VA Health Care: Improvements Needed to the Monitoring of Antidepressant Use for Major Depressive Disorder and the Accuracy of Suicide Data

Abstract

In 2013, VA estimated that about 1.5 million veterans required mental health care, including for MDD. MDD is a debilitating mental illness related to reduced quality of life and increased risk for suicide. VA also plays a role in suicide risk assessment and prevention. This testimony addresses the extent to which (1) veterans with MDD who are prescribed an antidepressant receive recommended care and (2) VAMCs are collecting information on veteran suicides as required by VA. The testimony is based on GAO's November 2014 report, VA Health Care: Improvements Needed in Monitoring Antidepressant Use for Major Depressive Disorder and in Increasing Accuracy of Suicide Data (GAO-15-55). For that report GAO analyzed VA data, interviewed VA officials, and conducted site visits to six VAMCs selected based on geography and population served. GAO also reviewed randomly selected medical record for five veterans from each of the six VAMCs, for veterans diagnosed with MDD and prescribed an antidepressant in 2012, as well as all completed BHAP templates. The results cannot be generalized across VA. GAO followed up in May 2015 to determine the status of GAO's previous recommendations.

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Document Details

Document Type
Technical Report
Publication Date
Jun 10, 2015
Accession Number
AD1173064

Entities

People

  • Randall B. Williamson

Organizations

  • United States Government Accountability Office

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Accuracy
  • Antidepressants
  • Department Of Defense
  • Department Of Veterans Affairs
  • Depression
  • Diseases And Disorders
  • Electronic Mail
  • Governments
  • Health
  • Health Care
  • Health Services
  • House Of Representatives
  • Mental Disorders
  • Mental Health
  • Mental Health Services
  • Quality Of Life
  • Risk
  • Risk Analysis
  • Template Patterns
  • United States
  • United States Government

Fields of Study

  • Medicine
  • Psychology

Readers

  • Government Contracting/Procurement.
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.
  • Rehabilitation and Prosthetic Care for Military Service Members and Veterans with Limb Loss or Disability.