Behavioral health referrals and treatment initiation rates in integrated primary care: a Collaborative Care Research Network study
UMass Chan Affiliations
Department of Family Medicine and Community HealthCenter for Integrated Primary Care
Document Type
Journal ArticlePublication Date
2012-09-01Keywords
Co-location behavioral healthCollaborative care
Integrated primary care
Mental health
Treatment initiation rates
Behavioral Medicine
Health Psychology
Health Services Administration
Integrative Medicine
Mental and Social Health
Primary Care
Psychiatry and Psychology
Translational Medical Research
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Show full item recordAbstract
Although the benefits of integrating behavioral health (BH) services into primary care are well established (World Health Organization and World Organization of Family Doctors, 2012; Chiles et al. in Clin Psychol-Sci Pr 6:204-220, 1999; Cummings 1997; O'Donohue et al. 2003; Olfson et al. in Health Aff 18:79-93, 1999; Katon et al. in Ann Intern Med 124:917-925, 2001; Simon et al. in Arch Gen Psychiatry 52:850-856, 1995; Anderson et al. in Diabetes Care 24:1069-1078, 2001; Ciechanowski et al. in Arch Intern Med 160:3278-3285, 2000; Egede et al. in Diabetes Care 25:464-470, 2002), research has focused primarily on describing the types of interventions behavioral health providers (BHPs) employ rather than on reasons for referral, treatment initiation rates, or the patient characteristics that may impact them. This study presents the results of a multisite card study organized by The Collaborative Care Research Network, a subnetwork of the American Academy of Family Physicians' National Research Network devoted to conducting practice-based research focused on the provision of BH and health behavior services within primary care practices. The goals of the study included: (1) identifying the characteristics of patients referred for BH services; (2) codifying reasons for referral and whether patients were treated for the referral; (3) exploring any differences between patients who initiated BH contact and those who did not; and (4) assessing the types and frequency of BH services provided to patients who attended at least one appointment. Of the 200 patients referred to a BHP, 81 % had an initial contact, 71 % of which occurred on the same day. Men and women were equally likely to engage with a BHP although the time between appointments varied by gender. Depression and anxiety were the primary reasons for referral. Practice-based research is a viable strategy for advancing the knowledge about integrated primary care.Source
Transl Behav Med. 2012 Sep;2(3):337-44. doi: 10.1007/s13142-012-0141-8. Link to article on publisher's site
DOI
10.1007/s13142-012-0141-8Permanent Link to this Item
http://hdl.handle.net/20.500.14038/26840PubMed ID
24073133Related Resources
ae974a485f413a2113503eed53cd6c53
10.1007/s13142-012-0141-8
Scopus Count
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