Realigning theory with evidence to understand the role of care coordination in mental health services research

Hynes, Denise M.; Thomas, Kelsey R.

doi:10.1177/20534345231153801

Cited by 4 publications

(7 citation statements)

References 43 publications

(57 reference statements)

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“…29 Once care coordination services become a standard element in electronic health records, we can use records to understand better who receives it, who does not, and who should. 30 These findings also have implications regarding the role of professional sources of emotional support and informal sources of emotional support for caregivers of CSHCNs. Both informal sources of emotional support and receipt of emotional support services play an important role in caregiver coping for all parents of CSHCNs, especially for the most vulnerable families.…”

Section: Discussionmentioning

confidence: 99%

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Family Support Services and Reported Parent Coping Among Caregivers of Children with Emotional, Behavioral, or Developmental Disorders

Graaf,

Hughes,

deJong

et al. 2023

J Dev Behav Pediatr

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Objective: Caregivers of children with special health care needs (CSHCN) experience substantial strain caring for their child's special needs because of high needs for health and other support services. Caregivers of CSHCN with emotional, behavioral, or developmental problems (EBDPs) report stress and poor mental health at higher rates than caregivers of other CSHCN. Although family support services are associated with caregiver mental health and well-being among families of CSHCN, the association of these factors with caregiver coping has been underexamined. Method: Using the Double ABCX Model of Family Adaptation to guide variable selection, this study uses 2016 to 2019 data from the National Survey of Children's Health. Univariate, bivariate, and multivariate logistic analyses examined the association between caregivers' receipt of adequate care coordination and emotional support services and their reported coping with the day-to-day strains of parenting. These relationships are compared between caregivers of CSHCN with and without EBDPs. Results: Receipt of adequate care coordination was associated with higher rates of caregiver-reported positive coping for all caregivers of CSHCN who have no source of emotional support. Receipt of emotional support services was associated with increased reports of positive coping for caregivers for all CSHCN as well. Caregivers reporting only informal sources of emotional support, however, also reported higher rates of positive coping when compared with caregivers with no source of emotional support. Conclusion: Mobilization of resources that can aid caregivers in coordinating care and provide emotional support may play a key role in positive caregiver coping for families of CSHCN.

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Section: Discussionmentioning

confidence: 99%

“…29 Once care coordination services become a standard element in electronic health records, we can use records to understand better who receives it, who does not, and who should. 30…”

Section: Discussionmentioning

confidence: 99%

Family Support Services and Reported Parent Coping Among Caregivers of Children with Emotional, Behavioral, or Developmental Disorders

Graaf,

Hughes,

deJong

et al. 2023

J Dev Behav Pediatr

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“…Also, among all high-risk Veterans, the median number of services received was 0 (IQR [0, 1]) (data not shown). Among high-risk Veterans who received at least 1 CC service, the median number of services received was 2 [IQR (1,6)] (Fig. 1A).…”

Section: Veteran Characteristicsmentioning

confidence: 99%

“…Effective care coordination (CC) encompasses patient assessment, communication between patients and care teams, and facilitation of connections between patients, health systems, and communities. [1][2][3][4] Ideally, CC results in care plans that are integrated across domains of care 3 and aligned with patient and family needs, preferences, and goals. 5 Given this relative complexity, providers and staff spend significant time organizing and delivering CC services.…”

Section: Introductionmentioning

confidence: 99%

Intensity, Characteristics, and Factors Associated With Receipt of Care Coordination Among High-Risk Veterans in the Veterans Health Administration

Govier,

Hickok,

Niederhausen

et al. 2024

Medical Care

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Background: The Veterans Health Administration (VHA) has initiatives underway to enhance the provision of care coordination (CC), particularly among high-risk Veterans. Yet, evidence detailing the characteristics of and who receives VHA CC is limited. Objectives: We examined intensity, timing, setting, and factors associated with VHA CC among high-risk Veterans. Research Design: We conducted a retrospective observational cohort study, following Veterans for 1 year after being identified as high-risk for hospitalization or mortality, to characterize their CC. Demographic and clinical factors predictive of CC were identified via multivariate logistic regression. Subjects: A total of 1,843,272 VHA-enrolled high-risk Veterans in fiscal years 2019-2021. Measures: We measured 5 CC variables during the year after Veterans were identified as high risk: (1) receipt of any service, (2) number of services received, (3) number of days to first service, (4) number of days between services, and (5) type of visit during which services were received. Results: Overall, 31% of high-risk Veterans in the sample received CC during one-year follow-up. Among Veterans who received ≥1 service, a median of 2 [IQR (1, 6)] services were received. Among Veterans who received ≥2 services, there was a median of 26 [IQR (10, 57)] days between services. Most services were received during outpatient psychiatry (46%) or medicine (16%) visits. Veterans’ sociodemographic and clinical characteristics were associated with receipt of CC. Conclusions: A minority of Veterans received CC in the year after being identified as high-risk, and there was variation in intensity, timing, and setting of CC. Research is needed to examine the fit between Veterans’ CC needs and preferences and VHA CC delivery.

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“…Their proposed model is expected to serve as a guide for future research to better understand the variation of care coordination services and delivery and its added value to improving mental health in different real-world settings. 10…”

mentioning

confidence: 99%

CoordinAtIon

Vrijhoef

2023

International Journal of Care Coordination

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Realigning theory with evidence to understand the role of care coordination in mental health services research

Cited by 4 publications

References 43 publications

Family Support Services and Reported Parent Coping Among Caregivers of Children with Emotional, Behavioral, or Developmental Disorders

Family Support Services and Reported Parent Coping Among Caregivers of Children with Emotional, Behavioral, or Developmental Disorders

Intensity, Characteristics, and Factors Associated With Receipt of Care Coordination Among High-Risk Veterans in the Veterans Health Administration

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