outreach 接触服务严重精神疾病且失访的退伍军人： outreach 接触的预测因素。

Outreach to veterans with serious mental illness who are lost to care: Predictors of outreach contact.

机构信息

Department of Psychiatry, University of Michigan.

Office of Mental Health Operations, Department of Veterans Affairs, VA Serious Mental Illness Treatment Resource and Evaluation Center.

出版信息

Psychol Serv. 2018 Feb;15(1):40-44. doi: 10.1037/ser0000140. Epub 2017 Mar 13.

DOI:10.1037/ser0000140

PMID:28287771

Abstract

This evaluation identified factors associated with outreach contact to veterans with serious mental illness (SMI) who were lost to Veterans Health Administration (VHA) care. From March 2012 through September 2013, the VHA SMI Re-Engage initiative identified 4,241 veterans for reengagement outreach; 31% of whom were successfully contacted. Higher odds of contact was associated with older age, married status, no history of homelessness, bipolar disorder diagnosis, having no recent inpatient stay, living closer to a VHA medical center, fewer years since last visit, and having a service-connected disability. Several factors are associated with recontact with veterans with SMI who are lost to VHA care. These may promote treatment engagement and retention. Study findings may inform outreach interventions to enhance access for these veterans. (PsycINFO Database Record

摘要

本评估确定了与退伍军人事务部（VHA）治疗中失联的严重精神疾病（SMI）退伍军人取得联系的相关因素。从 2012 年 3 月至 2013 年 9 月，VHA 的 SMI 重新参与计划确定了 4241 名退伍军人进行重新参与外展；其中 31%的人成功联系上。联系的可能性更高与年龄较大、已婚、没有无家可归史、双相情感障碍诊断、最近没有住院治疗、离 VHA 医疗中心更近、上次就诊后时间较短以及有服务连接残疾有关。有几个因素与重新联系到在 VHA 治疗中失联的 SMI 退伍军人有关。这些因素可能会促进治疗的参与和保留。研究结果可能会为这些退伍军人的外展干预措施提供信息，以增强他们的获取途径。