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Behavioral health interventions being implemented in a VA primary care system
Jennifer S Funderburk1, Dawn E Sugarman, Allison K Labbe
1VA Center for Integrated Healthcare (116C), 800 Irving Ave., Syracuse, NY 13210, USA. Jennifer.Funderburk@va.gov
Journal of Clinical Psychology in Medical Settings
|February 26, 2011
Summary
Behavioral health providers in primary care commonly treat depression using medical management and supportive therapy. This study observed patient demographics and interventions in integrated care settings.
Area of Science:
- Health Services Research
- Primary Care Medicine
- Behavioral Health Integration
Background:
- The integration of behavioral health and primary care is increasingly studied.
- Behavioral health providers (BHPs) in integrated settings face unique practice constraints compared to specialty mental health.
- Limited research details the actual practices of BHPs within primary care.
Purpose of the Study:
- To describe the types of patients seen by BHPs in primary care.
- To identify the interventions BHPs utilize in integrated primary care settings.
- To offer a practical overview of current behavioral health practices in primary care.
Main Methods:
- A retrospective chart review was conducted.
- Data were collected from 180 patients seen by BHPs across five Veterans Affairs primary care clinics.
- Patient diagnoses and intervention types were analyzed.
Main Results:
- Depression was the most frequent diagnosis encountered.
- Less common presenting issues included substance abuse/dependence, psychosis, and bipolar disorder.
- Interventions frequently employed were medical management, psycho-education, cognitive-behavioral therapy (CBT) elements, and supportive psychotherapy.
Conclusions:
- BHPs in primary care settings are actively engaged in managing common mental health conditions.
- The findings highlight the practical application of various therapeutic modalities in integrated care.
- Further investigation into the effectiveness of brief interventions within primary care is warranted.
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