Report Summary

Title: Combined Assessment Program Summary Report – Evaluation of Mental Health Treatment Continuity at Veterans Health Administration Facilities
Report Number: 13-01742-188
Issue Date: 4/29/2013
VA Office: Veterans Health Administration (VHA)
Report Author: Office of Healthcare Inspections
Report Type: CAP Reviews
Release Type: Unrestricted
Summary: OIG completed an evaluation of continuity of care for mental health patients at Veterans Health Administration facilities. The purpose of the evaluation was to determine whether patients who were discharged from acute mental health units received timely follow-up. OIG conducted this review at 24 facilities during Combined Assessment Program reviews performed from April 1 through September 30, 2012, and identified two areas where Veterans Health Administration facilities needed to improve compliance. OIG recommended that facilities take action to improve post-discharge follow-up for mental health patients, particularly those who were identified as high risk for suicide and that clinicians consistently follow up with patients who do not report to their scheduled mental health appointments and that all of these contacts be documented.