Introduction: Warm handoffs intend to improve receipt of services by clients who receive referrals to services that are stigmatized or not easily accessible. Such strategies are characterized as the handoff or transfer of an individual between two service providers through a face-to-face, phone, or technology-assisted interaction. This approach may be useful for maternal and child health home visitors who provide direct services and facilitate connections to community resources for client families. However, little is known about the effectiveness of warm handoffs.
Methods: A systematic review of the literature on warm handoffs was conducted with studies identified in four databases. Full text was reviewed for studies for which abstracts met inclusion criteria or for which abstracts were not available. Evidence tables summarizing study characteristics, outcome measures and data sources, intervention descriptions, intervention components, and study results were constructed.
Results: Of the 42,816 unique articles identified, 32,163 titles/abstracts were screened, 227 qualified for full text review, and five comprised the study sample. Three studies examined referrals from substance use treatment centers to self-help groups, one from federally qualified health centers to community mental health clinics, and one from a mobile needle exchange program to substance use treatment/intake. Three studies showed increases in receipt of services by clients following referral between the warm handoff intervention and control group.
Discussion: Current evidence regarding the effectiveness of warm handoffs is limited. An examination of the effectiveness of warm handoffs in the context of home visits is needed to assess whether they facilitate client referrals.
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http://dx.doi.org/10.1007/s10995-020-03057-4 | DOI Listing |
New Human Immunodeficiency Virus (HIV) cases continue to disproportionately burden cisgender Black/African American women in the United States due to a confluence of structural and systemic factors. Pre-exposure prophylaxis (PrEP) is a safe and effective HIV prevention option, yet there is a striking gap between PrEP eligibility and uptake among cisgender Black women. The current study evaluates a novel warm handoff process in a hospital emergency department setting linking eligible women to local PrEP clinics within 72 hours of hospital discharge in a large southwestern metropolitan city.
View Article and Find Full Text PDFCureus
October 2024
Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, USA.
Background: Compared to inpatient care transitions, end-of-year resident continuity clinic panel transitions affect a greater number of patients, yet warm handoffs occur less often.
Objective: We developed a program-wide curriculum to implement warm handoffs (defined as in-person or virtual via videoconference) for high-risk continuity clinic patients between graduating and incoming residents.
Methods: The warm handoff intervention was phased in at different clinic sites over the study period and ultimately implemented program-wide across nine affiliated continuity clinics.
Prim Health Care Res Dev
October 2024
Henry Ford Health, Behavioral Health, Detroit, MI, USA.
Background: Although psychological interventions can be used to improve chronic pain management, underserved individuals (i.e., racially minoritized and socioeconomically disadvantaged) may be less likely to engage in such services.
View Article and Find Full Text PDFJ Gen Intern Med
October 2024
Department of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, New York, NY, 10065, USA.
Background: Despite proliferation of acute-care interventions to initiate medications for opioid use disorder (MOUD), significant challenges remain to supporting care continuity following discharge. Research is needed to inform effective hospital strategies to support patient transitions to ongoing MOUD in the community.
Objective: To inform a taxonomy of care transition strategies to support MOUD continuity from hospital to community-based settings and assess their perceived impact and feasibility among experts in the field.
Issues Ment Health Nurs
November 2024
School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Purpose: As primary care (PC) clinics seek to integrate behavioral health (BH) services into patient care, it is crucial to understand the experiences of the clinic team and the impact on workflow and well-being. This study was designed to identify perspectives and experiences of nurse practitioner-led PC teams as they implemented a behavioral health integration (BHI) model into their Federally Qualified Health Center PC practices.
Methods: We conducted in-depth qualitative interviews with staff members at three clinic sites that implemented BHI.
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