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Associations Between VHA Clinical Resource Hubs Delivering Telemental Health Services.

Jaske E, Wheat CL, McCann R, Nelson K, Wahlberg L, Felker B. Associations Between VHA Clinical Resource Hubs Delivering Telemental Health Services. Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 2025 Dec 1; 31(12):1489-1496, DOI: 10.1177/15305627251376953.

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Abstract:

< b > Introduction: < /b > The Veterans Health Administration (VHA) Clinical Resource Hubs (CRHs) provide telemental health (TMH) services to improve access for Veterans, but use varies greatly across clinics. < b > Methods: < /b > A retrospective FY23 analysis examined all VHA outpatient mental health encounters. Clinics were categorized by CRH-MH use and level of CRH-MH penetration. Descriptive statistics, LASSO regression, and fixed-effects models identified key patient and clinic predictors. < b > Results: < /b > Of 920 clinics, 218 used CRH-MH services. Clinics using CRH-MH services were larger, more likely to be VA medical centers, and had higher community care referrals. High-penetration sites were smaller, rural clinics with longer travel distances and lower community care use. < b > Discussions: < /b > Large sites appear to use CRH-MH alongside existing resources to manage complex needs, while smaller rural sites rely heavily on CRH-MH to fill service gaps. Targeted strategies can strengthen CRH-MH integration, expand Veteran mental health access, and guide similar MH implementations in other health systems.




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