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Evaluating Veterans Response Teams and Police Interventions on Veterans' Health Care Utilization
Jack Tsai1, Cecilia Gonzalez, Dorota Szymkowiak
1School of Public Health, University of Texas Health Science Center at Houston, Houston, Texas (Dr Tsai); National Center on Homelessness Among Veterans, US Department of Veterans Affairs, Washington, District of Columbia (Drs Tsai and Szymkowiak); Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (Dr Tsai); Homeless Programs (Ms Gonzalez) and Police Service (Mr Woodland), Wilmington Veterans Affairs Medical Center, Wilmington, Delaware; Veterans Justice Programs Office, US Department of Veterans Affairs, Washington, District of Columbia (Ms Stewart); and Center for Neighborhood Revitalization and Research (Dr Dillard) and Department of Sociology (Dr Whittle), Delaware State University, Dover, Delaware.
Abstract:
This study examined the effects of veteran-specific cooperative police interventions, including a Veterans Response Team (VRT) and broad collaboration between local police departments and a Veterans Affairs (VA) medical center police department (local-VA police [LVP]), on veterans' health care utilization. Data were analyzed on 241 veterans (51 received VRT and 190 received LVP intervention) in Wilmington, Delaware. Nearly all veterans in the sample were enrolled in VA health care at the time of police intervention. Veterans who received VRT or LVP interventions showed similar increases in use of outpatient and inpatient mental health and substance abuse treatment services, rehabilitation services, ancillary care services, homeless programs, and emergency department/urgent care services after 6 months. These findings suggest the importance of relationship building among local police departments, VA Police, and Veterans Justice Outreach to create pathways to care to ensure that veterans are connected to needed VA health care services.
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