Publications by authors named "C Turvey"
Measurement-based care (MBC) comprises collecting patient-reported outcomes data using validated assessments and using that information to support treatment. The Veterans Health Administration (VHA) has developed technology platforms to support MBC, including the Mental Health Checkup (MHC) mobile health application (app). Our objective was to examine VHA mental health provider perspectives on the MHC app.
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- Mental health issues are common among US veterans, and the Veterans Health Administration (VHA) is working to improve care by using measurement-based care (MBC) and mobile apps like the Mental Health Checkup (MHC) to support veterans' mental wellness.
- The study evaluated veteran experiences with the MHC app through surveys and interviews, finding positive impacts on engagement in health care, treatment decision-making, and goal-setting for veterans who used the app for three months or more.
- Results indicated that using the MHC app improved communication about health needs, with a significant increase in positive responses from users who had utilized the app longer, thus demonstrating the app's potential benefits in enhancing mental health care for veterans.
Background: There are a range of effective pharmacological and behavioral treatments for depression. However, approximately one-third of patients discontinue antidepressants within the first month of treatment and 44% discontinue them by the third month of treatment. The major reasons reported for discontinuation were side effect burden, patients experiencing that the medications were not working, and patients wanting to resolve their depression without using medication.
View Article and Find Full Text PDFObjective: For large, integrated healthcare delivery systems, coordinating patient care across delivery systems with providers external to the system presents challenges. We explored the domains and requirements for care coordination by professionals across healthcare systems and developed an agenda for research, practice and policy.
Design: The modified Delphi approach convened a 2-day stakeholder panel with moderated virtual discussions, preceded and followed by online surveys.
Background: The Covid-19 pandemic dramatically changed healthcare delivery, driving rapid expansion of synchronous (i.e., real-time) audio-only and video telehealth, otherwise known as virtual care.
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