{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T06:07:05Z","timestamp":1777529225319,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Integrative and Complementary Medicine"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To examine the extent to which the Veterans Health Administration Whole Health System of Care (VA Whole Health) has reached Veterans with multiple mental health diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>As part of a large-scale evaluation of VA Whole Health, Veterans were recruited from the 18 VA Whole Health pilot sites. In this cross-sectional evaluation, electronic health record data were used to examine the reach of core Whole Health educational and coaching activities and complementary and integrative health (CIH) use among Veterans across four mental health diagnostic groups: zero, one, two, or three diagnoses (i.e., anxiety, depression, post-traumatic stress disorder) in the past year. Logistic regression was used to determine the likelihood of core Whole Health and CIH use in each group, compared with each of the other diagnostic groups, adjusting for covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Veterans (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 9689; age = 64.1 years) were mostly men (86.8%) and White (75.3%). Veterans with more mental health diagnoses had higher odds of core Whole Health use, with adjusted odds ratios ranging from 1.19 (95% confidence interval [CI]: 1.02\u20131.38; two vs. one mental health diagnoses) to 2.36 (95% CI: 1.90\u20132.92; three vs. zero mental health diagnoses). Veterans with more mental health diagnoses also had higher odds of CIH use, with significant adjusted odds ratios ranging from 1.30 (95% CI: 1.05\u20131.62; three vs. two mental health diagnoses) to 2.29 (95% CI: 1.85\u20132.82; three vs. zero mental health diagnoses).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>VA Whole Health is designed to reach all Veterans, including those with complex health care needs, and this evaluation indicates promise that it is reaching this goal among Veterans with mental health concerns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jicm.2024.0766","type":"journal-article","created":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T12:17:06Z","timestamp":1739189826000},"page":"463-470","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Reaching Veterans with Cooccurring Mental Health Conditions Through the VA Whole Health System of Care"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0109-5999","authenticated-orcid":false,"suffix":"II","given":"David E.","family":"Reed","sequence":"first","affiliation":[{"name":"Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Healthcare System, Seattle, Washington, USA."},{"name":"Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound, Seattle, Washington, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles C.","family":"Engel","sequence":"additional","affiliation":[{"name":"Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound, Seattle, Washington, USA."},{"name":"Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bella","family":"Etingen","sequence":"additional","affiliation":[{"name":"Research and Development Service, Dallas VA Medical Center, Dallas, Texas, USA."},{"name":"Department of Health Economics, Systems, and Policy, Peter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justeen","family":"Hyde","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine, Chobanian &amp; Avedesian School of Medicine, Boston University, Boston, Massachusetts, USA."},{"name":"Center for Health Optimization and Implementation Research, VA Bedford Healthcare System, US Department of Veterans Affairs, Bedford, Massachusetts, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara G.","family":"Bokhour","sequence":"additional","affiliation":[{"name":"Center for Health Optimization and Implementation Research, VA Bedford Healthcare System, US Department of Veterans Affairs, Bedford, Massachusetts, USA."},{"name":"Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven B.","family":"Zeliadt","sequence":"additional","affiliation":[{"name":"Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Healthcare System, Seattle, Washington, USA."},{"name":"Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound, Seattle, Washington, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,2]]},"reference":[{"key":"e_1_3_5_2_2","volume-title":"Achieving Whole Health","author":"National Academies of Sciences E, Medicine","year":"2023","unstructured":"National Academies of Sciences E, Medicine. Achieving Whole Health. 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