In the study, it was revealed that VA hospitals are failing to ask patients important questions 39% of the time about trauma history, substance use and violence risk.

On top this, VA has failed to provide appropriate justification for discharging patients on multiple antipsychotics 61% of the time, and created a continuing care plan for patients upon discharge around 50% of the time.

Lead author, Meredith Rosenthal stated that, “These results are very troubling,” and that, “They further substantiate the need for VA hospitals to receive greater regulation and financial resources.”