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Staff and Veteran Perspectives on Residential Treatment Programs' Responses to COVID-19: A Qualitative Study Guided by the WHO's After Action Review Framework.
Kim, Bo; Petrakis, Beth Ann; Sliwinski, Samantha K; McInnes, D Keith; Gifford, Allen L; Smelson, David A.
  • Kim B; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 South Huntington Avenue, 02130, Boston, MA, USA. bo.kim@va.gov.
  • Petrakis BA; Department of Psychiatry, Harvard Medical School, 25 Shattuck Street, 02115, Boston, MA, USA. bo.kim@va.gov.
  • Sliwinski SK; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, 200 Springs Road, 01730, Bedford, MA, USA.
  • McInnes DK; Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 South Huntington Avenue, 02130, Boston, MA, USA.
  • Gifford AL; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, 200 Springs Road, 01730, Bedford, MA, USA.
  • Smelson DA; Department of Health Law, Policy, and Management, Boston University School of Public Health, 715 Albany Street, 02118, Boston, MA, USA.
Community Ment Health J ; 2022 Nov 01.
Article in English | MEDLINE | ID: covidwho-2266373
ABSTRACT
Healthcare must rapidly and systematically learn from earlier COVID-19 responses to prepare for future crises. This is critical for VA's Mental Health Residential Rehabilitation and Treatment Programs (RRTPs), offering 24/7 care to Veterans for behavioral health and/or homelessness. We adapted the World Health Organization's After Action Review (AAR) to conduct semi-structured small-group discussions with staff from two RRTPs and Veterans who received RRTP care during COVID-19, to examine COVID-19's impact on these programs. Six thematic categories emerged through qualitative analysis (participant-checked and contextualized with additional input from program leadership), representing participants' recommendations including Keep RRTPs open (especially when alternative programs are inaccessible), convey reasons for COVID-19 precautions and programming changes to Veterans, separate recovery-oriented programming from COVID-19-related information-sharing, ensure Wi-Fi availability for telehealth and communication, provide technology training during orientation, and establish safe procedures for off-site appointments. AAR is easily applicable for organizations to debrief and learn from past experiences.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Qualitative research Language: English Year: 2022 Document Type: Article Affiliation country: S10597-022-01038-1

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Qualitative research Language: English Year: 2022 Document Type: Article Affiliation country: S10597-022-01038-1