Unmet need for mental health care among veterans receiving palliative care: assessment is not enough. Academic Article uri icon

Overview

MeSH

  • Aged
  • Health Services Accessibility
  • Humans
  • Needs Assessment
  • Retrospective Studies
  • Stress, Psychological
  • United States

MeSH Major

  • Health Services Needs and Demand
  • Mental Health Services
  • Palliative Care
  • Veterans

abstract

  • To determine whether inpatient palliative care teams' assessments of psychological distress affect receipt of in-hospital mental health care (psychotherapy, psychological support, and health and behavior interventions) for seriously ill veterans. Retrospective review of medical records from 287 seriously ill veterans who received inpatient palliative care consults between 2008 and 2010 in the NY/NJ Veterans Healthcare Network. Of the veterans who were cognitively or physically able to answer questions on the Condensed Memorial Symptom Assessment Scale, 44% reported psychological distress. Of those with distress, 38% accessed mental health care. In logistic regression models adjusted for sociodemographic and health characteristics, there was no evidence that psychological distress reported during the palliative care consult was associated with subsequent mental health care receipt from any type of provider. Efforts to increase mental health care to psychologically distressed palliative care patients need to convert assessments into receipt of needed care. Published by Elsevier Inc.

publication date

  • June 2014

has subject area

  • Aged
  • Health Services Accessibility
  • Health Services Needs and Demand
  • Humans
  • Mental Health Services
  • Needs Assessment
  • Palliative Care
  • Retrospective Studies
  • Stress, Psychological
  • United States
  • Veterans

Research

keywords

  • Journal Article

Identity

Language

  • eng

PubMed Central ID

  • PMC3980201

Digital Object Identifier (DOI)

  • 10.1016/j.jagp.2013.08.008

PubMed ID

  • 24119857

Additional Document Info

start page

  • 540

end page

  • 544

volume

  • 22

number

  • 6