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HCM 3403-2 Final Project Milestone One: Topic SelectionA gap in equity related to theaccess to mental health initiatives, or the lack thereof, for veterans across nations is a notion that affects these same established and long-servingpeoplein more ways than one. More specifically, a disparity that...

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  • December 30, 2020
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HCM 340
3-2 Final Project Milestone One: Topic Selection

A gap in equity related to theaccess to mental health initiatives, or the lack thereof, for

veterans across nations is a notion that affects these same established and long-servingpeoplein

more ways than one. More specifically, a disparity that will more clearly and concisely draw the

conclusion that the gap in equity between the access to mental health and the overall wellbeing

of our veterans existsis the concept of race and other socioeconomic factors that largely affect

military veterans after the duration of their service (Tsai et al., 2014). Alongside the above-

mentioneddisparity, notions of PTSD, or post-traumatic stress disorder, are also

conceptualizations that factor around the reintegration into civilian life. Both the disparities in

relation to one’s socioeconomic and racial background, as well as how PTSD will affect a

veteran’s mental health, are justifiable reasons in how each will affect specific demographics

within a population. According to the Department of Veterans Affairs Mental Health Services,

roughly 72% of veterans are under the age of 50, the most common group being between the

ages of 30 to 39 years old, 21% of this demographic being female(Department of Veterans

Affairs, 2018). Out of the previously mentioned range, 66% of veterans are of the non-Hispanic

descent, 13% of the population being of the non-Hispanic black descent, and 9% of the

demographic being of the Asian, Pacific Islander, and American Indian and Alaska Native

descents (Department of Veterans Affairs, 2018). Although almost half of the above-mentioned

veterans have 4-year college degrees, only about three-quarters of them are employed, creating a

disconnect between their time dutifully served and how they are treated post-service (Department

of Veterans Affairs, 2018). Alongside this, roughly 11% of veterans lack health insurance,

making the aforementioned disconnect even broader (Department of Veterans Affairs, 2018).

, The access to mental health variables and its associated factors that have to do with its

origination clearly dictates whether or not the gap in the access to mental health awareness for

veterans has been a long awaited issue throughout history or if it’s one that’s just recently come

into fruition. In 1955, the Central Neuropsychiatric Research Laboratory at Perry Point VA

Medical Center came upon the idea of setting forth randomized trials for the treatment of chronic

schizophrenia that would shed more light on the design and overall structure of various medical

trials revolving around chronic conditions similar to schizophrenia (Copeland, 2010). Five years

after the fact, a Chairman of the original Cooperative Studies Evaluation Committee (CSEC)

drew several conclusions that outlined the key elements most significant within a controlled

clinical trial having to do with schizophrenic episodes found in former veteran patients

(Copeland, 2010). It can be concluded that while significant gaps in the access to mental

healthcare have been present since the mid-1950s, veterans today still find it difficult to seek the

help they require when referring to their mental health and how to gauge what’s best for them

long term.

Alongside the ever-present gaps in one’s access to healthcare first stemming from the

1950s, one’s socioeconomicstandpoint also correlates with whether or not they are able to access

affordable healthcare in the areas in which they currently live. The coming together of evidence

from the Journal of Traumatic Stress dictates that the lower the socioeconomic status of a person,

the more likely a chance that a person may have reduced access to mental health services

(Sripada et al., 2015). Being that mental illness among the military service, national guard, and

veterans are a major public health concern, they oftentimes exhibit higher rates of PTSD,

depression, and other interpersonal difficulties that may pose as more of an issue than what

mental health wellness initiatives are currently letting on (Sripada et al., 2015).The direct impact

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