Date of Conferral
11-11-2025
Date of Award
November 2025
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Patricia Schwickert
Abstract
This project was a clinical practice guideline (CPG) for mental health providers to expand telepsychiatry services to veterans who are homeless in a day treatment center. The practice problem was the lack of a standardized approach to increase access to mental health care. This CPG supports nurses in implementing evidence-based interventions to reduce mental health disparities and promote equitable care delivery for veterans who are homeless. The guideline was aimed to ensure safe, effective, and coordinated mental health care through integration with interprofessional teams. The project question was: Does the evidence support development of a CPG for provision of telepsychiatry services for veterans who are homeless that receives a quality score using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument and is approved for use in the practice setting by end users? The purpose of this project was to develop a CPG for providers on use of telepsychiatry to improve mental health care delivery for veterans who are homeless. I used the Johns Hopkins evidence-based model to collect, organize, and analyze the 22 items of evidence that supported this project. An expert panel evaluated the quality of the CPG across six domains using the AGREE II instrument. Domain scores from the two members of the expert panel ranged from 94.4% to 100%, resulting in a high-quality score. The global assessment scores were 97.4% and 96.4%, confirming high methodological quality and recommendation for use without modification. The development of a CPG for telepsychiatry enhances access to equitable, evidence-based mental health care for veterans who are homeless at the project site. This project contributes to reducing mental health disparities, promoting health equity, and advancing social justice for vulnerable and marginalized populations.
Recommended Citation
White, Vivian J., "Telepsychiatry for Veterans Who Are Homeless" (2025). Walden Dissertations and Doctoral Studies. 18645.
https://scholarworks.waldenu.edu/dissertations/18645
