Military Sexual Trauma: Improvements Made, but VA Can Do More to Track and Improve the Consistency of Disability Claim Decisions

Abstract

In 2012, 1 in 5 female and 1 in 100 male veterans told VA that they had experienced sexual abuse in the military. Referred to as military sexual trauma or MST, such abuse can result in disabling conditions like PTSD, which may entitle a veteran to VA benefits. Yet, establishing that MST occurred a prerequisite for approving these claims can be difficult, given that servicemembers may be unwilling to file formal complaints. In 2002, VA broadened the scope of allowable evidence for MST-related claims to include indicators, such as behavioral changes. Beginning in 2011, VBA took additional steps to clarify the 2002 changes. GAO was subsequently asked to review these actions. This report examines: (1) steps VA took to improve MST-related decisions, (2) results of its actions, and (3) the extent it is evaluating the quality of claim decisions. GAO reviewed relevant federal laws, regulations, and guidance; analyzed VA data on MST related claim decisions (fiscal years 2010-2013); interviewed national VBA and VHA officials, key advocates, and stakeholders, VBA officials at 5 of 57 regional offices (with varying workloads and quality review scores), and VHA examiners associated with 3 of these offices; and reviewed a nongeneralizable sample of 18 claim files completed in 2013 for examples of how evidence was evaluated

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Document Details

Document Type
Technical Report
Publication Date
Jun 01, 2014
Accession Number
ADA602644

Entities

Organizations

  • United States Government Accountability Office

Tags

DTIC Thesaurus Topics

  • Anxiety Disorders
  • Congress
  • Consistency
  • Department Of Defense
  • Department Of Veterans Affairs
  • Diseases And Disorders
  • Federal Law
  • Governments
  • Health Services
  • House Of Representatives
  • Law
  • Medical Personnel
  • Mental Health
  • Personnel Management
  • Sexual Assault
  • Traumatic Stress Disorder
  • United States Government

Readers

  • Government Contracting/Procurement.
  • Government and Public Administration Law.
  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.