Journal of Rehabilitation Research & Development (JRRD)

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Volume 52 Number 6, 2015
   Pages 725 — 738

Abstract — E-mental health preferences of Veterans with and without probable posttraumatic stress disorder

Julia M. Whealin, PhD;1–2* L. Alana Seibert-Hatalsky, PhD;1 Jennifer Willett Howell, PhD;1 Jack Tsai, PhD3

1Department of Veterans Affairs (VA) Pacific Islands Health Care System, Honolulu, HI; 2Department of Psychiatry, University of Hawaii School of Medicine, Manoa, HI; 3VA New England Mental Illness, Research, Education, and Clinical Center, West Haven, CT, and Department of Psychiatry, Yale School of Medicine, New Haven, CT

Abstract — Mental health care practices supported by electronic communication, referred to as e-mental health, offer ways to increase access to mental health resources. In recent years, e-mental health interventions using clinical video teleconferencing, Internet-based interventions, social networking sites, and telephones have emerged as viable, cost-effective methods to augment traditional service delivery. Whereas some research evaluates attitudes about e-mental health, few studies have assessed interest in using these approaches in a contemporary sample of U.S. Veterans. This study sought to understand willingness to use e-mental health in a diverse group of Veterans residing in Hawaii. Mailed surveys were completed by 600 Operation Iraqi Freedom/Operation Enduring Freedom Veterans and National Guard members. Results suggest that overall willingness to use e-mental health ranged from 32.2% to 56.7% depending on modality type. Importantly, Veterans who screened positive for posttraumatic stress disorder (PTSD) were significantly less likely to report willingness to use each e-mental health modality than their peers without PTSD, despite their greater desire for mental health services. These results suggest that despite solutions to logistical barriers afforded via e-mental health services, certain barriers to mental health care may persist, especially among Veterans who screen positive for PTSD.

Key words: barriers to care, e-mental health, OIF/OEF, posttraumatic stress disorder, preferences, rural health, technology, telemental health, treatment accessibility, Veterans.


View HTML ¦ View PDF ¦ Contents Vol. 52, No.6

This article and any supplementary material should be cited as follows:
Whealin JM, Seibert-Hatalsky LA, Howell JW, Tsai J. E-mental health preferences of Veterans with and without probable posttraumatic stress disorder. J Rehabil Res Dev. 2015;52(6):725–38.
http://dx.doi.org/10.1682/JRRD.2014.04.0113
ResearcherID: Julia M. Whealin, PhD: J-8819-2015; Jack Tsai, PhD: D-3889-2013
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