Taule-Nadal, Daniel. The value of warm handoffs: examining the impact on attendance for initial integrated behavioral health appointments within primary care. Retrieved from https://doi.org/doi:10.7282/t3-x5n9-n461
DescriptionBackground: While often employed in primary care settings, results are mixed regarding the efficacy of warm handoffs in improving attendance for patients’ initial behavioral health appointments.
Aims: The present study sought to examine the impact of warm handoffs on patient attendance and identify what, if any, factors influenced what patients received warm handoffs or attended their initial appointments.
Methods: Through retrospective chart review, information was obtained for a sample of 197 patients referred to behavioral health services within an urban primary care setting. Data included: referral methods, attendance, gender, age, ethnicity, language, distance to clinic, marital status, time elapsed until scheduled appointment, and patient distress as measured by the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorders Screener (GAD-7).
Results: Data analysis revealed that patients receiving warm handoffs displayed a 45% attendance rate as compared to 24% whom received a standard referral. Males received warm handoff at higher rates than females and patients residing within 20 miles of the clinic appeared most likely to be referred through warm handoff. A significant effect was also evident between patient attendance and their distress as scored on the PHQ-9.
Conclusions: The results of the current study suggest “proof-of concept” for the effectiveness of warm handoffs within a primary care setting. These findings suggest that providers should utilize warm handoffs when possible to increase the likelihood of patients attending their initial behavioral health appointments.