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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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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. |
format | Online Article Text |
id | pubmed-8679352 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
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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