Diane C. Cowper and Larry Fortier and Michelle van Ryn},
  journal={Medical Care},
Background. “Service connected” veterans are those with documented, compensative conditions related to or aggravated by military service, and they receive priority for enrollment into the Veterans Affairs (VA) health care system. For some veterans, service connection represents the difference between access to VA health care facilities and no access. Objectives. To determine whether there are racial discrepancies in the granting of service connection for posttraumatic stress disorder (PTSD) by… 

Gender Differences in Service Connection for PTSD

Evidence of a combat advantage that disproportionately favored men was found in awards for PTSD service connection, and the appropriateness of this apparent advantage is unclear and needs further investigation.

Regional Variation and Other Correlates of Department of Veterans Affairs Disability Awards for Patients With Posttraumatic Stress Disorder

An almost twofold regional difference in claims approval rates was not explained by veterans’ PTSD symptom severity, level of dysfunction, or other subject-level characteristics.

Post-traumatic stress disorder claims from the viewpoint of veterans service officers.

Veterans service officers' beliefs about the reasons veterans value service connection for PTSD parallel those veterans report, and VSOs' satisfaction with the claims process was associated with beliefs about its fairness.

Exploring Disparities in Awarding VA Service-Connected Disability for Post-Traumatic Stress Disorder for Active Duty Military Service Members from Recent Conflicts in Iraq and Afghanistan.

Despite being diagnosed with PTSD at similar rates to their referent categories, females and Black veterans are less likely to receive PTSD disability awards and other racial/ethnic minorities and those with misconduct separations were more likely to receiving PTSD diagnoses and awards.

Racial Differences in Veteran Service Connection Disability

The implications for social work practice and policy as this research shows African American veterans are not receiving fair disability ratings which impacts their health and economic viability.

Racial differences in veterans' satisfaction with examination of disability from posttraumatic stress disorder.

Ratings of disability examinations were generally high, although ratings were less favorable among African-American veterans than among Caucasian veterans, and African Americans were less likely than Caucasians to assign a higher quality rating.

Does filing a post-traumatic stress disorder disability claim promote mental health care participation among veterans?

For veterans with PTSD, disability system participation may both promote and be promoted by receipt of mental health care by being associated with an increased likelihood of claim approval.

Equity in Veterans Affairs disability claims adjudication in a national sample of veterans.

Veterans' needs were not overshadowed by factors related to demographic background or access, reducing concerns about disparities in general VA disability disbursements, according to a nationally representative sample of veterans completing the 2001 National Survey of Veterans.

Changes in Post-traumatic Stress Disorder Service Connection Among Veterans Under Age 55: An 18-Year Ecological Cohort Study.

Most Veterans with discontinued PTSD service connection did not experience reductions in their overall, total disability rating, and cost-benefit analyses could help determine if mandated, age-based re-evaluations of PTSD service connected are cost-effective.

Enhancing entrance into PTSD treatment for post-deployment veterans through collaborative/integrative care

Veterans referred by PCMHI tended to have increased consult completion in specialty care, higher rates of confirmed PTSD, however, no significant differences in reported PTSD symptoms, or follow-up visits in the OEF/OIF PTSD clinic compared to Veterans referred from the hospital at large.



Utilization of Mental Health Services by Minority Veterans of the Vietnam Era

  • R. Rosenheck
  • Medicine
    The Journal of nervous and mental disease
  • 1994
Black veterans and Mexican Hispanic veterans were significantly less likely than white veterans to have used non-VA mental health services or self-help groups, after adjusting for health status and other factors.

Access to public mental health services: determinants of population coverage.

Both per capita funding levels and efficient service delivery were significantly associated with increased access to mental health services, and substitution effects appeared to be diagnosis-specific.

PTSD and utilization of medical treatment services among male Vietnam veterans.

Analysis showed that the increased utilization associated with PTSD was not merely due to the high comorbidity between PTSD and other axis I disorders, and was related to greater utilization of recent and lifetime VA medical services, and with recent inpatient care from all sources.

Factors predicting choice of provider among homeless veterans with mental illness.

Specific characteristics of the service system and of veterans' entitlement were more important than clinical needs or predisposing factors in predicting service use.

Wartime military service and utilization of VA health care services.

It was notable that among Korean War-era veterans alone, war zone and combat exposure were not associated with increased VA health service use, perhaps reflecting the more limited public attention that has been paid to veterans of that war.

Racial variation in wanting and obtaining mental health services among women veterans in a primary care clinic.

African-American women expressed a greater desire for mental health services than whites, yet mental health resources at the clinic were similarly used by both racial groups, and there were no racial differences in mental health use.

Relationship of Physical Symptoms to Posttraumatic Stress Disorder Among Veterans Seeking Care for Gulf War-Related Health Concerns

PTSD diminishes the general health perceptions of care-seeking Gulf War veterans with vague, multiple, or medically unexplained physical symptoms and Clinicians should carefully consider PTSD when evaluating Gulf War vets with vague or multiple physical symptoms.

The Longitudinal Course of Posttraumatic Stress Disorder Symptoms among Aging Military Veterans

PTSD caseness at one time point was associated with significantly elevated PTSD symptom severity at the time of no PTSD diagnosis, and no evidence was found for an aggravation of PTSD due to stressors associated with aging.

Outcome of treatment for post-traumatic stress disorder in a primary care unit serving vietnam veterans

One year follow-up for veterans diagnosed with PTSD and newly admitted to a comprehensive 90-day inpatient treatment program showed a return to pretreatment levels on the PTSD symptom measures employed in this study.

Health status, somatization, and severity of posttraumatic stress disorder in Vietnam combat veterans with posttraumatic stress disorder.

The presence and severity of PTSD in veterans were associated with greater physical health problems and conditions and psychological variables (e.g., PTSD status, PTSD severity, somatization) and a behavioral variable (pack-year history) were related to health status.