Leading from the Middle : Replication of a Re-Engagement Program for Veterans with Mental Disorders Lost to Follow-Up Care

Joint Authors

Goodrich, David E.
Bowersox, Nicholas W.
Visnic, Stephanie
Burk, Jeffrey P.
Abraham, Kristen M.
Kilbourne, Amy M.
Lai, Zongshan

Source

Depression Research and Treatment

Issue

Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-10, 10 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2012-09-25

Country of Publication

Egypt

No. of Pages

10

Main Subjects

Diseases

Abstract EN

Objectives.

Persons with mental disorders experience functional impairments and premature mortality.

Limited continuity of care may contribute to disparities in this group.

We describe the replication of an evidence-based outreach program (Re-Engage) to reconnect Veterans with mental disorders into care who have dropped out of services.

Methods.

Using the Enhanced Replicating Effective Programs framework, population-based registries were used to identify Veterans lost-to-care, and providers used this information to determine Veteran disposition and need for care.

Providers recorded Veteran preferences, health status, and care utilization, and formative process data was collected to document implementation efforts.

Results.

Among Veterans who dropped out of care (n=126), the mean age was 49 years, 10% were women, and 29% were African-American.

Providers determined that 39% of Veterans identified for re-engagement were deceased, hospitalized, or ineligible for care.

Of the remaining 68 Veterans, outreach efforts resulted in contact with 20, with 7 returning to care.

Providers averaged 14.2 hours over 4 months conducting re-engagement services and reported that gaining facility leadership support and having service agreements for referrals were essential for program implementation.

Conclusions.

Population-level, panel management strategies to re-engage Veterans with mental disorders are potentially feasible if practices are identified to facilitate national rollout.

American Psychological Association (APA)

Goodrich, David E.& Bowersox, Nicholas W.& Abraham, Kristen M.& Burk, Jeffrey P.& Visnic, Stephanie& Lai, Zongshan…[et al.]. 2012. Leading from the Middle : Replication of a Re-Engagement Program for Veterans with Mental Disorders Lost to Follow-Up Care. Depression Research and Treatment،Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-463620

Modern Language Association (MLA)

Goodrich, David E.…[et al.]. Leading from the Middle : Replication of a Re-Engagement Program for Veterans with Mental Disorders Lost to Follow-Up Care. Depression Research and Treatment No. 2012 (2012), pp.1-10.
https://search.emarefa.net/detail/BIM-463620

American Medical Association (AMA)

Goodrich, David E.& Bowersox, Nicholas W.& Abraham, Kristen M.& Burk, Jeffrey P.& Visnic, Stephanie& Lai, Zongshan…[et al.]. Leading from the Middle : Replication of a Re-Engagement Program for Veterans with Mental Disorders Lost to Follow-Up Care. Depression Research and Treatment. 2012. Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-463620

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-463620