scholarly journals National Integration of Mental Health Providers in VA Home-Based Primary Care: An Innovative Model for Mental Health Care Delivery With Older Adults

2013 ◽  
Vol 54 (5) ◽  
pp. 868-879 ◽  
Author(s):  
Bradley E. Karlin ◽  
Michele J. Karel
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Delivery ◽  
Mental Health Providers ◽  
Health Providers ◽  
Mental Health Care Delivery ◽  
National Integration ◽  
Home Based Primary Care ◽  
Home Based ◽  
Innovative Model

Addressing COVID-19 Worry and Social Isolation in Home-Based Primary Care

2020 ◽  
Author(s):  
Rachel Elizabeth Weiskittle ◽  
Michelle Mlinac ◽  
LICSW Nicole Downing
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Social Workers ◽  
Social Isolation ◽  
Mental Health Providers ◽  
Health Providers ◽  
Home Based Primary Care ◽  
Home Based ◽  
Socially Isolated

Social distancing measures following the outbreak of COVID-19 have led to a rapid shift to virtual and telephone care. Social workers and mental health providers in VA home-based primary care (HBPC) teams face challenges providing psychosocial support to their homebound, medically complex, socially isolated patient population who are high risk for poor health outcomes related to COVID-19. We developed and disseminated an 8-week telephone or virtual group intervention for front-line HBPC social workers and mental health providers to use with socially isolated, medically complex older adults. The intervention draws on skills from evidence-based psychotherapies for older adults including Acceptance and Commitment Therapy, Cognitive-Behavioral Therapy, and Problem-Solving Therapy. The manual was disseminated to VA HBPC clinicians and geriatrics providers across the United States in March 2020 for expeditious implementation. Eighteen HBPC teams and three VA Primary Care teams reported immediate delivery of a local virtual or telephone group using the manual. In this paper we describe the manual’s development and clinical recommendations for its application across geriatric care settings. Future evaluation will identify ways to meet longer-term social isolation and evolving mental health needs for this patient population as the pandemic continues.

Integration of Mental Health Services in Home-Based Primary Care

2008 ◽  
Author(s):  
Thomas Edes ◽  
Bradley E. Karlin
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Home Based Primary Care ◽  
Home Based

Interdisciplinary Team Perspectives on Mental Health Care in VA Home-Based Primary Care: A Qualitative Study

2019 ◽  
Vol 27 (2) ◽  
pp. 128-137 ◽  
Author(s):  
Suzanne M. Gillespie ◽  
Chelsea Manheim ◽  
Carrie Gilman ◽  
Jurgis Karuza ◽  
Tobie H. Olsan ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Qualitative Study ◽  
Mental Health Care ◽  
Interdisciplinary Team ◽  
Home Based Primary Care ◽  
Home Based

scholarly journals Meeting the Mental Health Needs of the Homebound: A Psychiatric Consult Service Within a Home-Based Primary Care Program

2015 ◽  
Vol 16 (3) ◽  
pp. 122-128 ◽  
Author(s):  
Jennifer M. Reckrey ◽  
Linda V. DeCherrie ◽  
Micheline Dugue ◽  
Anna Rosen ◽  
Theresa A. Soriano ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Program ◽  
Routine Care ◽  
Psychiatric Services ◽  
Depression And Anxiety ◽  
Care Plans ◽  
Home Based Primary Care ◽  
Home Based ◽  
Primary Care Program

The growing population of homebound adults increasingly receives home-based primary care (HBPC) services. These patients are predominantly frail older adults who are homebound because of multiple medical comorbidities, yet they often also have psychiatric diagnoses requiring mental health care. Unfortunately, in-home psychiatric services are rarely available to homebound patients. To address unmet psychiatric need among the homebound patients enrolled in our large academic HBPC program, we piloted a psychiatric in-home consultation service. During our 16-month pilot, 10% of all enrolled HBPC patients were referred for and received psychiatric consultation. Depression and anxiety were among the most common reasons for referral. To better meet patients’ medical and psychiatric needs, HBPC programs need to consider strategies to incorporate psychiatric services into their routine care plans.

scholarly journals Primary care and mental health providers’ perceptions of implementation of pharmacogenetics testing for depression prescribing

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Bonnie M. Vest ◽  
Laura O. Wray ◽  
Laura A. Brady ◽  
Michael E. Thase ◽  
Gregory P. Beehler ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Focus Groups ◽  
Implementation Science ◽  
Primary Care Providers ◽  
Relative Advantage ◽  
Genetic Profile ◽  
Mental Health Providers ◽  
Health Providers ◽  
Care Providers

Abstract Background Pharmacogenetic testing (PGx) has the potential to improve the quality of psychiatric prescribing by considering patients’ genetic profile. However, there is limited scientific evidence supporting its efficacy or guiding its implementation. The Precision Medicine in Mental Health (PRIME) Care study is a pragmatic randomized controlled trial evaluating the effectiveness of a specific commercially-available pharmacogenetic (PGx) test to inform antidepressant prescribing at 22 sites across the U.S. Simultaneous implementation science methods using the Consolidated Framework for Implementation Research (CFIR) are integrated throughout the trial to identify contextual factors likely to be important in future implementation of PGx. The goal of this study was to understand providers’ perceptions of PGx for antidepressant prescribing and implications for future implementation. Methods Qualitative focus groups (n = 10) were conducted at the beginning of the trial with Primary Care and Mental Health providers (n = 31) from six PRIME Care sites. Focus groups were audio-recorded and transcribed and data were analyzed using rapid analytic procedures organized by CFIR domains. Results Analysis revealed themes in the CFIR Intervention Characteristics domain constructs of Evidence, Relative Advantage, Adaptability, Trialability, Complexity, and Design that are important for understanding providers’ perceptions of PGx testing. Results indicate: 1) providers had limited experience and knowledge of PGx testing and its evidence base, particularly for psychiatric medications; 2) providers were hopeful that PGx could increase their precision in depression prescribing and improve patient engagement, but were uncertain about how results would influence treatment; 3) providers were concerned about potential misinterpretation of PGx results and how to incorporate testing into their workflow; 4) primary care providers were less familiar and comfortable with application of PGx testing to antidepressant prescribing than psychiatric providers. Conclusions Provider perceptions may serve as facilitators or barriers to implementation of PGx for psychiatric prescribing. Incorporating implementation science into the conduct of the RCT adds value by uncovering factors to be addressed in preparing for future implementation, should the practice prove effective. Trial registration ClinicalTrials.gov ID: NCT03170362; Registered 31 May 2017

scholarly journals Please break the silence: Parents’ views on communication between pediatric primary care and mental health providers.

2015 ◽  
Vol 33 (2) ◽  
pp. 155-159 ◽  
Author(s):  
Carolyn A. Greene ◽  
Julian D. Ford ◽  
Barbara Ward-Zimmerman ◽  
Dana Foster
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Pediatric Primary Care ◽  
Mental Health Providers ◽  
Health Providers

scholarly journals Developing Effective Collaboration Between Primary Care and Mental Health Providers

2006 ◽  
Vol 08 (01) ◽  
pp. 12-16 ◽  
Author(s):  
Bradford L. Felker ◽  
Edmund Chaney ◽  
Lisa V. Rubenstein ◽  
Laura M. Bonner ◽  
Elizabeth M. Yano ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Providers ◽  
Health Providers ◽  
Effective Collaboration
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