Evaluation of Implementing FLOW
NCT04193033 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 9
Last updated 2024-08-23
Summary
Adequate access to mental health is one of the most important problems facing the VA and VISN 19. Mental health patients who are stabilized and recovered should be transitioned back to primary care to increase availability in mental health for new patients, and to signal to recovered patients that they are successfully recovered. Because there are currently no methods to identify who is recovered or tools and processes to assist in transitions, few patients 'graduate' mental health. The FLOW program consists of an algorithm to identify patients who are potentially appropriate for transition, a user-friendly online report to communicate this information to providers, materials to explain this process to patients and providers, and an electronic medical record (EMR) note template to document the transition. The investigators are partnering with VISN 19 to evaluate this program using a stepped wedge design with 9 sites randomly allocated into 3 steps in the wedge. Sites will receive an evidence-based implementation facilitation approach. The investigators will evaluate the number of patients transitioned, success of those transitions, and patient and provider satisfaction.
Conditions
Interventions
- OTHER
-
FLOW intervention
The FLOW program, including internal and external facilitation, use of the FLOW online report to identify patients, patient and provider education materials, a medical record template, and regular data tracking and feedback about the process.
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
Natalie E Hundt, PhD · Michael E. DeBakey VA Medical Center, Houston, TX
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-07-06
- Primary Completion
- 2022-09-01
- Completion
- 2022-09-30
Countries
- United States
Study Locations
More Related Trials
-
The Effectiveness of FMPO in Improving the Quality of Care for Persons With Severe Mental Illness.
NCT00466323 ·Status: COMPLETED ·Phase: NA
-
Hybrid Collaborative Care Randomized Program Evaluation
NCT02543840 ·Status: COMPLETED ·Phase: NA
-
Improving Care Transitions for Medicaid Insured Individuals With Co-occurring Serious Mental Illness
NCT06203509 ·Status: RECRUITING ·Phase: NA
-
Appalachian Mind Health Initiative
NCT04120285 ·Status: COMPLETED ·Phase: NA
-
Avatar Intervention for the Treatment of Cannabis Use Disorder in Patients With Severe Mental Health Disorders
NCT05726617 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Participatory System Dynamics vs Usual Quality Improvement: Staff Use of Simulation as an Effective, Scalable and Affordable Way to Improve Timely Mental Health Care?
NCT04208217 ·Status: COMPLETED ·Phase: NA
-
Using Patient Feedback in Mental Health Services
NCT05603325 ·Status: UNKNOWN
-
Digital Mental Health Care for COVID-19 High-Risk Populations - Phase 2
NCT05826132 ·Status: COMPLETED ·Phase: NA
-
Improving Mental Health Outcomes: Building an Adaptive Implementation Strategy
NCT02151331 ·Status: TERMINATED ·Phase: NA
-
Development of a Patient Centered Mental Health Intervention for Recent Veterans
NCT02943408 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Telehealth Services on Mental Health Outcomes for People With Intellectual and Developmental Disabilities
NCT05336955 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Illness Management and Recovery for Veterans With Severe Mental Illness
NCT00515671 ·Status: COMPLETED ·Phase: NA
-
Online and Shared Decision-Making Interventions to Engage Service Men and Women in Post-Deployment Mental Health Care
NCT03539068 ·Status: COMPLETED ·Phase: NA
-
Task Sharing for the Care of Severe Mental Disorders in a Low-income Country
NCT02308956 ·Status: COMPLETED ·Phase: PHASE3
-
Primary Care Online Emotion-regulation Treatment
NCT05032547 ·Status: COMPLETED ·Phase: NA
-
Scaling-Up Stepped Care for Women's Mental Health in Primary Care in an LMIC
NCT04110405 ·Status: UNKNOWN ·Phase: NA
-
Improving Primary Care in Patients With Mental Disorders
NCT00183313 ·Status: COMPLETED ·Phase: PHASE3
-
Intervention Trial to Decrease Cardiovascular Risk in Persons With Serious Mental Illness
NCT02127671 ·Status: COMPLETED ·Phase: NA
-
Dual Diagnosis Inpatients: Telephone Monitoring RCT to Improve Outcomes
NCT01135420 ·Status: COMPLETED ·Phase: PHASE2
-
Effectiveness and Implementation of a Mindfulness Intervention for Depressive Symptoms Among Adults in a FQHC
NCT03620721 ·Status: COMPLETED ·Phase: NA
-
Telephone Administered Psychotherapy for the Treatment of Depression for Veterans in Rural Areas
NCT00223652 ·Status: COMPLETED ·Phase: PHASE2
-
Enhancing Delivery of Problem Solving Therapy Using SmartPhone Technology
NCT01891734 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Motivational Interviews for Depression in Primary Care
NCT01114334 ·Status: COMPLETED ·Phase: NA
-
Integrated Treatment to Persons With Mental Disorders and Co-occurring Substance Use Disorders
NCT00447733 ·Status: COMPLETED ·Phase: NA
-
Combining mHealth and Nurse-delivered Care to Improve the Outcomes of People With Serious Mental Illness in West Africa
NCT05703711 ·Status: RECRUITING ·Phase: NA