The most common reasons Veterans seek VA addiction and mental health care is for help with opioid and alcohol misuse, depression and PTSD. Research evidence has established highly effective treatments that prevent relapse, overdose and suicide, but even with policy mandates, performance metrics, and electronic health records to fix the problem, these treatments may only reach 3-28% of patients. This study tests participatory business engineering methods (Participatory System Dynamics) that engage patients, providers and policy makers against the status quo approaches, such as data review, and will determine if participatory system dynamics works, why it works, and whether it can be applied in many health care settings to guarantee patient access to the highest quality care and better meet the addiction and mental health needs of Veterans and the U.S. population.
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Proportion of patients diagnosed with alcohol use disorder, depression, opioid use disorder, or PTSD who meet evidence-based psychotherapy and pharmacotherapy initiation and course measures divided by total number of patients with these diagnoses
Timeframe: Pre-/Post- 12-month period average of evidence-based practice reach (24 months total observation)
Proportion of completed evidence-based practice templates during sessions with a relevant CPT code
Timeframe: Pre-/Post- 12-month period average of evidence-based practice reach (24 months total observation)
Proportion of combination of prescriptions placed with the VA pharmacy and sessions with a relevant CPT code
Timeframe: Pre-/Post- 12-month period average of evidence-based practice reach (24 months total observation)