实施便利化对REACH专业教育专业临床计划对自杀风险的退伍军人的影响
Sara J Landes1, Bridget B Matarazzo1, Jeffery A Pitcock1
1Central Arkansas Veterans Healthcare System, Little Rock (Landes, Pitcock, Drummond, Smith, Kirchner, Raciborski, Painter, Townsend, Jegley, Singh); Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock (Landes, Drummond, Kirchner, Painter, Singh); Rocky Mountain Mental Illness Research, Education, and Clinical Center, U.S. Department of Veterans Affairs (VA), Aurora, Colorado (Matarazzo, Clark, Gerard, Jankovsky, Brenner); Departments of Psychiatry and Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora (Matarazzo, Brenner); Veterans Integrated Service Network 19 Clinical Resource Hub, Salt Lake City (Clark); VA Puget Sound Health Care System, Seattle (Reger); VA Office of Mental Health and Suicide Prevention, Washington, D.C. (Eagan, Trafton, McCarthy, Katz).
便利化改善了REACH VET计划中面临自杀高风险的退伍军人的外展尝试. 这种加强的参与对于将退伍军人与必要的心理健康护理联系起来至关重要.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 卫生服务的实施 卫生服务的实施
背景情况:
- 退伍军人卫生管理局 (VHA) 在2017年启动了康复参与和协调健康退伍军人增强治疗 (REACH VET) 计划.
- REACH VET使用预测算法来识别和支持高风险的退伍军人患者进行自杀预防.
研究的目的:
- 评估外部促进是否提高了REACH VET计划的实施.
- 评估促进对VHA设施的影响,这些设施正在努力实现计划完成目标.
主要方法:
- 进行了混合型2有效性-实施方案评估.
- 一个准实验性的前后设计评估了23个VHA设施在促进之前和之后的结果.
- 总化的估计方程和定性访谈被用于数据分析.
主要成果:
- 便利化显著改善了REACH VET (p<0.001) 识别的退伍军人的记录外展尝试 (p<0.001).
- 对于协调员/提供者认可或护理评估,没有发现促进的重大影响.
- 工作人员表示,他们感觉得到了外部辅导员的支持.
结论:
- 促进REACH VET实施与向处于风险的退伍军人提供更好的接触有关.
- 加强外展是吸引退伍军人参与自杀预防护理的关键组成部分.
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