Preferences and Barriers to Care Following Psychiatric Hospitalization at Two Veterans Affairs Medical Centers: A Mixed Methods Study

The Journal of Behavioral Health Services & Research
Paul N PfeifferMarcia Valenstein

Abstract

Patient preferences and barriers to care may impact receipt of adequate mental health treatment following psychiatric hospitalization and could inform quality improvement initiatives. This study assessed preferences for a broad range of post-hospital services and barriers to counseling by surveying 291 patients and interviewing 25 patients who had recently been discharged from an inpatient psychiatric stay at one of the two Veterans Affairs Medical Centers. Individual counseling was the most frequently reported service that survey respondents preferred, but did not receive; whereas, open-ended survey responses and interviews also identified telephone follow-up "check-in" calls as a frequently preferred service. Difficulty with transportation was the most commonly cited barrier to counseling among survey respondents and in interviews; however, patients strongly preferred in-person counseling to telephone or internet-video alternatives. Increasing support from family and support from an individual Veteran peer were also perceived to be helpful in the majority of survey respondents.

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Citations

Sep 1, 2015·Community Mental Health Journal·Rebecca K SripadaPaul N Pfeiffer
Oct 27, 2016·Social Psychiatry and Psychiatric Epidemiology·Paul N PfeifferJohn D Piette
Jan 15, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Paul N PfeifferMarcia Valenstein
Oct 10, 2018·The Journal of Behavioral Health Services & Research·Virginia KotziasElizabeth Karras
Apr 15, 2021·BMC Health Services Research·Shelley A JazowskiLeah L Zullig

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