Evaluation of the Department of Veterans Affairs Mental Health Services (2018) / Chapter Skim
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Appendix B: Supporting Documentation for the Site Visits: Questionnaires and NVivo Codes
Appendix B: Supporting Documentation for the Site Visits: Questionnaires and NVivo Codes
Pages 417-440
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From page 417... ...
Westat is under contract to the Institute of Medicine (IOM) , part of the National Academy of Sciences, to undertake a Congressionally mandated study of the array of mental health services available to OIF/OEF/OND veterans through the VA (for example, individual or group therapy, substance abuse treatment, etc.)
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From page 418... ...
We will also submit reports summarizing our findings across multiple sites to a committee that has been assembled through the Institute of Medicine; the committee will then incorporate our findings into a larger, overall report that will go to the Department of Veterans Affairs and the Congress. [If an IOM committee member is attending the visit, then note that s/he also will prepare a brief report that will be submitted to the IOM's public access file for the study.]
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From page 419... ...
Please tell us your first name only, what department you work in and your area of training (for example, "I'm a psychiatrist, but I work in primary care") , how long you've been there, and, briefly, what role you have in providing mental health services to OIF/OEF/OND veterans.
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From page 420... ...
, e.g., veterans with particular mental health issues (e.g., veterans with MST) or specific demographic characteristics (e.g., women, minorities)
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From page 421... ...
We work for Westat, a research organization based in Rockville, MD. Westat is under contract to the Institute of Medicine, part of the National Academy of Sciences, to undertake a Congressionally mandated study assessing the array of mental health services available to OIF/OEF/OND veterans through the VA (for example, individual or group therapy, substance abuse treatment, etc.)
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From page 422... ...
You should understand that a certificate of confidentiality does not prevent you, or a member of your family, from voluntarily releasing information about yourself, your family, or your involvement in this study. If an insurer or employer learns about your participation, and obtains your consent to receive research information, then we may not use the certificate of confidentiality to withhold this information.
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From page 423... ...
B. Have any of you ever requested a change in the kind of treatment you're receiving or asked for a different staff member to help you with your mental health issues? How did staff at this facility respond to your requests?
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From page 424... ...
VII. CLOSING Is there anything we didn't ask you about, but that you think is important for us to know to understand your experiences receiving mental health services at [this VA facility]
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From page 425... ...
We work for Westat, a research organization based in Rockville, MD. Westat is under contract to the Institute of Medicine, part of the National Academy of Sciences, to undertake a Congressionally mandated study of the array of mental health services available to Iraq and Afghanistan war veterans through the VA (for example, individual or group therapy, substance abuse treatment, etc.)
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From page 426... ...
Please tell us what your background is (e.g., social work, psychiatry, nursing) , what kind of mental health services you provide to OIF/OEF/OND veterans, and how long you've been working with the population.
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From page 427... ...
VII. CLOSING Is there anything we didn't ask you about, but that you think is important for us to know to understand how your agency serves Iraq and Afghanistan war veterans?
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From page 428... ...
We work for Westat, a research organization based in Rockville, MD. Westat is under contract to the Institute of Medicine, part of the National Academy of Sciences, to undertake a Congressionally mandated study assessing the array of mental health services available to veterans of the wars in Iraq and Afghanistan through the VA (for example, individual or group therapy, substance abuse treatment, etc.)
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From page 429... ...
The only time we would need to break confidentiality is if we heard that someone was planning to harm him/herself or someone else. The main risk to you in participating is that you may feel uncomfortable sharing your experiences in front of others.
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From page 430... ...
PROBE ON STIGMA, NEGATIVE PERCEPTIONS OF VA SERVICES, ETC. • IF WANTED BUT NEVER RECEIVED VA SERVICES Why didn't you go through the VA for mental health assistance?
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From page 431... ...
We work for Westat, a research organization based in Rockville, MD. Westat is under contract to the Institute of Medicine, part of the National Academy of Sciences, to undertake a Congressionally mandated study assessing the array of mental health services available to veterans of the wars in Iraq and Afghanistan through the VA (for example, individual or group therapy, substance abuse treatment, etc.)
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From page 432... ...
If an insurer or employer learns about your participation, and obtains your consent to receive research information, then we may not use the certificate of confidentiality to withhold this information. This means that you and your family must also actively protect your own privacy.
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From page 433... ...
VI. GOING FORWARD What advice would you give to other family members or friends who are trying to get their friends/family members who are veterans of the wars in Iraq and Afghanistan into services for mental health disorders?
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From page 434... ...
By community providers? • How much stigma do veterans who receive mental health treatment face?
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From page 435... ...
. Unique Outreach Practices Instances where an interviewee described an outreach strategy that seemed really new and different.
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From page 436... ...
Media Bad reputation via media reports, press coverage, negative incidents. Rumor Mill Use for instances of the rumor mill among peers or the local community (not relatives)
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From page 437... ...
LGBT Specific Issues Specific discussions related to LGBT access to care. Military Cultural Expectations Refers to carryover from the Veteran's experience in the military -- "suck it up, buttercup," worries that the docs will be as bad as military docs, worries that there will be no confidentiality like in DoD, etc.
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From page 438... ...
Modification to Evidence Based Code all instances in which VA staff or Vet Center staff indicate that they have Therapy (EBT) somehow modified the EBT they are discussing.
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From page 439... ...
Recommendations for Therapies Recommendations specifically having to do with treatment, therapeutic options, etc. Alternative Therapies Recommendations for non-traditional treatments, including yoga, mindfulness, use of medical marijuana, etc.
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Key Terms
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