BACKGROUND: Primary Care-Mental Health Integration (PC-MHI) may improve mental health services access and continuity of care. OBJECTIVE: To assess whether receipt of integrated PC-MHI services on the date of an initial positive depression screen influences receipt of depression treatment among primary care (PC) patients in the Veterans Health Administration. DESIGN: Retrospective cohort study. SUBJECTS: Thirty-six thousand, two hundred and sixty-three PC patients with positive depression screens between October 1, 2009 and September 30, 2010. MAIN MEASURES: Subjects were assessed for depression diagnosis and initiation of antidepressants or psychotherapy on the screening day, within 12 weeks, and within 6 months. Among individuals with PC encounters on the screening day, setting of services received that day was categorized as PC only, PC-MHI, or Specialty Mental Health (SMH). Using multivariable generalized estimating equations (GEE) logistic regression, we assessed likelihood of treatment initiation, adjusting for demographic and clinical measures, including depression screening score. KEY RESULTS: Patients who received same-day PC-MHI services were more likely to initiate psychotherapy (OR: 8.16; 95 % CI: 6.54-10.17) and antidepressant medications (OR: 2.33, 95 % CI: 2.10-2.58) within 12 weeks than were those who received only PC services on the screening day. CONCLUSIONS: Receipt of same-day PC-MHI may facilitate timely receipt of depression treatment.
BACKGROUND: Primary Care-Mental Health Integration (PC-MHI) may improve mental health services access and continuity of care. OBJECTIVE: To assess whether receipt of integrated PC-MHI services on the date of an initial positive depression screen influences receipt of depression treatment among primary care (PC) patients in the Veterans Health Administration. DESIGN: Retrospective cohort study. SUBJECTS: Thirty-six thousand, two hundred and sixty-three PC patients with positive depression screens between October 1, 2009 and September 30, 2010. MAIN MEASURES: Subjects were assessed for depression diagnosis and initiation of antidepressants or psychotherapy on the screening day, within 12 weeks, and within 6 months. Among individuals with PC encounters on the screening day, setting of services received that day was categorized as PC only, PC-MHI, or Specialty Mental Health (SMH). Using multivariable generalized estimating equations (GEE) logistic regression, we assessed likelihood of treatment initiation, adjusting for demographic and clinical measures, including depression screening score. KEY RESULTS:Patients who received same-day PC-MHI services were more likely to initiate psychotherapy (OR: 8.16; 95 % CI: 6.54-10.17) and antidepressant medications (OR: 2.33, 95 % CI: 2.10-2.58) within 12 weeks than were those who received only PC services on the screening day. CONCLUSIONS: Receipt of same-day PC-MHI may facilitate timely receipt of depression treatment.
Authors: Mark A Ilgen; Amy S B Bohnert; Rosalinda V Ignacio; John F McCarthy; Marcia M Valenstein; H Myra Kim; Frederic C Blow Journal: Arch Gen Psychiatry Date: 2010-11
Authors: Kara Zivin; Paul N Pfeiffer; Benjamin R Szymanski; Marcia Valenstein; Edward P Post; Erin M Miller; John F McCarthy Journal: Med Care Date: 2010-09 Impact factor: 2.983
Authors: Ronald C Kessler; Patricia Berglund; Olga Demler; Robert Jin; Doreen Koretz; Kathleen R Merikangas; A John Rush; Ellen E Walters; Philip S Wang Journal: JAMA Date: 2003-06-18 Impact factor: 56.272
Authors: Gregory P Beehler; Jennifer S Funderburk; Paul R King; Michael Wade; Kyle Possemato Journal: Transl Behav Med Date: 2015-06-02 Impact factor: 3.046
Authors: Charles H Bombardier; Casey B Azuero; Jesse R Fann; Donald D Kautz; J Scott Richards; Sunil Sabharwal Journal: Top Spinal Cord Inj Rehabil Date: 2021
Authors: Audrey L Jones; Susan D Cochran; Arleen Leibowitz; Kenneth B Wells; Gerald Kominski; Vickie M Mays Journal: J Gen Intern Med Date: 2015-06-03 Impact factor: 5.128
Authors: Audrey L Jones; Maria K Mor; Gretchen L Haas; Adam J Gordon; John P Cashy; James H Schaefer; Leslie R M Hausmann Journal: J Gen Intern Med Date: 2018-06-08 Impact factor: 5.128
Authors: Rachel Kimerling; Joanne Pavao; Liberty Greene; Julie Karpenko; Allison Rodriguez; Meghan Saweikis; Donna L Washington Journal: Med Care Date: 2015-04 Impact factor: 2.983
Authors: Sanjay Basu; Bruce E Landon; John W Williams; Asaf Bitton; Zirui Song; Russell S Phillips Journal: J Gen Intern Med Date: 2017-12 Impact factor: 5.128