Implementation of Primary Care-Mental Health Integration Services in the Veterans Health Administration: Program Activity and Associations with Engagement in Specialty Mental Health Services
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- 作者：Laura O. Wray (12) Laura.wray@va.gov
Benjamin R. Szymanski (3)
Lisa K. Kearney (45)
John F. McCarthy (36) - 关键词：Primary care – ; Mental health – ; Engagement – ; Veterans
- 刊名：Journal of Clinical Psychology in Medical Settings
- 出版年：2012
- 出版时间：March 2012
- 年：2012
- 卷：19
- 期：1
- 页码：105-116
- 全文大小：411.2 KB
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41. Zivin, K., Pfeiffer, P. N., Szymanski, B. R., Valenstein, M., Post, E. P., Miller, E. M., et al. (2010). Initiation of primary care-mental health integration programs in the VA health system: associations with psychiatric diagnoses in primary care. Medical Care, 48, 843–851. - 作者单位：1. Department of Veterans Affairs, Center for Integrated Healthcare, VAWNYHS (116聽N), 3495 Bailey Avenue, Buffalo, NY 14215, USA2. Department of Medicine, School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA3. Department of Veterans Affairs, National Primary Care-Mental Health Integration Evaluation, Office of Mental Health Operations, Serious Mental Illness Treatment Resource and Evaluation Center, Ann Arbor, MI, USA4. Department of Veterans Affairs, Office of Mental Health Operations, Washington, DC, USA5. Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA6. Department of Psychiatry, University of Michigan School of Medicine, Ann Arbor, MI, USA
- 刊物类别：Behavioral Science
- 刊物主题：Psychology
Health Psychology
Clinical Psychology
Public Health - 出版者：Springer Netherlands
- ISSN：1573-3572
文摘
This paper describes the status of the Veterans Health Administration (VHA) Primary Care-Mental Health Integration (PC-MHI) services implementation and presents an assessment of associations between receipt of PC-MHI services and likelihood of receiving a second specialty mental health (SMH) appointment following an initial SMH encounter. The total PC-MHI service recipients and encounters/month rose substantially between October 2007 and April 2011. Adjusting for important covariates, the likelihood of receiving a second SMH encounter within 3 months of an index SMH appointment was 1.37 times greater among individuals who had received a PC-MHI encounter within 3 months of the initial SMH appointment. Implementation of VHA PC-MHI services has substantially increased VHA capacity to deliver mental health services in primary care and findings indicate that PC-MHI services are associated with greater engagement in SMH treatment. Implementation of VHA PC-MHI services is progressing with new technical assistance strategies being deployed.