Date

4-29-2026

Department

Helms School of Government

Degree

Doctor of Philosophy in Criminal Justice (PhD)

Chair

Vincent A. Giordano

Keywords

rural veterans, healthcare access, Veterans Treatment Court, qualitative research, mental health, barriers to care

Disciplines

Philosophy

Abstract

This study investigates the experiences of rural veterans enrolled in Veterans Treatment Court (VTC) with a focus on their access to healthcare services. The purpose of this research is to understand how these veterans' healthcare needs are being met and the barriers they face, contributing to the academic discourse on veteran healthcare accessibility. The central research questions address the adequacy of healthcare provision for rural veterans and how they navigate court-ordered care. The study employs a qualitative research design, utilizing in-depth interviews with a sample of 15 veterans from various rural locations in Nevada. Data was collected through structured Zoom interviews and analyzed using thematic coding to identify recurring patterns and themes. Key findings reveal mixed experiences in receiving mental health, substance use, and physical health care. Significant barriers include geographical distance, lack of local providers, and financial constraints. However, participants expressed appreciation for the holistic support provided through coordinated VTC and VA services. The study concludes that while there are substantial challenges, VTCs play a critical role in facilitating healthcare access and compliance. Policy implications suggest enhancing transportation options and increasing local healthcare resources to improve service delivery. Recommendations for future research include exploring the long-term impact of VTC participation in health outcomes and the effectiveness of integrated care models in rural settings.

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