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Virtual Geriatric Mental Health Care Offered Where Needed Most: An Evaluation of a Telehealth Consultation Model

Many VA facilities serving large rural populations do not have geriatric mental health specialists available to assist with managing the aging Veteran population’s complex medical and behavioral comorbidities. We applied mixed-methods to evaluate an innovative model utilizing a geriatric psychiatris...

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Detalles Bibliográficos
Autores principales: Filips, Julie, Carlson, Chalise, Alfaro, Ana, Trevedi, Ranak, Savell, Anita, Gould, Christine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8679352/
http://dx.doi.org/10.1093/geroni/igab046.109
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author Filips, Julie
Carlson, Chalise
Alfaro, Ana
Trevedi, Ranak
Savell, Anita
Gould, Christine
author_facet Filips, Julie
Carlson, Chalise
Alfaro, Ana
Trevedi, Ranak
Savell, Anita
Gould, Christine
author_sort Filips, Julie
collection PubMed
description Many VA facilities serving large rural populations do not have geriatric mental health specialists available to assist with managing the aging Veteran population’s complex medical and behavioral comorbidities. We applied mixed-methods to evaluate an innovative model utilizing a geriatric psychiatrist who provides cross-facility consultation in a 5-state region. During a 3-month period, the consultant completed 135 consults and 20 e-consults to settings ranging from outpatient to long-term care. Leadership stakeholder and provider interviews highlight the importance of the availability of the consultant, collaboration with local care teams, staff education, person-centered approach, and work ethic/passion. The core challenges that the consultant helps manage include complex comorbidities, medication questions, and dementia with behavioral disturbance. Initial provider survey responses (n = 11) show high satisfaction with services (100%) and strong agreement (80%) that providers could follow through with recommendations. Next steps include replication of this model in other VA facilities.
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spelling pubmed-86793522021-12-17 Virtual Geriatric Mental Health Care Offered Where Needed Most: An Evaluation of a Telehealth Consultation Model Filips, Julie Carlson, Chalise Alfaro, Ana Trevedi, Ranak Savell, Anita Gould, Christine Innov Aging Abstracts Many VA facilities serving large rural populations do not have geriatric mental health specialists available to assist with managing the aging Veteran population’s complex medical and behavioral comorbidities. We applied mixed-methods to evaluate an innovative model utilizing a geriatric psychiatrist who provides cross-facility consultation in a 5-state region. During a 3-month period, the consultant completed 135 consults and 20 e-consults to settings ranging from outpatient to long-term care. Leadership stakeholder and provider interviews highlight the importance of the availability of the consultant, collaboration with local care teams, staff education, person-centered approach, and work ethic/passion. The core challenges that the consultant helps manage include complex comorbidities, medication questions, and dementia with behavioral disturbance. Initial provider survey responses (n = 11) show high satisfaction with services (100%) and strong agreement (80%) that providers could follow through with recommendations. Next steps include replication of this model in other VA facilities. Oxford University Press 2021-12-17 /pmc/articles/PMC8679352/ http://dx.doi.org/10.1093/geroni/igab046.109 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Filips, Julie
Carlson, Chalise
Alfaro, Ana
Trevedi, Ranak
Savell, Anita
Gould, Christine
Virtual Geriatric Mental Health Care Offered Where Needed Most: An Evaluation of a Telehealth Consultation Model
title Virtual Geriatric Mental Health Care Offered Where Needed Most: An Evaluation of a Telehealth Consultation Model
title_full Virtual Geriatric Mental Health Care Offered Where Needed Most: An Evaluation of a Telehealth Consultation Model
title_fullStr Virtual Geriatric Mental Health Care Offered Where Needed Most: An Evaluation of a Telehealth Consultation Model
title_full_unstemmed Virtual Geriatric Mental Health Care Offered Where Needed Most: An Evaluation of a Telehealth Consultation Model
title_short Virtual Geriatric Mental Health Care Offered Where Needed Most: An Evaluation of a Telehealth Consultation Model
title_sort virtual geriatric mental health care offered where needed most: an evaluation of a telehealth consultation model
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8679352/
http://dx.doi.org/10.1093/geroni/igab046.109
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