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. 2015 Jan 8:3:2050312114566488.
doi: 10.1177/2050312114566488. eCollection 2015.

Mental health utilization among older Veterans with coexisting depression and dementia

Elizabeth A DiNapoli  1 , Jeffrey A Cully  2 , Juliette M Mott  3 , Natalie E Hundt  2 , Joseph Mignogna  2 , Shubhada Sansgiry  4 , Hong Jen Yu  2 , Lisa H Trahan  1 , Mark E Kunik  2
Affiliations

Mental health utilization among older Veterans with coexisting depression and dementia

Elizabeth A DiNapoli et al. SAGE Open Med. .

Abstract

Objective: We compared mental health service utilization among older, depressed Veterans (60 years or older) with and without coexisting dementia.

Methods: This retrospective study examined data from the 2010 Veterans Health Administration National Patient Care Database outpatient treatment files of Veterans with a newly recognized diagnosis of depression (N = 177,710).

Results: Approximately 48.84% with coexisting depression and dementia and 32.00% with depression only received mental health services within 12 months of diagnosis (p < .0001). Veterans with coexisting depression and dementia were more likely to receive medication-management appointments (33.40% vs 20.62%), individual therapy (13.39% vs 10.91%), and family therapy (3.77% vs 1.19%) than depressed Veterans without dementia.

Conclusion: In general, Veterans with recently diagnosed depression are significantly underusing Veterans Affairs mental health treatment services. Those Veterans who have comorbid dementia are more likely than those with just depression to be enrolled in mental health treatments. Systemic improvements are needed to increase use of mental health services for older, depressed Veterans.

Keywords: Mental health service utilization; Veterans; dementia; depression.

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Conflict of interest statement

Declaration of conflicting interest: The attitudes expressed are those of the authors and do not necessarily reflect those of the Department of Veterans Affairs, US government, or Baylor College of Medicine.

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