Evidence map›Paper›PMID 27668352›Full record

ArticleThe Journal of nervous and mental disease2017

Implementing Effective Policy in a National Mental Health Reengagement Program for Veterans.

Shawna N Smith, Zongshan Lai, Daniel Almirall, David E Goodrich, Kristen M Abraham, Kristina M Nord, Amy M Kilbourne

Open access · greenAbstract read
In one paragraph

Article in The Journal of nervous and mental disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Shawna N Smith*Department of Internal Medicine, Division of General Medicine; †Institute for Social Research, University of Michigan, Ann Arbor; ‡Department of Pathology, Beaumont Health System, Royal Oak; §VA Center for Clinical Management Research, VA Ann Arbor Healthcare System; ∥Department of Psychiatry, University of Michigan Medical School, Ann Arbor; ¶Department of Psychology, University of Detroit Mercy, Detroit, MI; and #Office of Research and Development, Veterans Health Administration, U.S. Department of Veterans, Washington DC.
Zongshan Lai
Daniel Almirall
David E Goodrich
Kristen M Abraham
Kristina M Nord
Amy M Kilbourne
University of Michigan–Ann Arbor · USVA Center for Clinical Management Research · USInstitute for Social Research · NOVA Ann Arbor Healthcare System · US

Funding

Pilot, Mentoring, and Professional Development CoreP50DA039838 · NIDA · PENNSYLVANIA STATE UNIVERSITY, THE · PI LI, RUNZE · 2015 to 2019
$13.9M
Novel Methods for Intensive Longitudinal Data in SMART Studies of Drug Abuse and HIVR01DA039901 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ALMIRALL, DANIEL, NAHUM-SHANI, INBAL BILLIE · 2015 to 2024
$5.4M
Population-based Outreach Services to Reduce Homelessness among Veterans with SMII01HX000617 · VA · VETERANS HEALTH ADMINISTRATION · PI KILBOURNE, AMY M · 2016 to 2016
–
HSRD VA I01 HX000617NIDA NIH HHS P50 DA039838NIDA NIH HHS R01 DA039901
6 · The paper itself

Abstract

Policy is a powerful motivator of clinical change, but implementation success can depend on organizational characteristics. This article used validated measures of organizational resources, culture, and climate to predict uptake of a nationwide Veteran's Health Administration (VA) policy aimed at implementing Re-Engage, a brief care management program that reestablishes contact with veterans with serious mental illness lost to care. Patient care databases were used to identify 2738 veterans lost to care. Local recovery coordinators (LRCs) were to update disposition for 2738 veterans at 158 VA facilities and, as appropriate, facilitate a return to care. Multivariable regression was used to assess organizational culture and climate as predictors of early policy compliance (via LRC presence) and uptake at 6 months. Higher composite climate and culture scores were associated with higher odds of having a designated LRC but were not predictive of higher uptake. Sites with LRCs had significantly higher rates of updated documentation than sites without LRCs.

Indexed as

Mental HealthMental Health ServicesVeterans HealthHealth PolicyHumansMental DisordersProgram DevelopmentUnited StatesUnited States Department of Veterans AffairsVeterans

Identifiers

PMID27668352
PMCPMC5272796
OpenAlexW2521359646

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.