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Veterans, community integration

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https://www.readbyqxmd.com/read/29042341/pain-self-management-for-veterans-development-and-pilot-test-of-a-stage-based-mobile-optimized-intervention
#1
Sara S Johnson, Deborah A Levesque, Lynne E Broderick, Dustin G Bailey, Robert D Kerns
BACKGROUND: Chronic pain is a significant public health burden affecting more Americans than cardiovascular disease, diabetes, and cancer combined. Veterans are disproportionately affected by chronic pain. Among previously deployed soldiers and veterans, the prevalence of chronic pain is estimated between 44% and 60%. OBJECTIVE: The objective of this research was to develop and pilot-test Health eRide: Your Journey to Managing Pain, a mobile pain self-management program for chronic musculoskeletal pain for veterans...
October 17, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29017375/hiv-nurse-navigation-charting-the-course-to-improve-engagement-in-care-and-hiv-virologic-suppression
#2
Octaviana Hemmy Asamsama, Leah Squires, Alpha Tessema, Ephrem Rae, Karen Hall, Rush Williams, Debra Benator
This study represents one of the few exploring the effectiveness of an integrated HIV nurse navigation program on engagement and virologic outcomes. A navigator provided individualized care management (eg, pillbox renewals), intensive outreach, and collaboration with existing support systems (eg, families, community programs). Clinical data from the Veterans Affairs (VA) Medical Center site of a longitudinal, observational study of HIV in the District of Columbia (DC) cohort were used for comparison (N = 706)...
January 1, 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28988835/interact-in-va-community-living-centers-clcs-training-and-implementation-strategies
#3
Amy L Mochel, Nancy D Henry, Debra Saliba, Ciaran S Phibbs, Joseph G Ouslander, Vincent Mor
Studies have shown that hospitalizations of nursing home (NH) residents lead to complications and poorer quality of life. The Interventions to Reduce Acute Care Transfers (INTERACT) Quality Improvement (QI) Program assists licensed NH staff in avoiding such hospitalizations. INTERACT aims to improve the management of acute changes in residents' conditions by providing tools to help staff recognize subtle changes in condition, improve communication, and implement QI strategies. INTERACT has been vetted by national clinical leaders and experts in long term care (LTC)...
October 5, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28929322/the-importance-of-symbolic-and-engaged-participation-in-evidence-based-quality-improvement-in-a-complex-integrated-healthcare-system-response-to-the-science-of-stakeholder-engagement-in-research
#4
Alison B Hamilton, Elizabeth M Yano
In this commentary, we respond to the commentary provided by Goodman and Sanders Thompson regarding our paper on multilevel stakeholder engagement in a VA implementation trial of evidence-based quality improvement (EBQI) in women's health primary care. We clarify our overall approach to engagement (comprised of both symbolic and engaged participation, according to the authors' classification rubric), highlighting that symbolic participation is of more import and value than the authors suggest, especially in the context of a hierarchical healthcare system...
September 2017: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/28866009/long-term-functional-outcomes-in-military-service-members-and-veterans-after-traumatic-brain-injury-polytrauma-inpatient-rehabilitation
#5
Max Gray, Joyce Chung, Fatima Aguila, T Gavin Williams, Jeffrey K Teraoka, Odette A Harris
OBJECTIVE: To determine the effect of the established polytrauma/traumatic brain injury (TBI) infrastructure on immediate posttreatment functional gains, the long-term sustainability of any gains, and participation-related community reintegration outcomes in a baseline cohort of patients 8 years postadmission. DESIGN: Retrospective review and prospective repeated measures of an inception cohort. SETTING: Polytrauma rehabilitation center (PRC)...
September 1, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28857582/supporting-veterans-transitions-from-permanent-supportive-housing
#6
Ann Elizabeth Montgomery, Meagan C Cusack, Sonya Gabrielian
OBJECTIVES: Little research has assessed the nature of veterans' departures from permanent supportive housing (PSH), which may be of positive valence (e.g., moving into more independent housing). This study aimed to identify participants appropriate for "graduation" from PSH and how to support their transitions. METHOD: This mixed methods study used qualitative data from PSH program staff, 445 PSH participants' responses to a survey assessing their experiences and administrative records, and qualitative data from a subsample of 10 participants who graduated from the program...
August 31, 2017: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/28805082/veterans-transitioning-from-isolation-to-integration-a-look-at-veteran-service-dog-partnerships
#7
Terry K Crowe, Victoria Sánchez, Alyse Howard, Brenna Western, Stephanie Barger
BACKGROUND: This study explored the dynamics of veteran/service dog partnerships by gathering the perspectives of veterans with a history of post-traumatic stress disorder and/or traumatic brain injury. METHODS: Exploratory qualitative methods (focus groups and individual interviews) were used to investigate veteran/service dog relationships related to community involvement, family and friend relationships, self-care, work, and leisure. Nine male veterans, Paws, and Stripes program graduates participated...
