The current topic on a gap in equity interrelated to mental health access for veterans are important in understanding the challenges faced by the veterans and develop the necessary solutions to help this population.
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Running Head: MENTAL HEALTH SERVICES FOR THE VETERANS Mental Health Services for the Veterans Name Institution
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MENTAL HEALTH SERVICES FOR THE VETERANS 2 Mental Health Services for the Veterans Introduction The current topic on a gap in equity interrelated to mental health access for veterans are important in understanding the challenges faced by the veterans and develop the necessary solutions to help this population. The veterans deployed to combat zones experience increased risks of mental health problems. Whilst many of the veterans return home from the deployment and reintegrate successfully into the civilian life, a huge proportion of these veterans develop mental health problems, comprising posttraumatic stress disorder (PTSD), major depression, as well as anxiety (Hester, 2017). There have been systems of care that have been developed for veterans and their families that include the Military Health System (MHS), nonmilitary private plus community healthcare providers and the Veterans Health Administration (VHA). However, despite these initiatives, there is a gap in equity for the veterans to access mental health services. Gap in Delivering Mental Health Access for Veterans America has become a nation, which is constantly at war. Majorly the war in Iraq and Afghanistan combined sent over 2 million troops into the war and this lead to over 6,800 deaths and 48,000 injuries. This has made the number veterans to increase and active duty members to suffer from some kind of mental diseases. This condition has fashioned a crisis among the veterans. Thus, the present uneven access to suitable mental healthcare amongst the veterans from war reflects the inequalities in the access to quality mental healthcare. Studies have
MENTAL HEALTH SERVICES FOR THE VETERANS 3 indicated that nearly half of the veterans that have PTSD are getting the needed treatment that they need in the United States (Cheneyet al., 2018). History of this Gap in Access to Healthcare The gap in access to mental health care can be traced back to the period of Vietnam wars. Thousands of military members developed profound symptoms of PTSD following their original journey to duty. The personnel developed these symptoms because of the nature of the war environment that they were exposed. The symptoms of PTSD might include flashbacks, nightmares, as well as grave anxiety plus unmanageable thoughts concerning the war events. In their struggle to cope with the traumatic events, the personnel engaged in diverse behaviors, like substance abused that led to a discharge of other than honorable (OTH). Over a third of veterans currently struggle to access mental health services within the VA systems despite a huge prevalence of PTSD (Jackson, 2017). Therefore, the gap in access to mental health services was produced by the Department of Veteran’s Affairs (VA) created it a necessity that the veterans get either a respectable or general discharge to qualify for the mental health services. This created a barrier towards access to quality mental health care for the veterans in the US. In addition, another barrier that resulted in gap in the access to mental health services was the long-wait lists because of shortage of mental health service providers, poor scheduling practices, as well as challenges concerned to transitioning from active duty care to veteran’s health systems (Cheneyet al., 2018). Impact of Socioeconomic Background
MENTAL HEALTH SERVICES FOR THE VETERANS 4 Many veterans are currently facing challenges in receiving care they need because there is lack of resources that could be used to support their mental care services. Unlike the civilians, their socioeconomic cannot allow them to access quality services that could help them to live positively with the civilians. The resources are not voluntarily obtainable in many VA hospitals plus health organizations because of the scarcity of decisive mental health staff, as well as the universal lack of support handling the crisis-intervention matters. Consequently, veterans who do not depend mainly on the Veteran Affairs healthcare delivery system to deal with their mental health requirements once they come back home from the war do not have easy admission to vital crisis-intervention services. Additionally, since most of the veterans do not have steady income, the present gap in access to mental health services will create more problems, such as substance abuse, and will eventually result in death (Hester, 2017). Affect Thus, the struggles for the veterans to access quality mental health services after multiple deployments has resulted in many suicidal behaviors, particularly amongst young military veterans. The current gap in access to mental health services has affected the lives of the veterans. The current inequality in access to care have worsened the physical health conditions of the veterans and if untreated, they may lead to considerable decreases in quality of life, job outcomes, family relationships, as well as general health. The gap in the way care is delivered to veterans has resulted in suicidal behaviors (Barnes, Walter & Chard, 2012). Additionally, the veterans could not access the mental health services since the VA does not offer the needed support to access care as seen in the long wait lists. This created a barrier towards access to
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MENTAL HEALTH SERVICES FOR THE VETERANS 5 quality mental health care for the veterans in the US. In addition, another barrier that resulted in gap in the access to mental health services was the long-wait lists because of shortage of mental health service providers, poor scheduling practices, as well as challenges concerned to transitioning from active duty care to veteran’s health systems (Brenner, Vanderploeg, & Terrio, 2009). Implications The current gap in accessing the mental health care services has created many problems among the veterans in the US. It is apparent that the growing gain in access of mental health services will worsen PTSD and resulted in more suicide cases among the veterans. Many veterans will likely to commit suicide because they are not able to access quality health services. The other problem that I predict is the case where many veterans will be homeless. The current situations will worsen and that the veterans will not be able to cope and will likely to become homeless (Hester, 2017). Conclusions The gap in equity related to mental healthcare access for veterans is a growing problem that needs to be addressed at an earlier stage and help the veterans to live a comfortable life and reduce cases of suicide. The government needs to address the gap in equity access by developing more programs to handle the growing numbers of the veterans.
MENTAL HEALTH SERVICES FOR THE VETERANS 6 References Barnes, S, Walter, K & Chard, K. (2012). Does a history of mild traumatic brain injury increase suicide risk in veterans with PTSD?Rehabil Psychol.57(1): 18–26. Brenner, L. A, Vanderploeg, R.D. & Terrio, H. (2009). Assessment and diagnosis of mild traumatic brain injury, posttraumatic stress disorder, and other polytrauma conditions: burden of adversity hypothesis.Rehabil Psychol.54(3):239–46. Cheney, A. M., Koenig, C. J., Miller, C. J., Zamora, K., Wright, P., Stanley, R. & Pyne, J. M. (2018). Veteran-centered barriers to VA mental healthcare services use.BMC health services research, 18(1), 591. Hester R. D. (2017). Lack of access to mental health services contributing to the high suicide rates among veterans.International journal of mental health systems, 11(1): 47-51. Jackson, G.S. (2017). The future of the affordable care act and insurance coverage.Am J Public Health.107(4):538–540.