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Implementation of primary care-mental health integration services in the Veterans Health Administration: program activity and associations with engagement in specialty mental health services.
J Clin Psychol Med Settings. 2012 Mar; 19(1):105-16.JC

Abstract

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.

Authors+Show Affiliations

Department of Veterans Affairs, Center for Integrated Healthcare, VAWNYHS (116 N), 3495 Bailey Avenue, Buffalo, NY 14215, USA. Laura.wray@va.govNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

22383016

Citation

Wray, Laura O., et al. "Implementation of Primary Care-mental Health Integration Services in the Veterans Health Administration: Program Activity and Associations With Engagement in Specialty Mental Health Services." Journal of Clinical Psychology in Medical Settings, vol. 19, no. 1, 2012, pp. 105-16.
Wray LO, Szymanski BR, Kearney LK, et al. Implementation of primary care-mental health integration services in the Veterans Health Administration: program activity and associations with engagement in specialty mental health services. J Clin Psychol Med Settings. 2012;19(1):105-16.
Wray, L. O., Szymanski, B. R., Kearney, L. K., & McCarthy, J. F. (2012). Implementation of primary care-mental health integration services in the Veterans Health Administration: program activity and associations with engagement in specialty mental health services. Journal of Clinical Psychology in Medical Settings, 19(1), 105-16. https://doi.org/10.1007/s10880-011-9285-9
Wray LO, et al. Implementation of Primary Care-mental Health Integration Services in the Veterans Health Administration: Program Activity and Associations With Engagement in Specialty Mental Health Services. J Clin Psychol Med Settings. 2012;19(1):105-16. PubMed PMID: 22383016.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Implementation of primary care-mental health integration services in the Veterans Health Administration: program activity and associations with engagement in specialty mental health services. AU - Wray,Laura O, AU - Szymanski,Benjamin R, AU - Kearney,Lisa K, AU - McCarthy,John F, PY - 2012/3/3/entrez PY - 2012/3/3/pubmed PY - 2012/9/14/medline SP - 105 EP - 16 JF - Journal of clinical psychology in medical settings JO - J Clin Psychol Med Settings VL - 19 IS - 1 N2 - 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. SN - 1573-3572 UR - https://www.unboundmedicine.com/medline/citation/22383016/Implementation_of_primary_care_mental_health_integration_services_in_the_Veterans_Health_Administration:_program_activity_and_associations_with_engagement_in_specialty_mental_health_services_ L2 - https://dx.doi.org/10.1007/s10880-011-9285-9 DB - PRIME DP - Unbound Medicine ER -