Efficacy of the Home-Based Mental Health Evaluation (HOME) Program for Engaging Patients in Care After Hospitalization

Matarazzo, Bridget B.; Forster, Jeri E.; Hostetter, Trisha A.; Billera, Melodi; Adler, Geri; Ganzini, Linda; Oslin, David W.; Brenner, Lisa A.

doi:10.1176/appi.ps.201900002

Cited by 9 publications

(12 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The preliminary data are encouraging and suggest that the cost of the HOME program may be offset by reductions in emergency visits and rehospitalization rates. These ongoing analyses, in conjunction with the findings reported in the current study and those reported by Matarazzo et al (2017, 2019), suggest that the HOME program is effective and is feasible to implement with both rural and nonrural patients.…”

Section: Discussionsupporting

confidence: 81%

“…Table 2 displays data regarding how rural and nonrural patients engaged in the HOME program (e.g., number of phone calls, length of home visits). The team was able to attain similar program engagement outcomes to the standard HOME protocol as described in the original Matarazzo et al (2019) publication despite the previously described adaptions. For example, in the original protocol, 87% of patients had at least one HOME program call after hospitalization; in the current adapted version, 85% of rural patients, 90% of nonrural patients, and 88.9% of the combined group received at least one call after hospitalization.…”

Section: Home Program Engagementmentioning

confidence: 90%

“…Alternatively, the Home-Based Mental Health Evaluation (HOME) program, developed and evaluated by Matarazzo and colleagues (2017, 2019), focuses on (a) providing a connection to care during the transition from inpatient to outpatient care, (b) collaboratively addressing barriers to initiating and maintaining outpatient care engagement, and (c) assessing suicide risk and ensuring the patient knows how to cope and seek help during a crisis. The program involves meeting the veteran patient while hospitalized, conducting a telephone call the first day after discharge, making a home visit during the first week after discharge, and weekly telephone contact until the patient is engaged in outpatient mental health care.…”

mentioning

confidence: 99%

“…The HOME program was initially developed and tested at a large western VA medical center as a clinical demonstration project (Matarazzo et al, 2017) and most recently tested through a nonrandomized multisite clinical trial (Matarazzo et al, 2019). The HOME program has demonstrated efficacy in engaging veteran patients in care after discharge (Matarazzo et al, 2017(Matarazzo et al, , 2019, but until recently, it was only implemented with veterans living near nonrural VA medical centers. Given the additional risk incurred by living in a rural setting, the research team implemented the HOME program with rural veteran patients receiving care at a VA medical center in the mid-Atlantic region.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Implementing a home-based suicide prevention program with rural veterans.

Brancu¹,

Cleary²,

Cunningham

et al. 2020

Journal of Rural Mental Health

Self Cite

View full text Add to dashboard Cite

Veterans living in rural areas are at elevated risk for suicide compared with the veteran population as a whole. The Home-Based Mental Health Evaluation (HOME) program is an evidence-based suicide prevention intervention for veteran patients being discharged from a psychiatric hospitalization. The initial program was developed and tested with patients returning to nonrural home environments. The current article aims to describe the feasibility of adapting the HOME program when implemented with rural patients at a new facility in a new region of the country. Implementing and adapting the clinical HOME program for rural veteran patients did not require a significantly different approach to achieve similar levels of program engagement as the original research trial. Despite the ease with which these adaptations were made, the barrier of distance remained an obstacle to delivering home-based interventions to rural patients. Methods of addressing barriers to program and treatment engagement are offered for future adaptations of this and other in-home mental health-care programs for rural patients.

show abstract

Section: Discussionsupporting

confidence: 81%

Section: Home Program Engagementmentioning

confidence: 90%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Implementing a home-based suicide prevention program with rural veterans.

Brancu¹,

Cleary²,

Cunningham

et al. 2020

Journal of Rural Mental Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Although such programs are necessary, it is also essential to ensure the children's well-being through ongoing psychiatric care. Forensic child psychiatrists shall provide continuous assessments of mood and suicide risk while home-based evaluation programs assure compliance of outpatient psychiatric follow-ups [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

An Argument for Expanding the Role of Pediatric Decision-Making and Preference in Child Abuse/Neglect Assessments and Plan

Fedora¹,

Li²

2021

Case Reports in Psychiatry

View full text Add to dashboard Cite

Child maltreatment can have long-term sequelae and thus requires appropriate interventions. In the United States, reports of suspected child maltreatment are primarily handled by the Child Protective Services (CPS). We present a case of a 12-year-old female who was involuntarily hospitalized for suicidal ideation after CPS responded to a report of her abuse by her mother. Despite continuously expressing fear of her mother and pleading to not be discharged home, CPS ultimately determined that the child was safe to return home to her abuser. The child’s subsequent loss to follow-up puts the child’s safety and long-term well-being into question. In this article, we discuss the current protocol of CPS reporting, investigation, and outcome. We also explore the roles of pediatric decision-making and forensic or custody evaluation when maltreatment is apparent.

show abstract