
@article{ref1,
title="SAVE-CLC: an intervention to reduce suicide risk in older veterans following discharge from VA nursing facilities",
journal="Clinical gerontologist",
year="2019",
author="Luci, K. and Simons, K. and Hagemann, L. and Jacobs, M. L. and Bower, Emily S. and Eichorst, M. K. and Hilgeman, M. M.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="<b>Objective</b>: We describe the development and implementation of a telephonic intervention (SAVE-CLC) piloted at three VA sites for Veterans returning to the community from VA nursing facilities (Community Living Centers or &quot;CLCs&quot;). Care transitions present a known period of medical risk for older adults and may pose increased risk for suicide. Veterans discharging from CLCs are at elevated risk compared to age and gender matched controls. <b>Methods</b>: Using a quality improvement approach, input was gathered from key stakeholders to aid in the development of the intervention. Veterans were screened for depressive symptoms and need for additional support by phone. <b>Results</b>: Of the Veterans who received the SAVE-CLC intervention, 87.9% had at least one prior mental health diagnosis, though only 19.7% had an outpatient mental health appointment arranged at CLC discharge. <br><br>RESULTS suggest that the intervention is feasible across multiple outpatient settings and is generally well-received by Veterans and caregivers, with 97% of those contacted reporting that the telephone calls were helpful. <b>Conclusion</b>: This flexible, telephone-based intervention addresses the unmet need of integrating mental health care into discharge planning during care transitions. <b>Clinical Implications</b>: SAVE-CLC offers a feasible and acceptable solution to suicide risk in older Veterans exiting a CLC.<p /> <p>Language: en</p>",
language="en",
issn="0731-7115",
doi="10.1080/07317115.2019.1666444",
url="http://dx.doi.org/10.1080/07317115.2019.1666444"
}