{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T13:18:36Z","timestamp":1781875116074,"version":"3.54.5"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"9","funder":[{"name":"Department of Veterans Affairs Rehabilitation Research and Development Service","award":["RX001316"],"award-info":[{"award-number":["RX001316"]}]},{"name":"Department of Veterans Affairs Rehabilitation Research and Development Service","award":["RX003120"],"award-info":[{"award-number":["RX003120"]}]},{"name":"VA HSRD","award":["CDA 13-263"],"award-info":[{"award-number":["CDA 13-263"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The Veterans Health Administration (VHA) is undergoing a transformational shift from disease-focused care to a Whole Health model that emphasizes physical, mental, emotional, and spiritual health and well-being. As this shift is occurring, women veterans using VHA services face challenges navigating a system that has historically served a primarily male demographic, without consistent consensus on which services require specialization by gender. A quality improvement project was conducted to solicit feedback on VHA behavioral and wellness programs from women veterans enrolled in VHA mental healthcare services. A multi-disciplinary work group of clinical researchers and healthcare providers developed a needs assessment survey to assess patient needs and preferences for behavioral health services. A convenience sample of female veterans using VHA mental healthcare services within a comprehensive Women\u2019s Health Clinic were invited to complete this anonymous survey. 107 women Veterans 18\u201365+ years old (65.3% African American; 5.9% LatinX; 54.2% aged under 55) completed the survey. Over 50% of patients endorsed relationships, physical activity, sleep\/nightmares, pain management, anger, or spiritual\/moral pain as top wellness priorities. Programatic preferences included location (located at the main VA Hospital) and gender composition (female only group formats). Schedule conflicts were the most frequently cited barriers. Results from this quality improvement project highlight considerations for tailoring the content and delivery of behavioral services for women veterans with mental health conditions.<\/jats:p>","DOI":"10.1093\/tbm\/ibab057","type":"journal-article","created":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T13:57:31Z","timestamp":1622728651000},"page":"1676-1681","source":"Crossref","is-referenced-by-count":6,"title":["Patient-centered behavioral services for women veterans with mental health conditions"],"prefix":"10.1093","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0256-0362","authenticated-orcid":false,"given":"Michelle M","family":"Pebole","sequence":"first","affiliation":[{"name":"Department of Kinesiology and Community Health, University of Illinois at Urbana Champaign, Champaign, IL, USA"},{"name":"Geriatric Research, Education, and Clinical Center, Durham Veterans Affairs Healthcare System, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth E","family":"VanVoorhees","sequence":"additional","affiliation":[{"name":"Durham Veterans Affairs Medical Center, Durham, NC, USA"},{"name":"Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nivedita","family":"Chaudhry","sequence":"additional","affiliation":[{"name":"Durham Veterans Affairs Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen M","family":"Goldstein","sequence":"additional","affiliation":[{"name":"Durham Veterans Affairs Medical Center, Durham, NC, USA"},{"name":"Department of Medicine, Duke University, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jillian","family":"Thompson","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Service, Durham Veterans Affairs Healthcare System, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3788-0414","authenticated-orcid":false,"given":"Ryan","family":"Parker","sequence":"additional","affiliation":[{"name":"Chaplain Service, Durham Veterans Affairs Healthcare System, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly M","family":"Caron","sequence":"additional","affiliation":[{"name":"Durham Veterans Affairs Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9834-2011","authenticated-orcid":false,"given":"Katherine S","family":"Hall","sequence":"additional","affiliation":[{"name":"Geriatric Research, Education, and Clinical Center, Durham Veterans Affairs Healthcare System, Durham, NC, USA"},{"name":"Department of Medicine, Duke University, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,6,3]]},"reference":[{"key":"2021100715422433100_CIT0001","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1097\/MLR.0000000000000226","article-title":"Whole health","volume":"52","author":"Krejci","year":"2014","journal-title":"Med Care"},{"issue":"4","key":"2021100715422433100_CIT0002","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1097\/MLR.0000000000001316","article-title":"Transforming the veterans affairs to a whole health system of care: Time for action and research","volume":"58","author":"Bokhour","year":"2020","journal-title":"Med Care."},{"key":"2021100715422433100_CIT0003","doi-asserted-by":"crossref","first-page":"S125","DOI":"10.1097\/MLR.0000000000001357","article-title":"Participating in complementary and integrative health approaches is associated with veterans\u2019 patient-reported outcomes over 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