Efficiencies and outcomes of depression treatment by a psychiatric pharmacist in a primary care clinic compared with treatment within a behavioral health clinic

2020 ◽  
Vol 60 (5) ◽  
pp. S98-S106 ◽  
Author(s):  
Richard Silvia ◽  
Michelle Plum ◽  
Robert Dufresne
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Primary Care Clinic ◽  
Health Clinic ◽  
Depression Treatment ◽  
Care Clinic

Measuring Perceived Level of Integration During the Process of Primary Care Behavioral Health Implementation

2017 ◽  
Vol 33 (3) ◽  
pp. 253-261 ◽  
Author(s):  
Erin M. Staab ◽  
Mara Terras ◽  
Pooja Dave ◽  
Nancy Beckman ◽  
Sachin Shah ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Behavioral Health ◽  
Primary Care Clinic ◽  
Health Clinic ◽  
Care Clinic ◽  
Primary Care Behavioral Health ◽  
Item Level ◽  
Levels Of Integration

Provider- and staff-perceived levels of integration were measured during implementation of a primary care behavioral health clinic; these data were used to tailor and evaluate quality improvement strategies. Providers and staff at an urban, academic, adult primary care clinic completed the 32-item Level of Integration Measure (LIM) at baseline and 7 months. The LIM assesses 6 domains of integrated care. Overall and domain scores were calibrated from 0 to 100, with ≥80 representing a highly integrated clinic. Response rate was 79% (N = 46/58) at baseline and 83% (N = 52/63) at follow-up. Overall, LIM score increased from 64.5 to 70.1, P = .001. The lowest scoring domains at baseline were targeted for quality improvement and increased significantly: integrated clinical practice, 60.0 versus 68.4, P < .001; systems integration, 57.0 versus 63.8, P = .001; and training, 56.7 versus 65.3, P = .001. Ongoing quality improvement, including organizational and financial strategies, is needed to achieve higher levels of integration.

Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic.

2012 ◽  
Vol 30 (1) ◽  
pp. 60-71 ◽  
Author(s):  
Bobbie N. Ray-Sannerud ◽  
Diana C. Dolan ◽  
Chad E. Morrow ◽  
Kent A. Corso ◽  
Kathryn E. Kanzler ◽  
...  
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Primary Care Clinic ◽  
Health Intervention ◽  
Integrated Primary Care ◽  
Care Clinic ◽  
Longitudinal Outcomes ◽  
Behavioral Health Intervention

scholarly journals Social Workers as Behavioral Health Consultants in the Primary Care Clinic

2016 ◽  
Vol 41 (3) ◽  
pp. 196-200 ◽  
Author(s):  
C. Corinne Mann ◽  
John H. Golden ◽  
Nikole J. Cronk ◽  
Jamie K. Gale ◽  
Tim Hogan ◽  
...  
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Social Workers ◽  
Primary Care Clinic ◽  
Care Clinic

Measuring adherence to depression treatment guidelines in a VA primary care clinic

2003 ◽  
Vol 25 (4) ◽  
pp. 230-237 ◽  
Author(s):  
Steven K Dobscha ◽  
Martha S Gerrity ◽  
Kathryn Corson ◽  
Alison Bahr ◽  
Nancy M Cuilwik
Keyword(s):  
Primary Care ◽  
Treatment Guidelines ◽  
Primary Care Clinic ◽  
Depression Treatment ◽  
Care Clinic

scholarly journals Creating Primary Care Access for Mental Health Care Clients in A Community Mental Health Setting

2008 ◽  
Vol 27 (2) ◽  
pp. 129-138 ◽  
Author(s):  
Tamison Doey ◽  
Pamela Hines ◽  
Bonnie Myslik ◽  
JoAnn Elizabeth Leavey ◽  
Jamie A. Seabrook
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Care ◽  
Health Care Services ◽  
Primary Care Clinic ◽  
Health Clinic ◽  
Care Clinic ◽  
Mental Health Association

Successful support of persons living with a mental illness in the community is challenged by the lack of primary care accessible to this population. The Canadian Mental Health Association–Windsor Essex County Branch explored options to provide mental and physical health care, initially creating an integrated primary care clinic and later a larger community health clinic co-located with its mental health care services and staffed by a multidisciplinary team. A retrospective review of 805 charts and a client satisfaction survey were conducted in 2001 to evaluate this service. Findings indicate that access to primary care and mental health care co-located at a community-based clinic has reduced the number of emergency room visits and admissions, and length of stay in hospital, for individuals with moderate to serious mental illness. A client survey in January 2008 supports these preliminary findings.

