• Nursing outlook · May 2021

    Barriers to PTSD treatment-seeking by women veterans who experienced military sexual trauma decades ago: The role of institutional betrayal.

    • Ursula A Kelly.
    • Atlanta VA Health Care System, Decatur, GA; Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA. Electronic address: Ursula.Kelly@va.gov.
    • Nurs Outlook. 2021 May 1; 69 (3): 458-470.

    BackgroundWhile some barriers to PTSD treatment engagement among veterans are well-identified, e.g., stigma, little is known about the barriers to VA PTSD treatment-seeking among women veterans who experienced military sexual trauma (MST) decades ago.PurposeTo explore the barriers to PTSD treatment-seeking of women veterans with PTSD related to MST experienced prior to 2000.MethodData were collected from women veterans (n = 14) who had experienced MST and sought VA PTSD treatment. Data analyses utilized a constructivist grounded theory approach.FindingsThe context of the MST experience, including the military environment at the time, the era in which they experienced MST and the response of others to their reporting or disclosure of MST created decades-long barriers to PTSD treatment-seeking.DiscussionUnderstanding institutional betrayal as a barrier to PTSD treatment-seeking among women veterans who experienced MST decades ago is necessary to develop effective targeted outreach and programs for this population.Published by Elsevier Inc.

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