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Long Wait times between return appts - Coggle Diagram
Long Wait times between return appts
Veteran Challenges
Not Ready for treatment
Not able to attend
Complex Presenting Problems
No Goals
Secondary Gain
Institutionalized into long term care
Large Panel Size
Demand greater than capacity
too few alterante treatment options
Not enough groups being offered
Added work needed to run a group
Lack of confident in running groups
No step-down group
lack of staff
No option to step-down
Ineffective treatment
Lack of provider competence
Difficulty in getting trained in EBPs
Unable to schedule weekly/bi-weekly
Panel Size too large
scheduling 1 appt at a time
Veteran wanting supportive therapy
Inability to discharge
No step-down options
Veteran reluctance to discharge
Provider comfort in...
setting discharge criteria
having difficult converstations
using EBP protocols
High Demand
TVHS expected growth
Higher % with mental health diagnosis vs. National
High Referral Rates
inappropriate referrals
Low Staffing
Competition with remote and other sites
High cost of living in NA and MU
Burnout causing staff to leave
Panel complexity and acuity
Added administrative and documentation requirements
Panel Quality
High Demand
Restricted funding