Patient engagement in behavioral health services in a rural primary care clinic: The warm hand-off

2014 ◽  
Author(s):  
Emily M. Selby-Nelson ◽  
Scott A. Fields ◽  
Misty A. Hawkins ◽  
Anusha Chandrakanthan ◽  
Grace Falbo
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Behavioral Health ◽  
Patient Engagement ◽  
Primary Care Clinic ◽  
Behavioral Health Services ◽  
Care Clinic ◽  
Rural Primary Care ◽  
Hand Off

scholarly journals Is it just religious practice? Exploring patients’ reasons for choosing a faith-based primary health clinic over their local public sector primary health clinic

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
James D. Porter ◽  
Graham Bresick
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Public Sector ◽  
Primary Care Clinic ◽  
Religious Practice ◽  
Patient Choice ◽  
Health Clinic ◽  
Care Clinic ◽  
Faith Based ◽  
Primary Health

Background: Person-centred, re-engineered primary health care (PHC) is a national and global priority. Faith-based health care is a significant provider of PHC in sub-Saharan Africa, but there is limited published data on the reasons for patient choice of faith-based health care, particularly in South Africa.Aim: The primary objective was to determine and explore the reasons for patient choice of a faith-based primary care clinic over their local public sector primary care clinic, and secondarily to determine to what extent these reasons were influenced by demography.Setting: The study was conducted at Jubilee Health Centre (JHC), a faith-based primary care clinic attached to Jubilee Community Church in Cape Town, South Africa.Methods: Focus groups, using the nominal group technique, were conducted with JHC patients and used to generate ranked reasons for attending the clinic. These were collated into the top 15 reasons and incorporated into a quantitative questionnaire which was administered to adult patients attending JHC.Results: A total of 164 patients were surveyed (a response rate of 92.4%) of which 68.3% were female and 57.9% from the Democratic Republic of the Congo (DRC). Of patients surveyed, 98.2% chose to attend JHC because ‘the staff treat me with respect’, 96.3% because ‘the staff are friendly’ and 96.3% because ‘the staff take time to listen to me’. The reason ‘it is a Christian clinic’ was chosen by 70.1% of patients. ‘The staff speak my home language’ was given as a reason by 61.1% of DRC patients and 37.1% of South African patients. ‘The clinic is close to me’ was chosen by 66.6% of Muslims and 40.8% of Christians.Conclusion: Patients chose to attend JHC (a faith-based primary care clinic) because of the quality of care received. They emphasised the staff–patient relationship and patient-centredness rather than the clinic’s religious practices (prayer with patients). These findings may be important in informing efforts to improve public sector primary care.

scholarly journals MAKING OLD BONES: QUALITY IMPROVEMENT IN OSTEOPOROSIS MANAGEMENT IN A GERIATRIC PRIMARY CARE CLINIC

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S975-S976
Author(s):  
Meredith Gilliam ◽  
Sabrina Vereen
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Decision Making ◽  
Quality Improvement ◽  
Fragility Fracture ◽  
Primary Care Clinic ◽  
Health Clinic ◽  
Care Clinic ◽  
Osteoporosis Screening ◽  
Osteoporosis Management

Abstract Osteoporotic fractures and their sequelae are a leading cause of morbidity and mortality in older adults. In the United States, nearly 50% of white women and 20% of black women and white men will suffer a fragility fracture in his or her lifetime. Osteoporosis medications reduce the risk of major fragility fracture by 31-62%, but numerous care gaps exist, including screening rates as low as 1-47% and treatment rates as low as 16-30% even after a fracture has already occurred. From January to August 2019, we conducted a multi-faceted quality improvement project at a university hospital-based geriatric primary care clinic, with a goal of improving our rates of osteoporosis screening and treatment. We designed and tested electronic health record-based registries of eligible patients, and developed patient outreach workflows and physician “inreach” workflows. We piloted a bone health clinic. While we did not meaningfully affect the rate of osteoporosis screening, our efforts resulted in an increase in treatment of osteoporosis from 49% to 53%. Documentation of osteoporosis decision making among eligible patients improved from 66% to 80%. In our clinic, ongoing barriers to evidence-based osteoporosis management include competition for time with other medical issues, patient mistrust of medications, and the complexity of decision making around osteoporosis in older adults with polypharmacy and limited life expectancy. Future work must balance the broad application of treatment guidelines via population health tools with the need to individualize treatment decisions for each patient’s overall health and goals of care.

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