Evidence map›Paper›PMID 31832790›Full record

ArticleHealth & justice2019

Coordinating across correctional, community, and VA systems: applying the Collaborative Chronic Care Model to post-incarceration healthcare and reentry support for veterans with mental health and substance use disorders.

Bo Kim, Rendelle E Bolton, Justeen Hyde, B Graeme Fincke, Mari-Lynn Drainoni, Beth Ann Petrakis, Molly M Simmons, D Keith McInnes

Open access · goldAbstract read
In one paragraph

Article in Health & justice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Bo KimVA Center for Healthcare Organization and Implementation Research, Bedford/Boston, MA, USA. bo.kim@va.gov.
Rendelle E BoltonVA Center for Healthcare Organization and Implementation Research, Bedford/Boston, MA, USA.
Justeen HydeVA Center for Healthcare Organization and Implementation Research, Bedford/Boston, MA, USA.
B Graeme FinckeVA Center for Healthcare Organization and Implementation Research, Bedford/Boston, MA, USA.
Mari-Lynn DrainoniVA Center for Healthcare Organization and Implementation Research, Bedford/Boston, MA, USA.
Beth Ann PetrakisVA Center for Healthcare Organization and Implementation Research, Bedford/Boston, MA, USA.
Molly M SimmonsRAND Corporation, Boston, MA, USA.
D Keith McInnesVA Center for Healthcare Organization and Implementation Research, Bedford/Boston, MA, USA.
Bedford VA Research Corporation · USBoston University · USRAND Corporation · US

Funding

VA Health Services Research & Development Quality Enhancement Research Initiative QUE 15-284
6 · The paper itself

Abstract

backgroundBetween 12,000 and 16,000 veterans leave incarceration annually. As is known to be the case for justice-involved populations in general, mental health disorders (MHDs) and substance use disorders (SUDs) are highly prevalent among incarcerated veterans, and individuals with MHDs and SUDs reentering the community are at increased risk of deteriorating health and recidivism. We sought to identify opportunities to better coordinate care/services across correctional, community, and VA systems for reentry veterans with MHDs and SUDs.

methodsWe interviewed 16 veterans post-incarceration and 22 stakeholders from reentry-involved federal/state/community organizations. We performed a grounded thematic analysis, and recognizing consistencies between the emergent themes and the evidence-based Collaborative Chronic Care Model (CCM), we mapped findings to the CCM's elements - work role redesign (WRR), patient self-management support (PSS), provider decision support (PDS), clinical information systems (CIS), linkages to community resources (LCR), and organizational/leadership support (OLS).

resultsEmergent themes included (i) WRR - coordination challenges among organizations involved in veterans' reentry; (ii) PSS - veterans' fear of reentering society; (iii) PDS - uneven knowledge by reentry support providers regarding available services when deciding which services to connect a reentry veteran to and whether he/she is ready and/or willing to receive services; (iv) CIS - lapses in MHD/SUD medications between release and a first scheduled health care appointment, as well as challenges in transfer of medical records; (v) LCR - inconsistent awareness of existing services and resources available across a disparate reentry system; and (vi) OLS - reentry plans designed to address only immediate transitional needs upon release, which do not always prioritize MHD/SUD needs.

conclusionsApplying the CCM to coordinating cross-system health care and reentry support may contribute to reductions in mental health crises and overdoses in the precarious first weeks of the reentry period.

Indexed as

Continuity of careMental healthQualitative researchSubstance abuseVeterans

Identifiers

PMID31832790
PMCPMC6909453
OpenAlexW2995670415

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.