August 13, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28762507/increasing-physical-activity-for-veterans-in-the-mental-health-intensive-case-management-program-a-community-based-intervention
#8
S Akeya Harrold, Julian Libet, Charlene Pope, Joy A Lauerer, Emily Johnson, Barbara J Edlund
AIMS AND OBJECTIVES: Individuals with severe mental illness (SMI), experience increased mortality-20 years greater disparity for men and 15 years greater disparity for women-compared to the general population (Thornicroft G. Physical health disparities and mental illness: The scandal of premature mortality. Br J Psychiatr. 2011;199:441-442). Numerous factors contribute to premature mortality in persons with SMI, including suicide and accidental death (Richardson RC, Faulkner G, McDevitt J, Skrinar GS, Hutchinson D, Piette JD...
August 1, 2017: Perspectives in Psychiatric Care
https://www.readbyqxmd.com/read/28743195/examining-the-relationship-between-post-traumatic-stress-disorder-and-social-participation-among-veterans-with-spinal-cord-injuries-and-disorders
#9
Bella Etingen, Sara M Locatelli, Scott Miskevics, Sherri L LaVela
PURPOSE: The objectives of this study were to examine differences in social participation among Veterans with spinal cord injuries/disorders with and without post-traumatic stress disorder, and determine if lower social participation was independently associated with having post-traumatic stress disorder. METHODS: A cross-sectional mailed national survey was sent to a national sample of Veterans with spinal cord injuries/disorders who received prior-year Veterans Affairs healthcare...
July 26, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28709785/implementing-and-evaluating-a-telephone-based-centralized-maternity-care-coordination-program-for-pregnant-veterans-in%C3%A2-the-department-of-veterans-affairs
#10
Kristin M Mattocks, Judy Kuzdeba, Rebecca Baldor, Jose Casares, Lisa Lombardini, Megan R Gerber
PURPOSE: The purpose of this study was to develop and evaluate a comprehensive, telephonic maternity care coordination (MCC) program for all pregnant veterans enrolled for care at New England Department of Veterans Affairs (VA) facilities that comprise the Veterans Integrated Service Network 1. RESEARCH DESIGN: Telephone interviews were conducted with postpartum women veterans who had participated in the MCC program during their pregnancies. The program evaluation instrument assessed satisfaction and use of MCC services, prenatal education classes, and infant and maternal outcomes (e...
September 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28631816/cognitive-rehabilitation-for-adults-with-traumatic-brain-injury-to-improve-occupational-outcomes
#11
REVIEW
K Suresh Kumar, Selvaraj Samuelkamaleshkumar, Anand Viswanathan, Ashish S Macaden
BACKGROUND: Cognitive impairment in people with traumatic brain injury (TBI) could affect multiple facets of their daily functioning. Cognitive rehabilitation brings about clinically significant improvement in certain cognitive skills. However, it is uncertain if these improved cognitive skills lead to betterments in other key aspects of daily living. We evaluated whether cognitive rehabilitation for people with TBI improves return to work, independence in daily activities, community integration and quality of life...
June 20, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28455190/association-of-traumatic-brain-injury-with-chronic-pain-in-iraq-and-afghanistan-veterans-effect-of-comorbid-mental-health-conditions
#12
Karen H Seal, Daniel Bertenthal, Deborah E Barnes, Amy L Byers, Irina Strigo, Kristine Yaffe
OBJECTIVE: To characterize the association between traumatic brain injury (TBI) and chronic pain and pain disability in the context of comorbid conditions, posttraumatic stress disorder (PTSD), and depression to better inform care of combat veterans. DESIGN: Retrospective cohort study. SETTING: Medical centers and community clinics. PARTICIPANTS: Combat veterans (N=116,913) who received Veterans Affairs care between October 1, 2007 and March 31, 2015, completed a Comprehensive Traumatic Brain Injury Evaluation, and received a criterion standard diagnosis of TBI (none, mild, or moderate to severe)...
August 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28368897/a-longitudinal-study-of-social-participation-after-dysvascular-lower-extremity-amputation
#13
Ann Marie Roepke, Rhonda M Williams, Aaron P Turner, Alison W Henderson, Daniel C Norvell, Helene Henson, Kevin N Hakimi, Joseph M Czerniecki
OBJECTIVE: This study examined patterns of social participation among individuals experiencing their first dysvascular lower extremity amputation. We identified the types of social participation valued by this population and explored factors that were associated with individuals' levels of participation and their subjective satisfaction with participation. DESIGN: A prospective cohort was recruited from four Veterans Administration Medical Centers and followed for 1 yr after amputation...
