From: Veteran-centered barriers to VA mental healthcare services use
Dimension 1 | Dimension 2 | Dimension 3 | Dimension 4 | Dimension 5 |
---|---|---|---|---|
Worry and concern about what others think | Financial, personal, and physical obstacles | Confidence in the VA healthcare system | Navigating VA benefits and healthcare services | Privacy, security, and abuse of services |
Racism (31)a | Homelessness (14) | No follow-up from doctors or counselors (28) | Lack of knowledge and understanding (43) | Fearing of losing security clearance (45) |
Stigma (32) | Health, injury, sickness (26) | Problems with scheduling appointments (13) | Concerns about getting mental healthcare (4) | Fear of using video teleconferencing (example: V-tel) (9) |
Judgment (30) | Having other priorities (example: life getting in the way) (12) | Too few providers and staff (15) | Paperwork is daunting (example: VA referral forms are hard to fill out) (33) | Losing rights fought for (39) |
Perception of mental healthcare (20) | Not having steady employment (36) | Lack of available treatment (16) | Outreach about VA healthcare (3) | Veterans abusing system (29) |
Civilians not understanding what veterans have gone through (11) | Legal issues (1) | No follow-up from VA (40) | Problems with getting service connected disability (23) | |
“Suck it up” mentality (6) | Finances (example: not having enough money) (37) | Appointments are hard to get (10) | Mental health not asked about in primary care (5) | |
Friends, family, doctor thinking you’re “crazy” (38) | Childcare (44) | Clinics respond slowly to Veterans in crisis (25) | Knowledge of where to go and who to contact for mental health services (18) | |
Trust (41) | Cost of travel (46) | Providers changing jobs or leaving (35) | Knowledge of what kinds of mental health treatments are available (27) | |
Worry about what others think (24) | Travel distance (19) | Waiting for appointments (34) | ||
Weakness (example: feeling like a failure or weak) (42) | Transportation problems (7) | |||
Anxiety (22) | ||||
Alcohol and drug use (8) |