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<p>Military-affiliated adults including veterans, active-duty service members, and their families experience elevated rates of mental health conditions such as PTSD, depression, and anxiety. Addressing these needs requires accessible, high-quality, and evidence-based care delivered at scale. Cohen Veterans Network (CVN), a national network of community-based military family clinics, was established in 2015 to provide rapid access to mental healthcare, emphasizing evidence-based psychotherapies, measurement-based care, and standardized clinical and operational practices. This retrospective study examined ten years of outpatient mental health care (2016–2025) across CVN clinics (<i>N</i> = 45,947 clients). Analyses focused on symptom change, clinically significant improvement, and trends over time, with stratification by client type and gender. Results indicate that across more than a decade of care, clients demonstrated consistent, meaningful symptom reductions. Among clients who screened positive at intake, mean PHQ-9 improvements ranged from 6.05 to 7.10 points, GAD-7 improvements from 5.67 to 6.24 points, and PCL-5 improvements from 16.50 to 18.37 points, with 55–68% of clients achieving clinically significant change. Outcomes remained stable despite network expansion, shifts in client composition, and external stressors such as the COVID-19 pandemic. Outcomes are also described by client type and gender, with all subgroups demonstrating symptom reductions. These findings demonstrate that using a social franchise model combining centralized infrastructure, local clinic management, standardized training requirements, and rigorous quality control can sustainably deliver high-quality, effective psychotherapy at scale. The CVN experience provides a replicable framework for addressing mental health disparities among military-affiliated populations and other underserved groups.</p>

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Ten Years of Outcomes in a National Mental Health Network for Veterans, Service Members, and Military Families

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年8月5日

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  • Steven L. Lancaster,
  • Heather Chiarello,
  • Alice Kim,
  • David J. Linkh,
  • Tracy A. Neal-Walden,
  • Anthony M. Hassan

摘要

Military-affiliated adults including veterans, active-duty service members, and their families experience elevated rates of mental health conditions such as PTSD, depression, and anxiety. Addressing these needs requires accessible, high-quality, and evidence-based care delivered at scale. Cohen Veterans Network (CVN), a national network of community-based military family clinics, was established in 2015 to provide rapid access to mental healthcare, emphasizing evidence-based psychotherapies, measurement-based care, and standardized clinical and operational practices. This retrospective study examined ten years of outpatient mental health care (2016–2025) across CVN clinics (N = 45,947 clients). Analyses focused on symptom change, clinically significant improvement, and trends over time, with stratification by client type and gender. Results indicate that across more than a decade of care, clients demonstrated consistent, meaningful symptom reductions. Among clients who screened positive at intake, mean PHQ-9 improvements ranged from 6.05 to 7.10 points, GAD-7 improvements from 5.67 to 6.24 points, and PCL-5 improvements from 16.50 to 18.37 points, with 55–68% of clients achieving clinically significant change. Outcomes remained stable despite network expansion, shifts in client composition, and external stressors such as the COVID-19 pandemic. Outcomes are also described by client type and gender, with all subgroups demonstrating symptom reductions. These findings demonstrate that using a social franchise model combining centralized infrastructure, local clinic management, standardized training requirements, and rigorous quality control can sustainably deliver high-quality, effective psychotherapy at scale. The CVN experience provides a replicable framework for addressing mental health disparities among military-affiliated populations and other underserved groups.