{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:52:16Z","timestamp":1791445936256,"version":"4.3.3"},"reference-count":27,"publisher":"American Psychiatric Association Publishing","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100019294","name":"Office of Rural Health","doi-asserted-by":"publisher","award":["PROJFY\u2010008785"],"award-info":[{"award-number":["PROJFY\u2010008785"]}],"id":[{"id":"10.13039\/100019294","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100019294","name":"Office of Rural Health","doi-asserted-by":"publisher","award":["PROJFY\u2010009747"],"award-info":[{"award-number":["PROJFY\u2010009747"]}],"id":[{"id":"10.13039\/100019294","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psych Res and Clin Practice"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Veterans Health Administration Clinical Resource Hubs are regional telehealth hubs that provide Veterans access needed to geriatric mental health (GMH) services without long drive times to urban centers to find specialists. This analysis characterized the GMH telehealth services to examine differences between rural and non\u2010rural Veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Electronic health record data were extracted (October 2021 to September 2023) for encounters delivered by telehealth GMH teams staffed by geriatric psychiatrists, pharmacists, geropsychologists, and neuropsychologists. Variables included Veteran demographics, diagnoses, severity of care needs, services delivered and visit modality. Descriptive statistics, chi\u2010square and\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests summarized the data and examined rural and non\u2010rural differences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>GMH clinicians completed 9282 encounters with 2013 Veterans (Mean age\u00a0=\u00a075.8). Most services were video to home (48.2%) followed by video to clinic (25.4%), and phone (22%) with no differences in service delivery modality among rural and non\u2010rural Veterans. Rural Veterans had a higher proportion of psychotherapy and dementia\u2010related services, and lower proportions of medication management and services for depression, anxiety, and serious mental illness compared with non\u2010rural Veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Older Veterans access virtual GMH care for a wide range of mental health and cognitive disorders. The apparent higher utilization of psychotherapy and dementia services for rural compared with non\u2010rural Veterans may relate to barriers to obtaining these services locally, although it may be partially explained by variations in virtual team compositions and settings served.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>This evaluation suggests high acceptability of video\u2010delivered care for older, rural Veterans with high care needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1176\/appi.prcp.1441996","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:01:11Z","timestamp":1791442871000},"source":"Crossref","is-referenced-by-count":0,"title":["Rural and Non\u2010Rural U.S. Veterans Receiving Virtual Geriatric Mental Health Services in the Clinical Resource Hubs"],"prefix":"10.1176","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8901-2363","authenticated-orcid":false,"given":"Christine E.","family":"Gould","sequence":"first","affiliation":[{"name":"Geriatric Research, Education and Clinical Center (GRECC) VA Palo Alto Health Care System  Palo Alto California USA"},{"name":"Department of Psychiatry and Behavioral Services Stanford University School of Medicine  Palo Alto California USA"},{"name":"Veterans Rural Health Resource Center \u2010 Salt Lake City (VRHRC\u2010SLC) VA Salt Lake Health Care System  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1400-565X","authenticated-orcid":false,"given":"Chalise","family":"Carlson","sequence":"additional","affiliation":[{"name":"Geriatric Research, Education and Clinical Center (GRECC) VA Palo Alto Health Care System  Palo Alto California USA"},{"name":"Veterans Rural Health Resource Center \u2010 Salt Lake City (VRHRC\u2010SLC) VA Salt Lake Health Care System  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan K.","family":"Schultz","sequence":"additional","affiliation":[{"name":"VISN 23 Clinical Resource Hub Minneapolis VA Health Care System  Minneapolis Minnesota USA"},{"name":"Department of Psychiatry University of Iowa Carver College of Medicine  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Filips","sequence":"additional","affiliation":[{"name":"VISN 23 Clinical Resource Hub Minneapolis VA Health Care System  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranak B.","family":"Trivedi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Services Stanford University School of Medicine  Palo Alto California USA"},{"name":"Center for Innovation to Implementation VA Palo Alto Health Care System  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9545-6817","authenticated-orcid":false,"given":"Zach","family":"Burningham","sequence":"additional","affiliation":[{"name":"Veterans Rural Health Resource Center \u2010 Salt Lake City (VRHRC\u2010SLC) VA Salt Lake Health Care System  Salt Lake City Utah USA"},{"name":"Division of Epidemiology, Department of Internal Medicine University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"230","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"Veteran Population:Age\/Sex.National center for veterans analysis and statistics.https:\/\/www.va.gov\/vetdata\/Veteran_Population.asp. 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