Adapting Caring Contacts for Veterans in a Department of Veterans Affairs Emergency Department: Results From a Type 2 Hybrid Effectiveness-Implementation Pilot Study
Transitions in care, such as discharge from an emergency department (ED), are periods of increased risk for suicide and effective interventions that target these periods are needed. Caring Contacts is an evidence-based suicide prevention intervention that targets transitions, yet it has not been wid...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-10-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.746805/full |
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| author | Sara J. Landes Sara J. Landes Sara J. Landes Susan M. Jegley JoAnn E. Kirchner JoAnn E. Kirchner John P. Areno Jeffery A. Pitcock Traci H. Abraham Sacha A. McBain Sacha A. McBain R. Sonia Singh R. Sonia Singh Mary J. Bollinger Mary J. Bollinger Jacob Painter Jacob Painter Jack A. Woods Nyssa D. Curtis Donald E. Jones Bridget B. Matarazzo Bridget B. Matarazzo Mark A. Reger Katherine Anne Comtois |
| author_facet | Sara J. Landes Sara J. Landes Sara J. Landes Susan M. Jegley JoAnn E. Kirchner JoAnn E. Kirchner John P. Areno Jeffery A. Pitcock Traci H. Abraham Sacha A. McBain Sacha A. McBain R. Sonia Singh R. Sonia Singh Mary J. Bollinger Mary J. Bollinger Jacob Painter Jacob Painter Jack A. Woods Nyssa D. Curtis Donald E. Jones Bridget B. Matarazzo Bridget B. Matarazzo Mark A. Reger Katherine Anne Comtois |
| author_sort | Sara J. Landes |
| collection | DOAJ |
| description | Transitions in care, such as discharge from an emergency department (ED), are periods of increased risk for suicide and effective interventions that target these periods are needed. Caring Contacts is an evidence-based suicide prevention intervention that targets transitions, yet it has not been widely implemented. This pilot study adapted Caring Contacts for a Department of Veterans Affairs (VA) ED setting and population, created an implementation toolkit, and piloted implementation and evaluation of effectiveness. To inform adaptation, qualitative interviews were conducted with stakeholders. Data were used by an advisory board comprised of stakeholders, experts, and veterans to make adaptations and develop an implementation planning guide to delineate steps needed to implement. Key decisions about how to adapt Caring Contacts included recipients, author, content, and the schedule for sending. Pilot implementation occurred at one VA ED. Caring Contacts involved sending patients at risk of suicide brief, non-demanding expressions of care. Program evaluation of the pilot used a type 2 hybrid effectiveness-implementation design to both pilot an implementation strategy and evaluate effectiveness of Caring Contacts. Evaluation included qualitative interviews with veteran patients during implementation. VA electronic health records were used to evaluate VA service utilization in the 6-month periods immediately before and after veterans were delivered their first Caring Contact. Hundred and seventy-five veterans were mailed Caring Contacts and the facility continued adoption after the pilot. Participants were positive about the intervention and reported feeling cared about and connected to VA as a result of receiving Caring Contacts. This project developed an implementation planning process that successfully implemented Caring Contacts at one site. This can be used to further implement Caring Contacts at additional VA or community EDs. |
| first_indexed | 2024-12-16T08:00:37Z |
| format | Article |
| id | doaj.art-bc01c75716244b1b9791b32c7a0d71fe |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-16T08:00:37Z |
| publishDate | 2021-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-bc01c75716244b1b9791b32c7a0d71fe2022-12-21T22:38:36ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-10-011210.3389/fpsyt.2021.746805746805Adapting Caring Contacts for Veterans in a Department of Veterans Affairs Emergency Department: Results From a Type 2 Hybrid Effectiveness-Implementation Pilot StudySara J. Landes0Sara J. Landes1Sara J. Landes2Susan M. Jegley3JoAnn E. Kirchner4JoAnn E. Kirchner5John P. Areno6Jeffery A. Pitcock7Traci H. Abraham8Sacha A. McBain9Sacha A. McBain10R. Sonia Singh11R. Sonia Singh12Mary J. Bollinger13Mary J. Bollinger14Jacob Painter15Jacob Painter16Jack A. Woods17Nyssa D. Curtis18Donald E. Jones19Bridget B. Matarazzo20Bridget B. Matarazzo21Mark A. Reger22Katherine Anne Comtois23Behavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United StatesSouth Central Mental Illness Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United StatesDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, United StatesBehavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United StatesBehavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United StatesDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, United StatesSouth Central VA Health Care Network, Ridgeland, MS, United StatesBehavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United StatesCenter for Mental Healthcare & Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United StatesSouth Central Mental Illness Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United StatesDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, United StatesSouth Central Mental Illness Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United StatesDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, United StatesDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, United StatesCenter for Mental Healthcare & Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United StatesDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, United StatesCenter for Mental Healthcare & Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United StatesBehavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United StatesBehavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United StatesBehavioral Health QUERI, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United StatesRocky Mountain Mental Illness Research Education and Clinical Center, Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, CO, United StatesDepartment of Psychiatry, University of Colorado Anschutz School of Medicine, Aurora, CO, United StatesVA Puget Sound Health Care System, Tacoma, WA, United StatesDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, United StatesTransitions in care, such as discharge from an emergency department (ED), are periods of increased risk for suicide and effective interventions that target these periods are needed. Caring Contacts is an evidence-based suicide prevention intervention that targets transitions, yet it has not been widely implemented. This pilot study adapted Caring Contacts for a Department of Veterans Affairs (VA) ED setting and population, created an implementation toolkit, and piloted implementation and evaluation of effectiveness. To inform adaptation, qualitative interviews were conducted with stakeholders. Data were used by an advisory board comprised of stakeholders, experts, and veterans to make adaptations and develop an implementation planning guide to delineate steps needed to implement. Key decisions about how to adapt Caring Contacts included recipients, author, content, and the schedule for sending. Pilot implementation occurred at one VA ED. Caring Contacts involved sending patients at risk of suicide brief, non-demanding expressions of care. Program evaluation of the pilot used a type 2 hybrid effectiveness-implementation design to both pilot an implementation strategy and evaluate effectiveness of Caring Contacts. Evaluation included qualitative interviews with veteran patients during implementation. VA electronic health records were used to evaluate VA service utilization in the 6-month periods immediately before and after veterans were delivered their first Caring Contact. Hundred and seventy-five veterans were mailed Caring Contacts and the facility continued adoption after the pilot. Participants were positive about the intervention and reported feeling cared about and connected to VA as a result of receiving Caring Contacts. This project developed an implementation planning process that successfully implemented Caring Contacts at one site. This can be used to further implement Caring Contacts at additional VA or community EDs.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.746805/fullveteransuicide preventionemergency deparmentcaring contactsimplementation |
| spellingShingle | Sara J. Landes Sara J. Landes Sara J. Landes Susan M. Jegley JoAnn E. Kirchner JoAnn E. Kirchner John P. Areno Jeffery A. Pitcock Traci H. Abraham Sacha A. McBain Sacha A. McBain R. Sonia Singh R. Sonia Singh Mary J. Bollinger Mary J. Bollinger Jacob Painter Jacob Painter Jack A. Woods Nyssa D. Curtis Donald E. Jones Bridget B. Matarazzo Bridget B. Matarazzo Mark A. Reger Katherine Anne Comtois Adapting Caring Contacts for Veterans in a Department of Veterans Affairs Emergency Department: Results From a Type 2 Hybrid Effectiveness-Implementation Pilot Study Frontiers in Psychiatry veteran suicide prevention emergency deparment caring contacts implementation |
| title | Adapting Caring Contacts for Veterans in a Department of Veterans Affairs Emergency Department: Results From a Type 2 Hybrid Effectiveness-Implementation Pilot Study |
| title_full | Adapting Caring Contacts for Veterans in a Department of Veterans Affairs Emergency Department: Results From a Type 2 Hybrid Effectiveness-Implementation Pilot Study |
| title_fullStr | Adapting Caring Contacts for Veterans in a Department of Veterans Affairs Emergency Department: Results From a Type 2 Hybrid Effectiveness-Implementation Pilot Study |
| title_full_unstemmed | Adapting Caring Contacts for Veterans in a Department of Veterans Affairs Emergency Department: Results From a Type 2 Hybrid Effectiveness-Implementation Pilot Study |
| title_short | Adapting Caring Contacts for Veterans in a Department of Veterans Affairs Emergency Department: Results From a Type 2 Hybrid Effectiveness-Implementation Pilot Study |
| title_sort | adapting caring contacts for veterans in a department of veterans affairs emergency department results from a type 2 hybrid effectiveness implementation pilot study |
| topic | veteran suicide prevention emergency deparment caring contacts implementation |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.746805/full |
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