Evaluation of the Department of Veterans Affairs Mental Health Services (2018) / Chapter Skim
Currently Skimming:
3 The Veterans Health Administration's Mental Health Services
3 The Veterans Health Administration's Mental Health Services
Pages 27-44
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From page 27... ...
Although Figure 3-1 illustrates how veterans are moved through VHA mental health care, it does not reflect the way mental health care services are integrated with the rest of the VHA health care system. Veterans have complete access to medical specialty services as needed.
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From page 28... ...
See the next section of this chapter for a description of the programs and services depicted in this figure. NOTE: CBOC = community-based outpatient clinic; CWT-TR = compensated work therapy-transitional residence; IOP = intensive outpatient program; MHICM = mental health intensive case management; OTP = opioid treatment program; PRRC = Psychosocial Rehabilitation and Recovery Center; PRRTP = Psychosocial Residential Rehabilitative Treatment Program; PTSD = posttraumatic stress disorder; RANGE = Rural Access Network for Growth and Enhancement; SUD = substance use disorder; VAMC = Veterans Affairs medical center.
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From page 29... ...
Because a substantial percentage of veterans treated in any given program have comorbid mental health conditions, virtually all programs have either in-house services or services available by referral to address the complex combinations of issues presented by the veteran population. This section summarizes the key mental health programs and clinical services offered at VHA health care facilities.
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From page 30... ...
The goals of using the BHIP teams include better integration of outpatient mental health care, improved access for patients, and improved coordination and continuity of care. Chapter 12 presents more information about BHIP and other evidence-based care delivery approaches that systematically coordinate care given by VHA primary care, mental health, and substance-use treatment providers to effectively treat patients with mental health conditions.
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From page 31... ...
Posttraumatic Stress Disorder–Residential Rehabilitative Treatment Programs or Domiciliary Posttraumatic Stress Disorder Posttraumatic stress disorder–residential rehabilitative treatment programs (PTSD-RRTPs) and domiciliary posttraumatic stress disorder programs (Dom-PTSDs)
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From page 32... ...
. Acute Inpatient Mental Health Services Veterans in need of intensive crisis-oriented assessment and intervention for their mental illness or SUDs are admitted to inpatient mental health programs.
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Working with an assigned case manager, veterans in the HUD-VASH program develop a house stabilization plan that includes both housing and treatment needs and recovery goals. To be eligible for the program, veterans must be eligible for VHA health care services and either lack a regular nighttime residence or have a primary residence that is a shelter, temporary housing facility, or a place not normally used as a regular sleeping accommodation (National Center on Homelessness Among Veterans, 2012)
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From page 34... ...
These include the Incentive Therapy program, the Sheltered Workshop program, the Transitional Work program, the Supported Employment program, and the Transitional Residence program (described in the Mental Health Residential Treatment Program section above)
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From page 35... ...
Nor does this section provide an exhaustive list of support centers; there are additional VA centers that include mental health as part of their portfolios. Northeast Program Evaluation Center The Northeast Program Evaluation Center, located in West Haven, Connecticut, is responsible for overseeing and evaluating the VHA's mental health services' programs, and it produces several products.
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From page 36... ...
VISN 2 MIRECC Maximize recovery for veterans with SMI VISN 4 MIRECC Treatment and prevention of comorbid medical, mental health, and/or SUD Capitol Health Care Network MIRECC Improve the care of all veterans with schizophrenia and other SMI Mid-Atlantic MIRECC Clinical assessment and treatment of postdeployment mental illness and related problems, development of novel mental health interventions South Central MIRECC Improve access to evidence-based practices in rural and other underserved populations Rocky Mountain Network MIRECC Reduce suicide in the veteran population Northwest MIRECC Applies genetic, neurobiological and clinical trial methods to the discovery of effective treatments for major mental disorders Sierra Pacific MIRECC Improve clinical care for veterans with dementias and with PTSD Desert Pacific MIRECC Improve the outcome of patients with chronic psychotic mental disorders (schizophrenia, schizoaffective disorder, and psychotic mood disorders) NOTE: MIRECC = Mental Illness Research, Education and Clinical Center; PTSD = posttraumatic stress disorder; SMI = serious mental illness; SUD = substance use disorder; VHA = Veterans Health Administration; VISN = Veterans Integrated Service Network.
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From page 37... ...
The QUERI program, first established in the 1990s, has recently evolved from 10 centers, each with a focus on a specific disease or condition, such as the Substance Use Disorder QUERI and the Mental Health QUERI, to a collection of 15 interdisciplinary programs with cross-cutting partnerships aimed at achieving VHA national priority goals and specific implementation strategies. For example, in the area of mental health, the QUERI for Team-Based Behavioral Health (in Little Rock, Arkansas)
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From page 38... ...
enhance the mental and physical health care of veterans with serious mental illnesses by providing clinicians with state-of-the-art information on the effectiveness of treatment options; (2) inform the VA on issues of access to care, customer and clinician satisfaction, efficiency, and the delivery of quality health care; and (3)
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From page 39... ...
NOTE: PTSD = posttraumatic stress disorder; VHA = Veterans Health Administration; VISN = Veterans Integrated Service Network. SOURCES: Schnurr, 2014; VA, 2016d.
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SUMMARY This chapter has provided a summary of VA programs and services related to mental health care and of major mental health evaluation, research, and support centers that serve to monitor as well as inform clinical practice. The chapter is intended to be solely descriptive.
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From page 41... ...
• Both general and specialty mental health services are offered with a particular emphasis on areas that address the needs of the veteran population (for example, posttraumatic stress disorder and military sexual trauma)
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From page 42... ...
Presented to the Committee to Evaluate the Department of Veterans Affairs Mental Health Services. Palo Alto, CA: Program Evaluation and Resource Center.
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From page 43... ...
2011. Healthcare inspection: A follow-up review of VHA mental health residential rehabilitation treatment programs (MH RRTP)
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