Outcomes of a Partnered Facilitation Strategy to Implement Primary Care–Mental Health

Kirchner, JoAnn; Ritchie, Mona J.; Pitcock, Jeffery A.; Parker, Louise E.; Curran, Geoffrey M.; Fortney, John C.

doi:10.1007/s11606-014-3027-2

Cited by 196 publications

(202 citation statements)

References 30 publications

Supporting

Mentioning

199

Contrasting

Order By: Relevance

“…LG-CC is an evidence-based CCM (9) that included four weekly self-management sessions focused on managing depressive and bipolar symptoms that occurred during the first month, and ongoing telephone-based care management contacts occurring up to 6 months after patient enrollment that were implemented by clinical social workers at each site. Providers from participating clinics received an LG-CC toolkit and training, but were randomized at the clinic level to receive either additional coaching via proactive, regular contacts to address barriers to LG-CC uptake (10) or as-needed technical support.…”

Section: Methodsmentioning

confidence: 99%

Correlates of Emergency Department Use by Individuals With Bipolar Disorder Enrolled in a Collaborative Care Implementation Study

Waxmonsky

Verchinina²,

Kim³

et al. 2016

View full text Add to dashboard Cite

Objectives The study assessed correlates of emergency department use among individuals with bipolar disorder receiving a collaborative care program. Methods Community-based clinics from two states implemented the evidence-based Life Goals-Collaborative Care Model (LG-CC), which included self-management sessions and care management contacts. Logistic regression analysis was used to determine participant factors associated with 12-month emergency department use after LG-CC implementation. Results Among 219 participants with non-missing baseline and 12-month data, 24.2% (n=53) reported at least one emergency department visit. Participants with homelessness history (OR=3.76; 95% CI=1.39–10.2; p=.01) or 5 or more care management contacts (OR=2.62; 95% CI=.1.00–6.95; p=.05) had higher probability of emergency department visit, adjusting for demographic and clinical factors including physical health and hospitalization history. Conclusions Individuals with bipolar disorder and history of homelessness were more likely to use the emergency department despite enrollment in a Collaborative Care program, suggesting a greater need for more intensive care coordination.

show abstract

Section: Methodsmentioning

confidence: 99%

Correlates of Emergency Department Use by Individuals With Bipolar Disorder Enrolled in a Collaborative Care Implementation Study

Waxmonsky

Verchinina²,

Kim³

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Each of the ten QUERI Centers uses a strategic planning process that is shaped by investigators and clinical operational partners in order to implement projects that are more focused on implementation and contributing to best implementation practices. Some of the QUERI-based partnerships highlighted in this issue include strategies to facilitate provider implementation of primary care/mental health integration 13 and VA acute stroke care centers.…”

Section: S817mentioning

confidence: 99%

Partner or Perish: VA Health Services and the Emerging Bi-Directional Paradigm

Kilbourne

Atkins

2014

J GEN INTERN MED

View full text Add to dashboard Cite

“…Despite the promise of MISSION-Vet within HPACT clinics, implementation of an evidence-based intervention within a busy program like HPACT can be difficult [12–15]. It is known that in settings like HPACT clinics, site training and offering treatment manuals through the web alone, while less burdensome and resource intensive, are insufficient [12–15].…”

Section: Introductionmentioning

confidence: 99%

“…It is known that in settings like HPACT clinics, site training and offering treatment manuals through the web alone, while less burdensome and resource intensive, are insufficient [12–15]. Therefore, the current study aims to identify an appropriate implementation strategy for MISSION-Vet within HPACT in the Greater Los Angeles (GLA) VA system to address the needs of homeless veterans with co-occurring mental health and substance use disorders.…”

Section: Introductionmentioning

confidence: 99%

A Hybrid III stepped wedge cluster randomized trial testing an implementation strategy to facilitate the use of an evidence-based practice in VA Homeless Primary Care Treatment Programs

et al. 2017

View full text Add to dashboard Cite

BackgroundHomeless veterans often have multiple health care and psychosocial needs, including assistance with access to housing and health care, as well as support for ongoing treatment engagement. The Department of Veterans Affairs (VA) developed specialized Homeless Patient Alignment Care Teams (HPACT) with the goal of offering an integrated, “one-stop program” to address housing and health care needs of homeless veterans. However, while 70% of HPACT’s veteran enrollees have co-occurring mental health and substance use disorders, HPACT does not have a uniform, embedded treatment protocol for this subpopulation. One wraparound intervention designed to address the needs of homeless veterans with co-occurring mental health and substance use disorders which is suitable to be integrated into HPACT clinic sites is the evidence-based practice called Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking-Veterans Edition, or MISSION-Vet. Despite the promise of MISSION-Vet within HPACT clinics, implementation of an evidence-based intervention within a busy program like HPACT can be difficult. The current study is being undertaken to identify an appropriate implementation strategy for MISSION-Vet within HPACT. The study will test the implementation platform called Facilitation and compared to implementation as usual (IU). The aims of this study are as follows: (1) Compare the extent to which IU or Facilitation strategies achieve fidelity to the MISSION-Vet intervention as delivered by HPACT homeless provider staff. (2) Compare the effects of Facilitation and IU strategies on the National HPACT Performance Measures. (3) Compare the effects of IU and Facilitation on the permanent housing status. (4) Identify and describe key stakeholders’ (patients, providers, staff) experiences with, and perspectives on, the barriers to, and facilitators of implementing MISSION.DesignType III Hybrid modified stepped wedge implementation comparing IU to Facilitation across seven HPACT teams in three sites in the greater Los Angeles VA system. This is a cluster randomized trial.DiscussionIntegrating MISSION-Vet within HPACT has the potential to improve the health of thousands of veterans, but it is crucial to implement the intervention appropriately in order for it to succeed. The lessons learned in this protocol could assist with a larger roll-out of MISSION within HPACT. This protocol is registered with clinicaltrials.gov and was assigned the number NCT 02942979.

show abstract

Outcomes of a Partnered Facilitation Strategy to Implement Primary Care–Mental Health

Cited by 196 publications

References 30 publications

Correlates of Emergency Department Use by Individuals With Bipolar Disorder Enrolled in a Collaborative Care Implementation Study

Correlates of Emergency Department Use by Individuals With Bipolar Disorder Enrolled in a Collaborative Care Implementation Study

Partner or Perish: VA Health Services and the Emerging Bi-Directional Paradigm

A Hybrid III stepped wedge cluster randomized trial testing an implementation strategy to facilitate the use of an evidence-based practice in VA Homeless Primary Care Treatment Programs

Contact Info

Product

Resources

About