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Healthcare Inspection Suicide of a Veteran Enrolled in VA Supported Housing Bay Pines VA Healthcare System Bay Pines, Flofiad
| 题名： | Healthcare Inspection Suicide of a Veteran Enrolled in VA Supported Housing Bay Pines VA Healthcare System Bay Pines, Flofiad |
| 作者： | empty |
| 关键词： | Health care management##Inspection##Suicide##Veterans(Military personnel)##Allegations##Mental health services##Medical personnel##Outpatient clinics##Risk##VA Supported Housing Bay Pines##Bay Pines(Florida)## |
| 摘要： | The VA Office of Inspector General Office of Healthcare Inspections conducted a review in response to allegations by an anonymous complainant. Allegations included that a veteran living in Housing and Urban Development (HUD) VA Supported Housing (VASH) committed suicide, that he was considered high risk, and that he did not receive calls or contact from a VA case manager (CM) for months prior to his death. The complainant also alleged that the supervisor of the CMs in the HUD-VASH program at the Port Charlotte Community Based Outpatient Clinic only visited the clinic once since being assigned to the position and that she told the CM to 'audit himself and get his charts straight' after learning of the suicide. We substantiated that the veteran committed suicide. We did not substantiate that he had been identified as high risk for suicide. We found that the veteran went without seeing or speaking to a VA CM during 9 of 18 months in the program, including the almost 5 months prior to his death. |
| 总页数： | 19 |
| 报告类型： | 科技报告 |
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