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

  title={Regional Variation and Other Correlates of Department of Veterans Affairs Disability Awards for Patients With Posttraumatic Stress Disorder},
  author={Maureen Murdoch and James Hodges and Diane C. Cowper and Nina A. Sayer},
  journal={Medical Care},
Background:Minnesota, Minneapolis, Minnesota. Posttraumatic stress disorder (PTSD) is a chronic disabling condition affecting more than 600,000 United States veterans and is the most common psychiatric condition for which veterans seek Veterans Affairs disability benefits. Receipt of such benefits enhances veterans’ access to Veteran Affairs health care and reduces their chance of poverty. Objectives:We sought to determine whether previously identified regional variations in PTSD disability… 

Long-term outcomes of disability benefits in US veterans with posttraumatic stress disorder.

Regardless of claim outcome, veterans who apply for PTSD disability benefits are highly impaired, however, receiving PTSD benefits was associated with clinically meaningful reductions in PTSD symptoms and less poverty and homelessness.

Persistent Serious Mental Illness Among Former Applicants for VA PTSD Disability Benefits and Long-Term Outcomes: Symptoms, Functioning, and Employment.

The burden of persistent serious mental illness in this population of veterans who applied for VA PTSD disability benefits between 1994 and 1998 and served during or after the Vietnam conflict was almost 2 to 19 times higher than in the general U.S. population.

The Influence of Veteran Race and Psychometric Testing on Veterans Affairs Posttraumatic Stress Disorder (PTSD) Disability Exam Outcomes

Examining the influence of veterans’ race and examiners’ use of psychometric testing during a Department of Veterans Affairs posttraumatic stress disorder (PTSD) disability examination on diagnostic and service connection status outcomes suggests that psychometricTesting may reduce disparities in VA PTSD disability exam outcomes.

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.

Reversals in initially denied Department of Veterans Affairs’ PTSD disability claims after 17 years: a cohort study of gender differences

Even after 2011, cohort men were more likely than the women to reverse initially denied PTSD claims, and military sexual assault history accounted for much of this difference.

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.

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.

A primary care perspective of posttraumatic stress disorder for the Department of Veterans Affairs.

The epidemiology, diagnosis, and treatment options for PTSD are reviewed with a special focus on the VA population and screening questions for both combat-related and military sexual trauma-related PTSD are suggested.

Mental health issues in recently returning women veterans: implications for practice.

Although more women veterans of Operation Enduring Freedom and Operation Iraqi Freedom are seeking health services at Veterans Administration facilities, many are not and community-based social workers need to be familiar with the needs of this growing population to serve them effectively.

PTSD Risk and Mental Health Care Engagement in a Multi-War Era Community Sample of Women Veterans

Though a majority of VA-users received MHC, low income predicted nonuse, and research to characterize barriers to VA MHC use for VA-nonusers and low income VA- users is warranted to better understand low service utilization.



Racial Disparities in VA Service Connection for Posttraumatic Stress Disorder Disability

Whether there are racial discrepancies in the granting of service connection for posttraumatic stress disorder (PTSD) by the Department of Veterans Affairs and, if so, whether these discrepancies could be attributed to appropriate subject characteristics, such as differences in PTSD symptom severity or functional status is investigated.

Time, gender, and regional trends in the application for service-related post-traumatic stress disorder disability benefits, 1980-1998.

Instead of a gender bias in claim approval rates for PTSD disability benefits, there may be a "combat injury bias" that disproportionately affects women.

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.

Assessment of Viet Nam veterans for posttraumatic stress disorder in Veterans Administration disability claims.

Efforts in one large program to meet an unprecedented challenge of the adequacy of psychiatric disability evaluation in the VA are described and 12 problems in the diagnostic process are reviewed.

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.

Misplaced rewards: Veterans' Administration system and symptom magnification.

The process of disability determination in the Veterans' Administration system and the maladaptive patterns of behavior that may develop in veterans attempting to qualify for disability benefits have

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.

Comparison of Successful, Unsuccessful, and Relapsed Vietnam Veterans Treated for Posttraumatic Stress Disorder

Veterans who had improved following treatment and had maintained a positive adjustment 18 months following treatment were found to have had lower rates of alcohol consumption and greater program participation than those who were unimproved or relapsed.

Physician-diagnosed medical disorders in relation to PTSD symptoms in older male military veterans.

  • P. SchnurrA. SpiroA. Paris
  • Medicine, Psychology
    Health psychology : official journal of the Division of Health Psychology, American Psychological Association
  • 2000
There was only weak evidence that PTSD mediated the effects of combat exposure on morbidity, and possible mediators of the relationship between combat exposure, PTSD, and physical morbidity are discussed.

Posttraumatic stress disorder in a national sample of female and male Vietnam veterans: risk factors, war-zone stressors, and resilience-recovery variables.

Although war-zone stressors appeared preeminent for PTSD in men, posttrauma resilience-recovery variables were more salient for women, and researchers, policymakers, and clinicians are urged to take a broad view on trauma and its sequelae.