Bridging the gap: A qualitative study on veterans' experiences with systemic barriers and support during transition

Many veterans face complex challenges during the transition from military to civilian life, particularly when navigating healthcare and benefits systems. This qualitative study examines how recently separated veterans with service‑connected musculoskeletal disorders perceive and navigate systemic barriers within Department of Defense and Veterans Affairs transition and healthcare systems. Semi‑structured interviews were conducted with 20 veterans within one year of separation who had filed a musculoskeletal service‑connection claim. Using a rapid qualitative analytic approach, interviews captured experiences with the discharge process, transition programming, and efforts to access healthcare and benefits. Analysis identified four major themes: the interaction of physical, psychological, and bureaucratic stressors during discharge, particularly salient for those managing musculoskeletal conditions; varied and often critical views of transition programming, which many perceived as generic and misaligned with individual needs; systemic barriers to care and benefits, including delays, fragmented processes, and cultural norms that discourage disclosure; and recommendations emphasizing continuity of care, case management, and emotional support to address identity disruption and loss of purpose. Overall, the findings highlight persistent structural and cultural obstacles that complicate transition and hinder early engagement with services. Improved coordination, continuity‑oriented supports, and psychologically responsive programming may reduce these barriers. Further research is needed to evaluate scalable models that enhance early post‑separation outcomes.