Jan A Lindsay
Biographic Data
| ID | 5381882 |
|---|---|
| NAME | Jan A Lindsay |
| GIVEN NAMES | Jan A |
| FAMILY NAME | Lindsay |
| SIGNATURE | LINDSAY J A |
| AFFILIATIONS | Michael E. DeBakey VA Medical Center |
| ORCID | 0000-0002-2853-0113 |
| VERIFIED | Yes |
| TOTAL WORKS | 14 |
| TOTAL CITATIONS | 20 |
| AUTHOR COUNT | 14 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Rural–Urban Differences in Use of Mental Health Care for Serious Mental Illness at the Veterans Health Administration
PURPOSE: Rural Veterans with serious mental illness (SMI) encounter significant barriers to accessing mental health care, related to SMI symptoms and rurality. A 2023 Government Accountability Office report found that rural Veterans used Veterans Health Administration (VHA) intensive mental health care for SMI less than urban Veterans relative to their population distributions. Our purpose was to deepen understanding of rural-urban differences in…
Developing Culturally Centered Outreach Materials for Rural Native Veterans
Phone‐only mental health care within the Department of Veterans Affairs
OBJECTIVE: This study explores factors associated with an increased likelihood of receiving mental health (MH) care exclusively via audio-only phone visits within the Department of Veterans Affairs (VA). METHODS: Included patients had ≥1 VA MH outpatient encounter between October 1, 2021-September 30, 2022 and October 1, 2022-September 30, 2023. Patients were divided into a "phone only" group and an "all other" group, which encompassed all patien…
Telemental Healthcare and HIV Care
Engaging Rural Women Veterans in Mental Health Research
Rural Veterans with HIV and Alcohol Use Disorder receive less video telehealth than urban Veterans
PURPOSE: Alcohol use disorder (AUD) is highly prevalent among Veterans with HIV. Rural Veterans with HIV are at especially high risk for not receiving appropriate treatment. This retrospective cohort cross-sectional study aimed to investigate patterns of mental health treatment utilization across delivery modality among Veterans diagnosed with HIV and AUD. It was hypothesized that rural Veterans with HIV and AUD would receive a lower rate of ment…
Telemental Health Use Is Associated With Lower Health Care Spending Among Medicare Beneficiaries With Major Depression
BACKGROUND: Some policymakers are concerned that expanding telehealth coverage may increase Medicare expenditures. However, there is limited evidence on the association of telehealth use with utilization and spending among Medicare beneficiaries with major depression. OBJECTIVE: To examine the differences in spending and utilization among telemental health users and non-telemental health users with major depression. METHODS: We examined 2014-2019…
Increasing access to care for trauma‐exposed rural veterans
PURPOSE: While rural veterans with trauma exposure report high rates of posttraumatic stress disorder (PTSD), depression, and functional impairment, utilization of health services is low. This pilot study used mixed qualitative and quantitative methods to evaluate the potential benefits of a transdiagnostic web-based skills training program paired with telehealth-delivered coaching to address a range of symptoms and functional difficulties. The s…
The Importance of Video Visits in the Time of Covid‐19
The Covid-19 pandemic has changed nearly every aspect of life recently, including mental health (MH) care. As a society, we have embraced connecting with friends and family over video to maintain our social connections. Video-to-Home (VTH) telehealth, conducting therapy over video platforms, has been demonstrated as clinically equivalent to in-person care.1 Before the pandemic, VTH was not uniformly offered. But it was gaining ground as a tool to…
Patient and provider predictors of telemental health use prior to and during the Covid-19 pandemic within the Department of Veterans Affairs
The current study examined patient and provider differences in use of phone, video, and in-person mental health (MH) services. Participants included patients who completed ≥ 1 MH appointment within the Department of Veterans Affairs (VA) from 10/1/17-7/10/20 and providers who completed ≥ 100 VA MH appointments from 10/1/17-7/10/20. Adjusted odds ratios (aORs) are reported of patients and providers: (a) completing ≥1 video MH appointment in the pr…
An Evidence‐Based Model for Disseminating‐Implementing Coordinated Anxiety Learning and Management in Department of Veterans Affairs’ Community‐Based Outpatient Clinics