October 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28352240/military-service-member-and-veteran-reintegration-a-conceptual-analysis-unified-definition-and-key-domains
#14
Christine A Elnitsky, Michael P Fisher, Cara L Blevins
Returning military service members and veterans (MSMVs) may experience a variety of stress-related disorders and challenges when reintegrating from the military to the community. Facilitating the reintegration, transition, readjustment and coping, and community integration, of MSMVs is a societal priority. To date, research addressing MSMV reintegration has not identified a comprehensive definition of the term or defined the broader context within which the process of reintegration occurs although both are needed to promote valid and reliable measurement of reintegration and clarify related challenges, processes, and their impact on outcomes...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28263359/implementing-a-veteran-centered-community-health-clinical-experience-in-a-baccalaureate-nursing-program
#15
Barbara E Champlin, Dorcas Elisabeth Kunkel
BACKGROUND: In a baccalaureate nursing curriculum, students focused on the unique health care needs of veterans and their families. The learning experiences aimed to equip them with the knowledge, skills, and attitudes (KSAs) to provide holistic relation-centered care to veterans and their families. METHOD: The clinical course integrated the findings of several veteran-centered publications and the American Association of Colleges of Nursing veteran-centered resources...
March 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28206805/facilitating-successful-reintegration-attending-to-the-needs-of-military-families
#16
Virginia Gil-Rivas, Ryan P Kilmer, Jacqueline C Larson, Laura Marie Armstrong
Subsequent to the wars in Afghanistan and Iraq, the experiences of military service members (MSVMs) and veterans have garnered increasing attention. A growing body of work has begun to shed light on their reintegration, a process that can bring with it transitions and challenges for service members and their families. Although many families adapt effectively, some have difficulty navigating this process, which can lead to a host of short- and long-term negative consequences for families. The literature to date is not well-developed regarding strategies for supporting successful reintegration of MSVMs and veterans in the context of military families...
2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28206800/perspectives-of-veterans-with-mild-traumatic-brain-injury-on-community-reintegration-making-sense-of-unplanned-separation-from-service
#17
Alexander V Libin, Manon Maitland Schladen, Ellen Danford, Samantha Cichon, Dwan Bruner, Joel Scholten, Maria Llorente, Slavomir Zapata, Alexander W Dromerick, Marc R Blackman, Kathryn M Magruder
For veterans separated from the military as a result of acquired mild traumatic brain injury (mTBI), the transition from a military identity to a civilian one is complicated by health, cognitive, and psychosocial factors. We conducted in-depth interviews with 8 veterans with mTBI to understand how they perceived the experience of departure from the military, rehabilitation services provided at a Department of Veterans Affairs (VA) Polytrauma Network Site, and reentry into civilian life. Two distinct patterns of thinking about community reintegration emerged...
2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28206799/military-service-member-and-veteran-reintegration-a-critical-review-and-adapted-ecological-model
#18
REVIEW
Christine A Elnitsky, Cara L Blevins, Michael P Fisher, Kathryn Magruder
Returning military service members and veterans (MSMVs) experience a wide range of stress-related disorders in addition to social and occupational difficulties when reintegrating to the community. Facilitating reintegration of MSMVs following deployment is a societal priority. With an objective of identifying challenges and facilitators for reintegration of MSMVs of the current war era, we critically review and identify gaps in the literature. We searched 8 electronic databases and identified 1,764 articles...
2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28134552/measurement-based-management-of-mental-health-quality-and-access-in-vha-sail-mental-health-domain
#19
Sonne Lemke, Matthew Tyler Boden, Lisa K Kearney, Dean D Krahn, Matthew J Neuman, Eric M Schmidt, Jodie A Trafton
We outline the development of a Mental Health Domain to track accessibility and quality of mental health care in the United States Veterans Health Administration (VHA) as part of a broad-based performance measurement system. This domain adds an important element to national performance improvement efforts by targeting regional and facility leadership and providing them a concise yet comprehensive measure to identify facilities facing challenges in their mental health programs. We present the conceptual framework and rationale behind measure selection and development...
February 2017: Psychological Services
https://www.readbyqxmd.com/read/27903138/partnerships-between-health-care-and-legal-providers-in-the-veterans-health-administration
#20
Jack Tsai, Margaret Middleton, Randye Retkin, Cindy Johnson, Kevin Kenneally, Scott Sherman, Robert A Rosenheck
Medical-legal partnerships (MLPs) represent an innovative service model in which lawyers are integrated into health care teams to address diverse legal problems that affect vulnerable populations. The Veterans Health Administration (VHA) operates the largest safety-net health care system in the country and serves many low-income and disabled veterans who could benefit from MLP services. In this column, the authors describe the development and operations of MLPs at four VHA medical centers that serve veterans who are homeless or who have serious mental illness...
April 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
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