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Behavioral Health Screening and Care Coordination for Rural Veterans in a Federally Qualified Health Center |
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| Authors: | Howren M. Bryant Kazmerzak Debra Pruin Sheryl Barbaris Wendy Abrams Thad E. |
| Affiliation: | 1.VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Iowa City, Iowa City VA Health Care System, Iowa City, IA, USA ;2.Department of Behavioral Sciences & Social Medicine, College of Medicine, Florida State University, 1115 W. Call Street, Tallahassee, FL, 32306, USA ;3.Florida Blue Center for Rural Health Research & Policy, College of Medicine, Florida State University, Tallahassee, FL, USA ;4.Center for Access Delivery Research & Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, IA, USA ;5.Iowa Primary Care Association, Urbandale, IA, USA ;6.Community Health Centers of Southeastern Iowa, West Burlington, IA, USA ;7.Carver College of Medicine, The University of Iowa, Iowa City, IA, USA ; |
| Abstract: | Many rural veterans receive care in community settings but could benefit from VA services for certain needs, presenting an opportunity for coordination across systems. This article details the Collaborative Systems of Care (CSC) program, a novel, nurse-led care coordination program identifying and connecting veterans presenting for care in a Federally Qualified Health Center to VA behavioral health and other services based upon the veteran’s preferences and eligibility. The CSC program systematically identifies veteran patients, screens for common behavioral health issues, explores VA eligibility for interested veterans, and facilitates coordination with VA to improve healthcare access. While the present program focuses on behavioral health, there is a unique emphasis on assisting veterans with the eligibility and enrollment process and coordinating additional care tailored to the patient. As VA expands its presence in community care, opportunities for VA-community care coordination will increase, making the development and implementation of such interventions important. |
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