Examining the impact of the veterans affairs community care program on mental healthcare in rural veterans: A qualitative study.

Autor: Kenneally L; Mental Health and Behavioral Sciences Service, White River Junction VA Medical Center, White River Junction, Vermont, USA., Riblet N; Mental Health and Behavioral Sciences Service, White River Junction VA Medical Center, White River Junction, Vermont, USA.; Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA.; Department of Psychiatry, Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA., Stevens S; Mental Health and Behavioral Sciences Service, White River Junction VA Medical Center, White River Junction, Vermont, USA.; Department of Psychiatry, Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA., Rice K; Mental Health and Behavioral Sciences Service, White River Junction VA Medical Center, White River Junction, Vermont, USA., Scott R; Mental Health and Behavioral Sciences Service, White River Junction VA Medical Center, White River Junction, Vermont, USA.; Department of Psychiatry, Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA.
Jazyk: angličtina
Zdroj: Health services research [Health Serv Res] 2024 Nov 08. Date of Electronic Publication: 2024 Nov 08.
DOI: 10.1111/1475-6773.14405
Abstrakt: Objective: To investigate provider and administrators' perspectives about the impact of the Department of Veterans Affairs' (VA) Community Care program on acute and residential mental health treatment of rural Veterans.
Data Sources and Study Setting: Primary data were collected from participants via interviews. Participants were employees of VA Healthcare Systems located in Northern New England, or employees of non-VA mental health treatment settings affiliated with VA in Northern New England.
Study Design: This study was informed by the Consolidated Framework for Implementation Research (CFIR), with Community Care as the implemented program. Individual, semi-structured interviews were conducted.
Data Collection/extraction Methods: Individual interviews were transcribed, coded deductively using the CFIR, and inductively coded by locating themes.
Principal Findings: Twenty-one people completed interviews. Commonly reported challenges included community programs not focused on Veterans' needs, poor coordination of care, communication challenges, and problems tracking Veteran care. Facilitators included increased access to care and strengthening coordination of care.
Conclusions: The VA's Community Care program can address the acute or residential mental health needs of Veterans in rural settings in some circumstances, however there are challenges to successful implementation.
(Published 2024. This article is a U.S. Government work and is in the public domain in the USA.)
Databáze: MEDLINE
Externí odkaz: