Status:
ENROLLING_BY_INVITATION
Local Participatory Systems Dynamics to Increase Reach of Evidence Based Addiction and Mental Health Care
Lead Sponsor:
Palo Alto Veterans Institute for Research
Conditions:
PTSD
Depression
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
The most common reasons Veterans seek VA addiction and mental health care is for help with opioid and alcohol misuse, depression and PTSD. Research evidence has established highly effective treatments...
Detailed Description
The broad aim is to empower all healthcare stakeholders to provide the highest quality care to all patients. The specific aims address the complexities and tradeoffs associated with implementing evide...
Eligibility Criteria
Inclusion
- Inclusion Criteria Clinics:
- VA divisions and community-based outpatient clinics (CBOCs) or 'clinics' from regional VA health systems
- Must be below the overall VA quality median (as assessed by the Strategic Analytics for Improvement and Learning or SAIL), which includes 3 of 8 SAIL measures associated with four evidence-based psychotherapies and three evidence-based pharmacotherapies for depression, PTSD, and opioid use disorder.
- Exclusion Criteria Clinics:
- clinics with less than 12 months of data in 2018
- clinics already involved in Office of Veterans Access to Care (OVACS) quality improvement program at baseline.
- clinics where the VA Cerner electronic health record (EHR) implementation rollout will occur during the project period (Veterans Integrated Services Networks (VISNs) 20, 21 ,22, and 7)
- clinics who serve less than 122 unique patients each month on average
- clinics without an onsite multidisciplinary team of mental health or addiction service providers (minimum required: 1 psychiatrist, 1 psychologist, 1 social worker onsite)
Exclusion
Key Trial Info
Start Date :
February 1 2019
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 31 2025
Estimated Enrollment :
720 Patients enrolled
Trial Details
Trial ID
NCT04356274
Start Date
February 1 2019
End Date
December 31 2025
Last Update
June 3 2025
Active Locations (1)
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1
VA Palo Alto Health Care System
Palo Alto, California, United States, 94304