Veterans Affairs Clinical Resource Hubs and Rates of Mental Health Community Care Referrals

Is increased use of Clinical Resource Hubs (CRHs) associated with decreased referrals to community care (CC) for mental health care within the US Department of Veterans Affairs (VA)?In this cohort study of 1149 mental health clinics within the VA, clinics with greater use of CRHs had a mean of 20 fewer referrals to CC per 1000 patients per month.Results of this study suggest that successful CRH implementation is associated with fewer CC referrals and that clinics with higher CRH utilization become less reliant on VA-purchased CC.

Corresponding Author: Samantha L. Connolly, PhD, VA Boston Healthcare System, 2 Ave de Lafayette, Boston, MA 02111 (samantha.connolly@va.gov).

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