PURPOSE: To explore the feasibility and utility of using a workshop, and supervision-consultation plus external facilitation to disseminate and implement cognitive-behavioral therapy in Veterans Affairs (VA) community-based outpatient clinics (CBOCs). METHODS: This study occurred in the context of a randomized controlled trial aimed at comparing 2 methods for implementing Coordinated Anxiety Learning Management (CALM) in VA CBOCs. A 3-phase (work…
Video to Home Delivery of Evidence-Based Psychotherapy to Veterans With Posttraumatic Stress Disorder
Background: The Veterans Health Administration (VHA) has pioneered the implementation of video to home (VTH) technology to increase access to mental health treatments for Veterans facing barriers to receiving in-person care, particularly for posttraumatic stress disorder (PTSD). Randomized controlled trials have established the noninferiority of evidence-based psychotherapies (EBPs) for PTSD delivered through VTH, compared to in-person delivery. …
Access to Care for Transgender Veterans in the Veterans Health Administration
A 2011 Veterans Health Administration directive mandated medically necessary care for transgender veterans. Internal education efforts informed staff of the directive and promoted greater access to care. For fiscal years 2006 through 2013, we identified 2662 unique individuals with International Classification of Diseases, Ninth Revision diagnoses related to transgender status in Veterans Health Administration medical records, with 40% of new cas…
The Influence of Baseline Marijuana Use on Treatment of Cocaine Dependence
The potential moderating effect of marijuana on cocaine treatment response should be considered in future trial designs. Applying Bayesian subgroup analysis proved informative in characterizing this patient-treatment interaction effect
Access to Care for Transgender Veterans in the Veterans Health Administration
A 2011 Veterans Health Administration directive mandated medically necessary care for transgender veterans. Internal education efforts informed staff of the directive and promoted greater access to care. For fiscal years 2006 through 2013, we identified 2662 unique individuals with International Classification of Diseases, Ninth Revision diagnoses related to transgender status in Veterans Health Administration medical records, with 40% of new cas…
Patient and provider predictors of telemental health use prior to and during the Covid-19 pandemic within the Department of Veterans Affairs
The current study examined patient and provider differences in use of phone, video, and in-person mental health (MH) services. Participants included patients who completed ≥ 1 MH appointment within the Department of Veterans Affairs (VA) from 10/1/17-7/10/20 and providers who completed ≥ 100 VA MH appointments from 10/1/17-7/10/20. Adjusted odds ratios (aORs) are reported of patients and providers: (a) completing ≥1 video MH appointment in the pr…
The Influence of Baseline Marijuana Use on Treatment of Cocaine Dependence
The potential moderating effect of marijuana on cocaine treatment response should be considered in future trial designs. Applying Bayesian subgroup analysis proved informative in characterizing this patient-treatment interaction effect
Access to Care for Transgender Veterans in the Veterans Health Administration
A 2011 Veterans Health Administration directive mandated medically necessary care for transgender veterans. Internal education efforts informed staff of the directive and promoted greater access to care. For fiscal years 2006 through 2013, we identified 2662 unique individuals with International Classification of Diseases, Ninth Revision diagnoses related to transgender status in Veterans Health Administration medical records, with 40% of new cas…
Video to Home Delivery of Evidence-Based Psychotherapy to Veterans With Posttraumatic Stress Disorder
Background: The Veterans Health Administration (VHA) has pioneered the implementation of video to home (VTH) technology to increase access to mental health treatments for Veterans facing barriers to receiving in-person care, particularly for posttraumatic stress disorder (PTSD). Randomized controlled trials have established the noninferiority of evidence-based psychotherapies (EBPs) for PTSD delivered through VTH, compared to in-person delivery. …
An Evidence‐Based Model for Disseminating‐Implementing Coordinated Anxiety Learning and Management in Department of Veterans Affairs’ Community‐Based Outpatient Clinics
