Care Retention Among Veterans with Serious Mental Illness who were once lost-to-Veterans Health Administration care.

IF 2.7 4区医学 Q2 PSYCHIATRY Psychiatric Quarterly Pub Date : 2023-12-01 Epub Date: 2023-09-07 DOI:10.1007/s11126-023-10049-4

Kristen M Abraham, Stephanie L Merrill, Scott M Patterson, Shanyn L Aysta

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Abstract

Objective: To evaluate care retention among Veterans with serious mental illness (SMI) who were lost to Veterans Health Administration (VHA) care for at least one year and subsequently returned to VHA care via the SMI Re-Engagement program, an outreach program for Veterans with SMI who are lost-to-care.

Methods: For the 410 Veterans with SMI who returned to care via SMI Re-Engagement between April 4th, 2016 and January 31, 2018, we assessed VHA in-person and telehealth utilization (overall, primary care, mental health care) for two years following the date of return to care.

Results: Care retention was common: 70.2% of Veterans had at least one encounter in each year of the two-year follow-up period and an additional 22.7% had at least one encounter during one of the two years. During the two-year follow-up period, 72.4% of Veterans had at least one primary care encounter and 70.7% of Veterans had at least one mental health care encounter. Adjusted binomial logistic regression analyses found a return-to-care encounter in primary care (OR = 2.70; 95% CI: 1.34, 5.42) predicted primary care retention, and a return-to-care encounter in mental health care (OR = 4.01; 95% CI: 2.38, 6.75) predicted mental health care retention.

Conclusion: Most Veterans who return to care via the SMI Re-Engagement program remain in VHA care for the subsequent two years.

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在退伍军人健康管理局的护理中，曾经失去严重精神疾病的退伍军人的护理保留。

目的:评估严重精神疾病(SMI)退伍军人在退伍军人健康管理局(VHA)护理中失守至少一年，随后通过SMI再参与计划(一项针对失守的严重精神疾病退伍军人的外展计划)返回VHA护理的护理保留情况。方法:对2016年4月4日至2018年1月31日期间通过SMI再参与重返护理的410名患有SMI的退伍军人，我们评估了自重返护理之日起两年内VHA的现场和远程医疗利用情况(总体、初级保健、心理保健)。结果:护理保留很常见:70.2%的退伍军人在两年的随访期间每年至少有一次护理，另外22.7%的退伍军人在两年中有一年至少有一次护理。在两年的随访期间，72.4%的退伍军人至少有一次初级保健就诊，70.7%的退伍军人至少有一次精神卫生保健就诊。经调整的二项logistic回归分析发现，在初级保健中出现重返护理的情况(OR = 2.70;95% CI: 1.34, 5.42)预测初级保健保留，以及精神卫生保健的重返护理遭遇(OR = 4.01;95% CI: 2.38, 6.75)预测心理健康护理保留。结论:大多数通过SMI再参与项目返回护理的退伍军人在随后的两年里仍然在VHA护理中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric Quarterly PSYCHIATRY-

CiteScore

8.10

自引率

0.00%

发文量

期刊介绍： Psychiatric Quarterly publishes original research, theoretical papers, and review articles on the assessment, treatment, and rehabilitation of persons with psychiatric disabilities, with emphasis on care provided in public, community, and private institutional settings such as hospitals, schools, and correctional facilities. Qualitative and quantitative studies concerning the social, clinical, administrative, legal, political, and ethical aspects of mental health care fall within the scope of the journal. Content areas include, but are not limited to, evidence-based practice in prevention, diagnosis, and management of psychiatric disorders; interface of psychiatry with primary and specialty medicine; disparities of access and outcomes in health care service delivery; and socio-cultural and cross-cultural aspects of mental health and wellness, including mental health literacy. 5 Year Impact Factor: 1.023 (2007) Section ''Psychiatry'': Rank 70 out of 82