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Kim B, Petrakis BA, Sliwinski SK, McInnes DK, Gifford AL, Smelson DA. Staff and Veteran Perspectives on Residential Treatment Programs' Responses to COVID-19: A Qualitative Study Guided by the WHO's After Action Review Framework. Community Ment Health J 2023; 59:600-608. [PMID: 36318435 PMCID: PMC9628288 DOI: 10.1007/s10597-022-01038-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Accepted: 10/03/2022] [Indexed: 11/06/2022]
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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Affiliation(s)
- Bo Kim
- Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 South Huntington Avenue, 02130, Boston, MA, USA.
- Department of Psychiatry, Harvard Medical School, 25 Shattuck Street, 02115, Boston, MA, USA.
| | - Beth Ann Petrakis
- Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, 200 Springs Road, 01730, Bedford, MA, USA
| | - Samantha K Sliwinski
- Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 South Huntington Avenue, 02130, Boston, MA, USA
| | - D Keith McInnes
- Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, 200 Springs Road, 01730, Bedford, MA, USA
- Department of Health Law, Policy, and Management, Boston University School of Public Health, 715 Albany Street, 02118, Boston, MA, USA
| | - Allen L Gifford
- Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, 150 South Huntington Avenue, 02130, Boston, MA, USA
- Department of Health Law, Policy, and Management, Boston University School of Public Health, 715 Albany Street, 02118, Boston, MA, USA
- Section of General Internal Medicine, Boston University School of Medicine, 72 East Concord Street, 02118, Boston, MA, USA
| | - David A Smelson
- Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, 200 Springs Road, 01730, Bedford, MA, USA
- Department of Psychiatry, University of Massachusetts Medical School, 55 North Lake Avenue, 01655, Worcester, MA, USA
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Iio Y, Mori Y, Tsurudome M, Ito M. Cross-infection risks of SARS-CoV-2 while playing catch using a baseball: Creating a safe sporting environment during the COVID-19 pandemic. Drug Discov Ther 2022; 16:240-244. [DOI: 10.5582/ddt.2022.01057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Yoko Iio
- Graduate School of Life and Health Sciences, Chubu University, Aichi, Japan
| | - Yukihiro Mori
- Center for Nursing Practicum Support, College of Life and Health Sciences, Chubu University, Aichi, Japan
| | - Masato Tsurudome
- Graduate School of Life and Health Sciences, Chubu University, Aichi, Japan
| | - Morihiro Ito
- Graduate School of Life and Health Sciences, Chubu University, Aichi, Japan
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