PURPOSE: To explore the feasibility and utility of using a workshop, and supervision-consultation plus external facilitation to disseminate and implement cognitive-behavioral therapy in Veterans Affairs (VA) community-based outpatient clinics (CBOCs). METHODS: This study occurred in the context of a randomized controlled trial aimed at comparing 2 methods for implementing Coordinated Anxiety Learning Management (CALM) in VA CBOCs. A 3-phase (work…
The Importance of Video Visits in the Time of Covid‐19
The Covid-19 pandemic has changed nearly every aspect of life recently, including mental health (MH) care. As a society, we have embraced connecting with friends and family over video to maintain our social connections. Video-to-Home (VTH) telehealth, conducting therapy over video platforms, has been demonstrated as clinically equivalent to in-person care.1 Before the pandemic, VTH was not uniformly offered. But it was gaining ground as a tool to…
Patient and provider predictors of telemental health use prior to and during the Covid-19 pandemic within the Department of Veterans Affairs
The current study examined patient and provider differences in use of phone, video, and in-person mental health (MH) services. Participants included patients who completed ≥ 1 MH appointment within the Department of Veterans Affairs (VA) from 10/1/17-7/10/20 and providers who completed ≥ 100 VA MH appointments from 10/1/17-7/10/20. Adjusted odds ratios (aORs) are reported of patients and providers: (a) completing ≥1 video MH appointment in the pr…
Increasing access to care for trauma‐exposed rural veterans
PURPOSE: While rural veterans with trauma exposure report high rates of posttraumatic stress disorder (PTSD), depression, and functional impairment, utilization of health services is low. This pilot study used mixed qualitative and quantitative methods to evaluate the potential benefits of a transdiagnostic web-based skills training program paired with telehealth-delivered coaching to address a range of symptoms and functional difficulties. The s…
Rural Veterans with HIV and Alcohol Use Disorder receive less video telehealth than urban Veterans
PURPOSE: Alcohol use disorder (AUD) is highly prevalent among Veterans with HIV. Rural Veterans with HIV are at especially high risk for not receiving appropriate treatment. This retrospective cohort cross-sectional study aimed to investigate patterns of mental health treatment utilization across delivery modality among Veterans diagnosed with HIV and AUD. It was hypothesized that rural Veterans with HIV and AUD would receive a lower rate of ment…
Telemental Health Use Is Associated With Lower Health Care Spending Among Medicare Beneficiaries With Major Depression
BACKGROUND: Some policymakers are concerned that expanding telehealth coverage may increase Medicare expenditures. However, there is limited evidence on the association of telehealth use with utilization and spending among Medicare beneficiaries with major depression. OBJECTIVE: To examine the differences in spending and utilization among telemental health users and non-telemental health users with major depression. METHODS: We examined 2014-2019…
Developing Culturally Centered Outreach Materials for Rural Native Veterans
Phone‐only mental health care within the Department of Veterans Affairs
OBJECTIVE: This study explores factors associated with an increased likelihood of receiving mental health (MH) care exclusively via audio-only phone visits within the Department of Veterans Affairs (VA). METHODS: Included patients had ≥1 VA MH outpatient encounter between October 1, 2021-September 30, 2022 and October 1, 2022-September 30, 2023. Patients were divided into a "phone only" group and an "all other" group, which encompassed all patien…
Telemental Healthcare and HIV Care
Engaging Rural Women Veterans in Mental Health Research
Rural–Urban Differences in Use of Mental Health Care for Serious Mental Illness at the Veterans Health Administration
PURPOSE: Rural Veterans with serious mental illness (SMI) encounter significant barriers to accessing mental health care, related to SMI symptoms and rurality. A 2023 Government Accountability Office report found that rural Veterans used Veterans Health Administration (VHA) intensive mental health care for SMI less than urban Veterans relative to their population distributions. Our purpose was to deepen understanding of rural-urban differences in…
Medicine (12 works) · Mental health (9 works) · Health care (8 works) · Psychiatry (8 works) · Psychology (8 works) · Veterans Affairs (8 works) · Telehealth (7 works) · Telemedicine (6 works) · Telemedicine and Telehealth Implementation (6 works) · Mental Health Treatment and Access (5 works)