Behavioral Health Care Use After Initiation of Emergency Dispatches During Veterans Crisis Line Contacts.

IF 3.3 3区医学 Q1 HEALTH POLICY & SERVICES Psychiatric services Pub Date : 2025-02-21 DOI:10.1176/appi.ps.20240352

Peter C Britton, Kipling M Bohnert, Lauren M Denneson, Dara Ganoczy, Mark A Ilgen

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Abstract

Objective: The authors estimated associations between emergency dispatches initiated by Veterans Crisis Line (VCL) responders and use of U.S. Department of Veterans Affairs (VA) behavioral health care in the following month.

Methods: The sample included 217,541 veterans with VCL contacts between 2017 and 2019 who could be linked with medical records. Models were weighted by a propensity score and stratified by VA behavioral health care use in the year preceding contact.

Results: Of veterans with emergency dispatches, 85.9% (weighted) with and 62.2% without prior use of VA behavioral health care accessed care in the month after dispatch. Dispatch receipt was associated with higher odds of psychiatric hospitalization for veterans with and those without prior VA behavioral health care use and of in-person outpatient behavioral health care use for veterans with prior use.

Conclusions: Efforts to link dispatch recipients who had not previously used VA behavioral health care to VA care are needed.

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退伍军人危机专线联系期间启动紧急派遣后的行为健康护理使用情况。

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.