The graph and table below display one measure of outpatient mental health care utilization in the direct care system from fiscal year 2005 through fiscal year 2015. Specifically, these data show the total and average number of mental health-related outpatient visits that occurred at any military treatment facility (MTF) among active duty service members (ADSMs) with at least one direct care outpatient visit. These data are further stratified by military service (i.e. Army, Air Force, Marines and Navy) and include active Guard and Reserve members.
- The total number of direct care mental health-related outpatient visits among ADSMs increased by 263 percent from fiscal year 2005 (935,608) through fiscal year 2012 (2,460,552) and subsequently decreased through fiscal year 2015 (2,288,219). The mean number of mental health-related outpatient visits among ADSMs with at least one mental health-related outpatient visit steadily rose from fiscal year 2005 (5.07) through fiscal year 2015 (8.14). However, the median number of mental health-related outpatient visits only increased slightly, from 2 in fiscal year 2005 to 3 in fiscal year 2015. The discrepancy between mean and median suggests a small subset of ADSMs utilize a disproportionately high number of mental health-related outpatient services compared to the remainder of the ADSM population seeking mental health care.
- The Army had the highest total number of direct care outpatient visits compared to the rest of the listed services, rising from 454,114 visits in fiscal year 2005 (49 percent of all visits in fiscal year 2005) to 1,466,007 in fiscal year 2012 (60 percent of all visits in fiscal year 2012) and decreasing slightly in the remaining three years of the measurement period. This trend aligns with Army’s large ADSM population and high prevalence of mental health disorder diagnoses.