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"Hit or Miss": Rural Veterans' Experiences Receiving Community Mental Health Care.

Patricia V Chen1,2,3,4, Jessica Walsh2,3,4,5, Ashley H Smith1,3,4

  • 1Center for Innovations in Quality, Effectiveness and Safety, Houston, Texas, USA.

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|April 11, 2026
PubMed
Summary
This summary is machine-generated.

Community care (CC) improved mental health access for Veterans, but rural Veterans faced quality concerns and continuity gaps. Further research is needed to address these challenges for improved Veteran healthcare.

Keywords:
Veteranscommunity caremental healthpatient experiencequalitative methods

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Area of Science:

  • Health Services Research
  • Rural Health
  • Mental Health Services

Background:

  • Veteran Health Administration (VHA) community care (CC) for mental health is rapidly increasing.
  • Limited research exists on rural Veterans' experiences with community mental health services.

Purpose of the Study:

  • To explore the advantages and disadvantages of community mental health care for rural Veterans.
  • To understand the lived experiences of rural Veterans accessing mental health services outside the VHA.

Main Methods:

  • Qualitative interviews were conducted with 30 rural Veterans receiving community mental health care.
  • Purposive sampling identified Veterans through VHA data in the southcentral United States.
  • Thematic analysis was used to identify key themes from interview data.

Main Results:

  • Most Veterans reported satisfaction with the quality of community mental health care received.
  • Some Veterans experienced unprofessionalism and a lack of military-specific expertise from community providers.
  • Rural Veterans continued to face access barriers, including limited provider availability and difficulties navigating multiple health systems, impacting care continuity.

Conclusions:

  • Community care has enhanced mental health care accessibility for Veterans.
  • Significant concerns remain regarding the quality of care and continuity of care for rural Veterans utilizing community mental health services.