实施和评估退伍军人危机线质量改善倡议:安全规划试点计划
MaryGrace Lauver1, Matthew C Podlogar1, Jessica Jerald Herbin1
1Department of Veterans Affairs, Veterans Crisis Line, Office of Mental Health and Suicide Prevention, VA Central Office.
Psychological services
|April 18, 2024
概括
退伍军人危机线试点发现,六部分安全计划 (SP) 改善了退伍军人的VHA参与. 然而,SPs显著增加了呼叫时间,需要更多的响应者进行更广泛的实施.
科学领域:
- 心理健康服务 心理健康服务
- 公共卫生倡议 公共卫生倡议
- 危机干预 危机干预
背景情况:
- 退伍军人危机线 (VCL) 对于退伍军人预防自杀至关重要.
- 一个试点项目评估了六部分安全计划 (SP) 与标准风险减缓计划的有效性.
研究的目的:
- 评估试点六部分安全计划 (SPs) 对退伍军人呼叫者特征和退伍军人卫生管理局 (VHA) 使用的影响.
- 预测整个VCL实施SP的运营影响.
主要方法:
- 一项试点研究为符合条件的VCL呼叫者提供了六部分的SP.
- 参数和非参数统计方法比较了SP完成者和非完成者之间的呼叫特征和VHA利用率.
- 运营影响的预测是基于增加的通话时间.
主要成果:
- 27.37%的电话符合SPs的资格,其中27.23%完成了电话.
- 完成SP的患者表现出更高的VHA临床转诊接受率和门诊心理健康预约.
- 有SP的电话比没有SP的电话 (49.66分钟) 长了175% (87.78分钟).
结论:
- 六部分安全计划可以适应VCL,但存在后勤挑战.
- 广泛实施将需要每小时增加4.12%的响应者来保持服务速度.
- 虽然SP对VHA参与有益,但SP需要仔细规划资源,以确保运营的可持续性.
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