scholarly journals Problem recognition and treatment beliefs relate to mental health utilization among veteran primary care patients.

2019 ◽  
Author(s):  
Emily M. Johnson ◽  
Kyle Possemato
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Problem Recognition ◽  
Health Utilization ◽  
Mental Health Utilization ◽  
Treatment Beliefs ◽  
Primary Care Patients

Using PHQ-2 and PC-PTSD to Identify Mental Health Needs in Primary Care Patients

2012 ◽  
Author(s):  
Rebecca M. Floyd ◽  
Delilah O. Noronha ◽  
Steven Lindley
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Needs ◽  
Mental Health Needs ◽  
Primary Care Patients

Mental health utilization among veterans at risk for suicide: Data from a post-deployment clinic.

2020 ◽  
Vol 17 (2) ◽  
pp. 217-226
Author(s):  
Stephanie N. Miller ◽  
Christopher J. Monahan ◽  
Kristin M. Phillips ◽  
Daniel Agliata ◽  
Ronald J. Gironda
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Health Utilization ◽  
Mental Health Utilization

The effects of age on initiation of mental health treatment after positive PTSD screens among Veterans Affairs primary care patients

2012 ◽  
Vol 34 (6) ◽  
pp. 654-659 ◽  
Author(s):  
Mary W. Lu ◽  
Kathleen F. Carlson ◽  
Jonathan P. Duckart ◽  
Steven K. Dobscha
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Treatment ◽  
Veterans Affairs ◽  
Health Treatment ◽  
Primary Care Patients

Factors Associated with Mental Health Utilization Among Minorities Following the Second Lebanon War in Israel

2011 ◽  
Vol 82 (4) ◽  
pp. 297-302 ◽  
Author(s):  
Yuval Palgi ◽  
Rani Yehia ◽  
Menachem Ben-Ezra
Keyword(s):  
Mental Health ◽  
Health Utilization ◽  
Mental Health Utilization ◽  
Factors Associated ◽  
Second Lebanon War

Integrating Clinical Nurse Specialists into the Treatment of Primary Care Patients with Depression

2003 ◽  
Vol 33 (1) ◽  
pp. 17-37 ◽  
Author(s):  
Ralph W. Swindle ◽  
Jaya K. Rao ◽  
Ahdy Helmy ◽  
Laurie Plue ◽  
X. H. Zhou ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Depressive Symptoms ◽  
Integrated Care ◽  
Medical Center ◽  
Treatment Plan ◽  
Intervention Group ◽  
Nurse Specialist ◽  
Clinical Nurse ◽  
Primary Care Patients

Objective: To examine the effectiveness of integrating generalist and specialist care for veterans with depression. Method: We conducted a randomized trial of patients screening positive for depression at two Veterans Affairs Medical Center general medicine clinic firms. Control firm physicians were notified prior to the encounter when eligible patients had PRIME-MD depression diagnoses. In the intervention firm, a mental health clinical nurse specialist (CNS) was to: design a treatment plan; implement that plan with the primary care physician; and monitor patients via telephone or visits at two weeks, one month and two months. Primary outcomes (depressive symptoms, patient satisfaction with health care) were collected at 3 and 12 months. Results: Of 268 randomized patients, 246 (92%) and 222 (83%) completed 3- and 12-month follow-up interviews. There were no between-group differences in depressive symptoms or satisfaction at 3 or 12 months. The intervention group had greater chart documentation of depression at baseline (63% versus 33%, p = 0.003) and a higher referral rate to mental health services at 3 months (27% versus 9%, p = 0.019). There was no difference in the rate of new prescriptions for, or adequate dosing of, anti-depressant medications. In 40% of patients, CNSs disagreed with the PRIME-MD depression diagnosis, and their rates of watchful waiting were correspondingly high. Conclusions: Implementing an integrated care model did not occur as intended. Experienced CNSs often did not see the need for treatment in many primary care patients identified by the PRIME-MD. Integrating integrated care models in actual practice may prove challenging.

Outpatient Mental Health Utilization Among Commercially Insured Individuals

Medical Care ◽  
2007 ◽  
Vol 45 (2) ◽  
pp. 183-186 ◽  
Author(s):  
Bradley D. Stein ◽  
Robin Meili ◽  
Terri L. Tanielian ◽  
David J. Klein
Keyword(s):  
Mental Health ◽  
Health Utilization ◽  
Mental Health Utilization ◽  
Outpatient Mental Health

Primary Care Patients' Reactions to Mental Health Screening

1996 ◽  
Vol 26 (4) ◽  
pp. 431-441 ◽  
Author(s):  
Mark Zimmerman ◽  
David T. Lush ◽  
Neil J. Farber ◽  
Jon Hartung ◽  
Gary Plescia ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Psychiatric Treatment ◽  
Primary Care Clinic ◽  
Empirical Support ◽  
Medical Patients ◽  
Care Clinic ◽  
History Of ◽  
Primary Care Patients ◽  
High Level

Objective: The authors examined whether there is empirical support for the notion that medical patients are upset by being asked questions about psychiatric disorders. Method: Six hundred and one patients attending a primary care clinic completed the SCREENER—a newly developed, brief self-administered questionnaire that surveys a broad range of psychopathology. In addition, they completed a second questionnaire that assessed their attitudes toward the SCREENER. Results: We found a high level of acceptance by patients. The questions were judged easy to answer, and they rarely aroused significant negative affect. Fewer than 2 percent of the patients judged the questions difficult to answer, and fewer than 3 percent were “very much” embarrassed, upset, annoyed, or uncomfortable with the questions. Individuals with a history of psychiatric treatment and poorer current mental health reacted more unfavorably to the questionnaire. Conclusions: From the patient's perspective, it is feasible and acceptable to use self-administered questionnaires for routine screening of psychiatric problems in primary care settings.

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