Supplemental Material for Measurement-Based Care Implementation in a Veterans Affairs Primary Care–Mental Health Integration Program

2019 ◽  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Veterans Affairs ◽  
Primary Care Mental Health ◽  
Integration Program ◽  
Measurement Based Care ◽  
Mental Health Integration

scholarly journals Primary Care-Mental Health Integration in the Veterans Affairs Health System: Program Characteristics and Performance

2018 ◽  
Vol 69 (6) ◽  
pp. 696-702 ◽  
Author(s):  
Brittany L. Cornwell ◽  
Laurie M. Brockmann ◽  
Elaine C. Lasky ◽  
Jennifer Mach ◽  
John F. McCarthy
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health System ◽  
Veterans Affairs ◽  
Primary Care Mental Health ◽  
Mental Health Integration ◽  
And Performance ◽  
Program Characteristics ◽  
System Program

scholarly journals Association of Veterans Affairs Primary Care Mental Health Integration With Care Access Among Men and Women Veterans

2020 ◽  
Vol 3 (10) ◽  
pp. e2020955
Author(s):  
Lucinda B. Leung ◽  
Lisa V. Rubenstein ◽  
Edward P. Post ◽  
Ranak B. Trivedi ◽  
Alison B. Hamilton ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Women Veterans ◽  
Veterans Affairs ◽  
Men And Women ◽  
Primary Care Mental Health ◽  
Care Access ◽  
Mental Health Integration

Improving PHQ9 Utilization Rates in a Primary Care–Mental Health Integration Setting

2019 ◽  
Vol 26 (2) ◽  
pp. 206-211
Author(s):  
Margaret J. Brown ◽  
Susie M. Adams ◽  
Dawn Vanderhoef ◽  
Rosanne Schipani ◽  
Ashley Taylor
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Primary Care Mental Health ◽  
Measurement Based Care ◽  
Mental Health Integration ◽  
Mental Health Settings ◽  
Patient Health ◽  
Standardized Measurement ◽  
Monitor Treatment Response

INTRODUCTION: Measurement-based care (MBC) uses standardized measurement to systematically monitor treatment response over time. Although MBC is underutilized in mental health settings, primary care–mental health integration (PC-MHI) settings are expected to provide MBC. This article describes a quality improvement (QI) process to increase Patient Health Questionnaire-9 (PHQ9) utilization within a PC-MHI setting. AIMS: Pre-intervention, rates of baseline and follow-up PHQ9 administration for veterans with a depressive disorder were 76% and 35%, respectively. This article describes a QI process to increase PHQ9 utilization rates within a PC-MHI setting, with the goal to improve provider PHQ9 utilization rates at baseline and within 4-week follow-up to 90%. METHOD: An educational intervention and weekly motivational enhancement sessions were implemented in 2017. Chart review data compared PHQ9 utilization rates from fall 2016 and 2017. RESULTS: Following intervention, provider PHQ9 utilization rates increased to 98% and 88% at baseline and follow-up. CONCLUSIONS: These findings demonstrate that a brief education-based intervention can increase clinician use of MBC within a PC-MHI setting. Meaningful use of MBC to inform treatment was not evaluated in this QI project and is an area for future investigation.

scholarly journals Evaluation of clinical pharmacy services within the primary care–mental health integration model at the Tuscaloosa Veterans Affairs Medical Center

2016 ◽  
Vol 6 (5) ◽  
pp. 260-265 ◽  
Author(s):  
Mamta Parikh ◽  
Ekaette E. Ebong ◽  
Erin Harris ◽  
Brittany Barnes
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Clinical Pharmacy ◽  
Medical Center ◽  
Veterans Affairs ◽  
Pharmacy Services ◽  
Specialty Mental Health ◽  
Primary Care Mental Health ◽  
Number Of Patients ◽  
Mental Health Integration

Abstract Introduction: The purpose of this review is to evaluate the direct delivery of health care to veterans before and after incorporating clinical pharmacy services within primary care mental health integration (PCMHI) at the Tuscaloosa Veterans Affairs Medical Center. Prior to establishing the role of the clinical pharmacy specialist (CPS) within PCMHI, the primary care providers deferred all mental health assessments to specialty mental health. As the demands of the service grew exponentially, assistance from clinical pharmacy was critical. Methods: A randomized, computer-generated list of 114 patients selected for the retrospective chart review was used to evaluate clinical outcomes in patients enrolled in the PCMHI clinic 1 year preincorporation and postincorporation of CPS. Outcome measures included the number of patients discharged from the PCMHI clinic upon achieving therapeutic goals or discharged to specialty mental health due to therapeutic failure or adverse drug events with first- and second-line psychotropic agents. Results: When contrasting the end points, there was a 60% increase in the number of patients who achieved therapeutic goal and a 32% decrease in the number of patients discharged to specialty mental health clinic postincorporation of CPS into PCMHI as compared to preincorporation of CPS (P = .024). Discussion: The results support the significance of CPS in the PCMHI in providing pharmacotherapy, patient education, and medication monitoring for managing psychiatric conditions, such as depression, anxiety, and insomnia. In addition, patients had greater accessibility to medication and frequent monitoring and follow-up, ultimately improving patient outcomes.

Workforce design in primary care-mental health integration: a case study at one veterans affairs medical center

2017 ◽  
Vol 6 (2) ◽  
pp. 148-160 ◽  
Author(s):  
Renata Konrad ◽  
Christine Tang ◽  
Brian Shiner ◽  
Bradley V Watts
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Medical Center ◽  
Veterans Affairs ◽  
Primary Care Mental Health ◽  
Mental Health Integration
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