Feasibility and Acceptability of the HOME Program for Veterans Recently Discharged from a Psychiatric Hospitalization.

Autor: Matarazzo BB; Rocky Mountain Mental Illness, Research, Education and Clinical Center (MIRECC) for Veteran Suicide Prevention, US Department of Veterans Affairs, 1700 N. Wheeling St, Aurora, CO, 80045, USA. Bridget.Matarazzo@va.gov.; Department of Psychiatry, Anschutz School of Medicine, University of Colorado, Aurora, CO, USA. Bridget.Matarazzo@va.gov., Gerard GR; Rocky Mountain Mental Illness, Research, Education and Clinical Center (MIRECC) for Veteran Suicide Prevention, US Department of Veterans Affairs, 1700 N. Wheeling St, Aurora, CO, 80045, USA., Jankovsky MC; Rocky Mountain Mental Illness, Research, Education and Clinical Center (MIRECC) for Veteran Suicide Prevention, US Department of Veterans Affairs, 1700 N. Wheeling St, Aurora, CO, 80045, USA., Oslin DW; Veterans Integrated Service Network (VISN) 4 MIRECC, US Department of Veterans Affairs, Philadelphia, PA, USA.; Department of Psychiatry, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA., Brenner LA; Rocky Mountain Mental Illness, Research, Education and Clinical Center (MIRECC) for Veteran Suicide Prevention, US Department of Veterans Affairs, 1700 N. Wheeling St, Aurora, CO, 80045, USA.; Departments of Physical Medicine and Rehabilitation, Psychiatry, and Neurology, Anschutz School of Medicine, University of Colorado, Aurora, CO, USA.
Jazyk: angličtina
Zdroj: Administration and policy in mental health [Adm Policy Ment Health] 2021 Nov; Vol. 48 (6), pp. 974-982. Date of Electronic Publication: 2021 Feb 01.
DOI: 10.1007/s10488-021-01109-7
Abstrakt: Enrollment in the Home-Based Mental Health Evaluation (HOME) Program is associated with higher rates of treatment engagement following psychiatric hospitalization discharge, as compared to enhanced care as usual. We aim to describe feasibility and acceptability data related to implementation of the HOME Program at two Department of Veterans Affairs Medical Centers (VAMCs) to inform future program refinement and implementation. Process evaluation data regarding feasibility and acceptability were collected in the context of an interventional multi-site trial. Data regarding enrollment in the study and the intervention were collected by study staff. Additional acceptability and feasibility data were obtained via the Client Satisfaction Questionnaire-8 (CSQ-8) and Narrative Evaluation of Intervention Interview (NEII). Between 82 and 91% of enrolled Veterans participated in at least one post-discharge telephone contact. Site differences existed with respect to completion of home visits. CSQ-8 results suggested high levels of satisfaction with the HOME Program. Themes identified via the NEII reflect that as a result of participation in the HOME Program, Veterans felt hopeful and cared for and learned how to keep themselves safe following hospital discharge. Process evaluation data from a clinical trial of the HOME Program demonstrated that the intervention was feasible to implement at two VAMCs and was acceptable to participants. These data inform considerations for future research and implementation efforts.Trial Registration ClinicalTrials.gov Identifier: NCT03347552.
(© 2021. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.)
Databáze: MEDLINE
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