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Service Members with PTSD and Depression Have Complex Service Needs

• Both cohorts suffer high rates of comorbid psychological health conditions.

Administrative Data–Based Quality Measures for PTSD and Depression Identified Important Strengths and Some Areas for Improvement

• The Military Health System (MHS) generally performs well in the areas of initiating psychotherapy and follow-up after hospitalization, but is inconsistent or weaker in the areas of medication management and ongoing care.

Adequate Medication Trial Rate is Similar to or Higher than Estimates from Other Health Care Systems, and Rates of Follow-Up Medication Management are Similar but Low

A High Proportion of Service Members with PTSD or Depression Received at Least Some Psychotherapy, But the Number of Visits Appear to Be Inadequate to Allow Delivery of Evidence-Based Psychotherapy

• The MHS largely succeeds in providing patients with an initial psychotherapy visit, but could improve rates of delivering ongoing treatment.

The MHS Is a Leader in Achieving High Rates of Follow-up After Psychiatric Hospitalization

• High rates of follow-up after psychiatric hospitalization relative to other health care systems may be related to a 2011 MHS mandate describing follow-up procedures for missed behavioral health appointments.

Quality of Care for PTSD and Depression Varied by Service Branch, TRICARE Region, and Service Member Characteristics

• For example, rates of follow-up within seven days after a mental health hospitalization differed across service branches by up to 14 percent, and rates of adequate filled prescriptions for targeted medications varied by pay grade by up to 29 percent.