Caregiver contributions to older Veterans’ mental health utilization: New opportunities for exploring caregiving roles and impacts

Abstract: Older Veterans who utilize the Veterans Health Administration (VHA) represent the largest group of older adults in the United States receiving care via an integrated healthcare system where mental health providers are embedded into settings including primary care, home-based primary care, and nursing homes. Wyman and colleagues1 address an important and unique question: is the presence of informal caregiving assistance, such as from family and friends, and/or formal caregiving assistance, such as from paid caregivers, associated with greater mental health service utilization among older Veterans? The authors leveraged the robust data set from the Health and Retirement Study (HRS) and linked it to VHA data. Specifically, this approach utilized HRS's embedded assessments of mood and cognition alongside the questions about receipt of caregiver services and connected these data with VHA administrative data regarding specific clinic encounters to determine mental health utilization in specialty mental health clinics (mental health or substance use) and primary care based services.

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