Serious mental illnesses including schizophrenia, bipolar disorder, and schizoaffective disorder. Mental and Behavioural Disorders Schizophrenia, bipolar affective disorder
Conditions
Interventions
Standard REP included the initial Implementation phase of Re-Engage, specifically:
1. Training providers in how to conduct the program
2. Technical assistance provided by research staff through regula
Sponsors
VA Health Services Research & Development (USA)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: A VA facility was eligible for the current trial if it was included in the national VA Re-Engage program. VA facilities were included in the national Re-Engage program if they were: 1. Within the 50 United States or Puerto Rico 2. Were required, per VA policy to have a mental health provider who filled the role of a Local Recovery Coordinator 3. Had at least one Veteran with serious mental illness who was lost to care (i.e., had been seen at the facility in Fiscal Year 2008 or Fiscal Year 2009, but had no subsequent outpatient visits or an inpatient stay of less than 2 days as of January 2012). There were a total of 158 facilities eligible for Re-Engage, of which 139 were medical centers (i.e., with hospital beds) and 19 were community-based outpatient clinics.
Exclusion criteria
Exclusion criteria: Sites were not eligible for Re-Engage if they were not required to have a Local Recovery Coordinator or acting point of contact for mental health recovery services.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The percentage of Veterans on each VA facility's outreach list whose clinical status has been updated in the Re-Engage web-based clinical registry assessed at the end the 6 month run-in period prior to randomization (08/31/2012) and 12, 18, and 24 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessed at 6, 12, 18, and 24 months: 1. The percentage of Veterans that the LRCs successfully contacted among those who were on their lists and still alive and able to be contacted directly 2. The percentage of Veterans who were contacted who re-engaged in VA healthcare services 3. All cause mortality for Veterans based on level of outreach (not contacted, contacted, contacted and re-engaged) 4. Health care utilization including number and length of inpatient hospitalizations, outpatient visits, and emergency department visits as well as use of recovery-oriented VA mental health, housing, and employment services. External Facilitation was delivered via telephone contacts for six months. Individual semi-structured calls with stakeholders lasted about 30 minutes and occurred approximately one to three times per month for each facility to accomplish the following steps: 1) gather information; 2) offer ongoing partnership support; 3) garner regional and local leadership support; 4) identify barriers and facilitators at each site; 5) collaboratively develop action plans; 6) link to resources; and 7) provide feedback on implementation progress. | — |
Countries
United States of America
Outcome results
None listed