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Increasing the Impact of Interventions Incentivizing Psychiatric Treatment Engagement: Challenges and Opportunities
Gabriela K Khazanov1, Sarah E Forster1, Dominick DePhilippis1
1Veterans Integrated Service Network 4 (VISN 4) Mental Illness Research, Education, and Clinical Center (MIRECC) (Khazanov) and Center of Excellence in Substance Addiction Treatment and Education (DePhilippis, McKay), Corporal Michael J. Crescenz Veterans Affairs (VA) Medical Center, Philadelphia; VISN 4 MIRECC, VA Pittsburgh Healthcare System, Pittsburgh (Forster); Department of Psychiatry, University of Pennsylvania, Philadelphia (McKay).
Abstract:
Individuals with psychiatric disorders often struggle to initiate and engage in treatment. Financial incentives improve treatment engagement, including treatment attendance, medication adherence, and abstinence from substance use. The U.S. Department of Veterans Affairs (VA) recently made the first large-scale, successful effort to implement incentive-based interventions in substance use disorder treatment. Health care systems, including the VA, can increase the impact of these interventions by extending them to target a range of psychiatric disorders, adapting them for specific clinical contexts, using insights from behavioral economics, and partnering with corporations to fund incentives and implement interventions.
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