Tribal Veterans Representative (TVR) Training Program: The Effect of Community Outreach Workers on American Indian and Alaska Native Veterans Access to and Utilization of the Veterans Health Administration

详细信息    查看全文

• 作者：L. Jeanne Kaufmann ; W. J. “Buck-Richardson Jr. ; James Floyd…
• 关键词：American Indian ; Alaska Native ; Veterans ; Rural ; Community outreach worker
• 刊名：Journal of Community Health
• 出版年：2014
• 出版时间：October 2014
• 年：2014
• 卷：39
• 期：5
• 页码：990-996
• 全文大小：231 KB
• 参考文献：1. Friedman, M. J., Ashcraft, M. L., Beals, J. L., et al. (1997). Matsunaga Vietnam Veterans Project, Vol. 1. White River Junction, VT: / National Center for Posttraumatic Stress Disorder and the National Center for American Indian and Alaska Mental Health Research.
  2. Westermeyer, J., Canive, J., Thuras, P., et al. (2002). Perceived barriers to VA mental health care among Upper Midwest American Indian veterans: Description and associations. / Medical Care, / 40(Suppl 1), 62-0.
  3. Kramer, B. J., Wang, M., Jouldjian, S., Lee, M. L., Finke, B., & Saliba, D. (2009). Veterans Health Administration and Indian Health Service: Healthcare utilization by Indian Health Service enrollees. / Medical Care, / 47, 670-76. CrossRef
  4. Holiday, L., Bell, G., Klein, R. E., & Wells, M. R. (2006). / American Indian and Alaska Native Veterans: Lasting contributions. Washington, DC: Department of Veterans Affairs, Office of Policy Assistant Secretary for Policy, Planning, and Preparedness.
  5. Beals, J., Manson, S., Shore, J., et al. (2002). The prevalence of posttraumatic stress disorder among American Indian Vietnam veterans: Disparities and context. / Journal of Traumatic Stress, / 15(2), 89-7. CrossRef
  6. American Indian Telemental Health video. (2012). Department of Veterans Affairs, Office of Rural Health, Rural Health Resource Center-Western Region, Native Domain.
  7. Native Americans and the US Military. Naval history and heritage. US Navy Web site. Accessed July 2013. http://www.history.navy.mil/index.html.
  8. American Indian and Alaska Native Service members and Veterans. (2012, September). Department of Veterans Affairs.
  9. Kaufman, C. E., Brooks, E., Kaufmann, L. J., et al. (2010). / Rural native veterans population report. Department of Veterans Affairs, Office of Rural Health, Rural Health Resource Center-Western Region, Native Domain.
  10. Kirchner, J. E., Farmer, M. S., Shue, V., et al. (2011). Partnering with communities to address mental health needs of rural veterans. / The Journal of Rural Health, / 27, 416-24. CrossRef
  11. Rost, K., Smith, G. R., & Taylor, J. L. (2008). Rural–urban differences in stigma and the use of care for depressive disorders. / The Journal of Rural Health, / 9, 57-2. CrossRef
  12. Kaufman, C. E., Brooks, E., Kaufmann, L. J., et al. (2013). Rural native veterans in the Veterans Health Administration: Characteristics and service utilization patterns. / The Journal of Rural Health, / 29(3), 304-10. CrossRef
  13. Tribal Veteran Representative Training Live Broadcast CD. (2006, November 15). Washington, DC: Department of Veterans Affairs Employee Education System (EES).
  14. Welcome Home OEF/OIF Tribal Veteran Outreach Program CD. (2007, January). Washington, DC: Department of Veterans Affairs Employee Education System (EES).
  15. Mack, M., Uken, R., & Powers, J. (2006). People improving the community’s health: Community health workers as agents of change. / Journal of Health Care for the Poor and Underserved, / 17(1), 16-5. CrossRef
  16. Renault, V. (2012). Chapter 23. Modifying access, barriers, and opportunities. Section?6. Using outreach to increase access. Community Tool Box Web site. Accessed Dec 2012. http://ctb.ku.edu/en/tablecontents/sub_section_main_1876.aspx.
  17. Glaun, K. (2009, May 11). How to conduct effective public benefits outreach to Native American populations. National Council on Aging Web site. Accessed Dec 2012. http://www.ncoa.org/enhance-economic-security/center-for-benefits/promising-practices/how-to-conduct-effective.html.
  18. Needle, R. H., Burrows, D., Friedman, S., et al. (2004). / Evidence for action: Effectiveness of community- / based outreach in preventing HIV/AIDS among injecting drug users. Geneva: World Health Organization.
  19. Community Health Workers Evidence-Based Models Toolbox. (2011, August). HRSA Office of Rural Health Policy. US Department of Health and Human Services, Health Resources and Services Administration.
  20. Tribal Veteran Representative (TVR) Resource Guide. (2012). Washington, DC: Department of Veterans Affairs Employee Education System (EES).
  21. Richardson, W. J. (2013). / Establishing effective outreach to veterans. Minority Veteran Outreach Program; Rocky Mountain Healthcare Network (VISN 19) Powerpoint presentation. Department of Veterans Affairs, Office of Rural Health Web site. Accessed July 2013. http://www.ruralhealth.va.gov/education/wbnreeov/EstablishingEffectiveOutreachtoVeterans.pdf.
  22. Shore, J., Kaufmann, L. J., Brooks, E., et al. (2012). Review of American Indian veteran telemental health. / Telemedicine and e-Health, / 18(2), 87-4. CrossRef
  23. IHS Year 2013 Profile Fact Sheet. (2013, January). Indian Health Service, Department of Health and Human Services (HHS) Web site. Accessed July 2013. http://www.ihs.gov/newsroom/factsheets/ihsyear2013profile/.
  
• 作者单位：L. Jeanne Kaufmann (1)
  W. J. “Buck-Richardson Jr. (2)
  James Floyd (3)
  Jay Shore (1)
  
  1. Veterans Rural Health Resource Center-Western Region, Native Domain, VA Office of Rural Health, UCD Mail Stop-F-800, 13055 East 17th Street, Aurora, CO, 80045, USA
  2. VA Rocky Mountain Healthcare Network (VISN 19), Ft. Harrison, MT, USA
  3. Jack C. Montgomery VAMC (VISN 16), Muskogee, OK, USA
  
• ISSN：1573-3610

文摘

American Indians and Alaska Natives serve at the highest rate of any US race or ethnic group, yet are the most underserved population of Veterans and do not take advantage of the Department of Veterans Affairs (VA) benefits and services. Barriers to seeking care include stigma, especially for mental health issues; distance to care; and lack of awareness of benefits and services they are entitled to receive. In response to this underutilization of the VA, an innovative program—the Tribal Veterans Representative (TVR) program—was developed within the VA to work with American Indians and Alaska Natives in rural and remote areas. The TVR goes through extensive training every year; is a volunteer, a Veteran and tribal community member who seeks out unenrolled Native Veterans, provides them with information on VA health care services and benefits, and assists them with enrollment paperwork. Being from the community they serve, these outreach workers are able to develop relationships and build rapport and trust with fellow Veterans. In place for over a decade in Montana, this program has enrolled a countless number of Veterans, benefiting not only the individual, but their family and the community as well. Also resulting from this program, are the implementation of Telemental Health Clinics treating Veterans with PTSD, a transportation program helping Veterans get to and from distant VA facilities, a Veteran Resource Center, and a Veteran Tribal Clinic. This program has successfully trained over 800 TVRs, expanded to other parts of the country and into remote areas of Alaska.