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Published Online: 17 November 2014

Reengaging Veterans With Serious Mental Illness Into Care: Preliminary Results From a National Randomized Trial

Amy M. Kilbourne, Ph.D., M.P.H., David E. Goodrich, Ed.D., Zongshan Lai, M.P.H., Daniel Almirall, Ph.D., Kristina M. Nord, L.M.S.W., Nicholas W. Bowersox, Ph.D., and Kristen M. Abraham, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 66, Number 1
https://doi.org/10.1176/appi.ps.201300497
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Abstract

Objective:

This study compared effectiveness of an enhanced versus standard implementation strategy (Replicating Effective Programs [REP]) on site-level uptake of Re-Engage, a national program for veterans with serious mental illness.

Methods:

Mental health providers at 158 Veterans Affairs (VA) facilities were given REP-based manuals and training in Re-Engage, which involved identifying veterans who had not been seen in VA care for at least one year, documenting their clinical status, and coordinating further health care. After six months, facilities not responding to REP (N=88) were randomized to receive six months of facilitation (enhanced REP) or continued standard REP. Site-level uptake was defined as percentage of patients (N=1,531) with updated documentation or with whom contact was attempted.

Results:

Rate of Re-Engage uptake was greater for enhanced REP sites compared with standard REP sites (41% versus 31%, p=.01). Total REP facilitation time was 7.3 hours per site for six months.

Conclusions:

Added facilitation improved short-term uptake of a national mental health program.

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Information & Authors

Information

Published In

Go to Psychiatric Services
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Cover: In the Loge, by Mary Cassatt, circa 1879. Pastel and metallic paint on canvas prepared with a pastel ground. Gift of Mrs. Sargent McKean, 1950 (1950-52-1), the Philadelphia Museum of Art. Photo credit: the Philadelphia Museum of Art/Art Resources, New York.

Psychiatric Services
Volume 66 • Number 1 • January 01, 2015
Pages: 90 - 93
PubMed: 25554233

History

Published ahead of print: 17 November 2014
Published in print: January 01, 2015
Published online: 2 January 2015

Authors

Details

Amy M. Kilbourne, Ph.D., M.P.H.
With the exception of Dr. Almirall, the authors are with the Veterans Affairs (VA) Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, and the Department of Psychiatry, University of Michigan Medical School, Ann Arbor (e-mail: [email protected]). Dr. Abraham is also with the Department of Psychology, University of Detroit Mercy, Detroit. Dr. Almirall is with the Institute for Social Research, University of Michigan, Ann Arbor.
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David E. Goodrich, Ed.D.
With the exception of Dr. Almirall, the authors are with the Veterans Affairs (VA) Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, and the Department of Psychiatry, University of Michigan Medical School, Ann Arbor (e-mail: [email protected]). Dr. Abraham is also with the Department of Psychology, University of Detroit Mercy, Detroit. Dr. Almirall is with the Institute for Social Research, University of Michigan, Ann Arbor.
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Zongshan Lai, M.P.H.
With the exception of Dr. Almirall, the authors are with the Veterans Affairs (VA) Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, and the Department of Psychiatry, University of Michigan Medical School, Ann Arbor (e-mail: [email protected]). Dr. Abraham is also with the Department of Psychology, University of Detroit Mercy, Detroit. Dr. Almirall is with the Institute for Social Research, University of Michigan, Ann Arbor.
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Daniel Almirall, Ph.D.
With the exception of Dr. Almirall, the authors are with the Veterans Affairs (VA) Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, and the Department of Psychiatry, University of Michigan Medical School, Ann Arbor (e-mail: [email protected]). Dr. Abraham is also with the Department of Psychology, University of Detroit Mercy, Detroit. Dr. Almirall is with the Institute for Social Research, University of Michigan, Ann Arbor.
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Kristina M. Nord, L.M.S.W.
With the exception of Dr. Almirall, the authors are with the Veterans Affairs (VA) Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, and the Department of Psychiatry, University of Michigan Medical School, Ann Arbor (e-mail: [email protected]). Dr. Abraham is also with the Department of Psychology, University of Detroit Mercy, Detroit. Dr. Almirall is with the Institute for Social Research, University of Michigan, Ann Arbor.
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Nicholas W. Bowersox, Ph.D.
With the exception of Dr. Almirall, the authors are with the Veterans Affairs (VA) Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, and the Department of Psychiatry, University of Michigan Medical School, Ann Arbor (e-mail: [email protected]). Dr. Abraham is also with the Department of Psychology, University of Detroit Mercy, Detroit. Dr. Almirall is with the Institute for Social Research, University of Michigan, Ann Arbor.
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Kristen M. Abraham, Ph.D.
With the exception of Dr. Almirall, the authors are with the Veterans Affairs (VA) Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, and the Department of Psychiatry, University of Michigan Medical School, Ann Arbor (e-mail: [email protected]). Dr. Abraham is also with the Department of Psychology, University of Detroit Mercy, Detroit. Dr. Almirall is with the Institute for Social Research, University of Michigan, Ann Arbor.
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Funding Information

U.S. Department of Veterans Affairs10.13039/100000738: SRD 11-232

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