Evaluation of Universal Screening for Military-Related Sexual Trauma

OBJECTIVES: In response to growing concerns about sexual violence as an underrecognized traumatic consequence of military service, Veterans Health Administration policy requires universal screening for sexual trauma sustained during military service. This prospective study, the first to evaluate national efforts to screen for military sexual trauma, investigated whether sexual trauma screening is associated with increased utilization of mental health services. METHODS: This study examined data for all male (N=540,381) and female (N=33,259) veterans who had valid responses to screens for military sexual trauma in 2005. The use of mental health services during the three months after screening was examined for persons who screened positive for military sexual trauma and for those who screened negative. Findings were stratified by use of mental health services in the six months before the screening. RESULTS: Compared with negative screens, positive screens were associated with significantly increased rates of postscreen mental health treatment. A more than twofold increase was observed for patients without previous use of mental health treatment (women: relative risk [RR]=2.52, 95% confidence interval [CI]= 2.38-2.66; men: RR=2.47, 95% CI=2.34-2.61). In this group, the number of positive screens needed for one additional patient to access treatment was 5.5 for women and 7.2 for men. CONCLUSIONS: Our findings suggest that detection via screening is associated with increased rates of mental health treatment. An effective screening program that promotes detection of sexual trauma and access to mental health care can help to reduce the burden of psychiatric illness for those who have experienced military sexual trauma
Street,Amy E.
Smith,Mark W.
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Psychiatric Services
In 2005, 33,259 women and 540,381 men were screened for military sexual trauma which the Veterans Health Administration refers to military sexual trauma as severe or threatening forms of sexual harassment and sexual assault sustained in military service. The purpose of the study was to evaluate screening efforts and to explore if there was association with increased use of mental health services and sexual trauma screening. Women and men who had positive screens had higher rates of post screen mental health treatment. The screens increased utilization of mental health services among individuals without a history of mental health treatment.
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evaluation, medical response, military
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