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The Psychiatric Assessment and Brief Intervention (PABI) pilot program improved access to mental health services for primary care patients. This brief intervention significantly reduced symptoms of depression and anxiety.

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Area of Science:

  • Psychiatry
  • Primary Care
  • Mental Health Services

Background:

  • Primary care settings often face challenges in providing timely mental health services.
  • The Psychiatric Assessment and Brief Intervention (PABI) program was developed to address this gap.
  • PABI aims to improve access to diagnostic evaluations and brief, evidence-based treatments for adult medical patients.

Purpose of the Study:

  • To describe the structure and outcomes of the PABI pilot program.
  • To evaluate the effectiveness of PABI in improving mental health outcomes for primary care patients.
  • To assess the program's ability to provide prompt access and coordinate care.

Main Methods:

  • Collected demographic and clinical data for patients seen in PABI from October 2015 to June 2017.
  • Utilized descriptive statistics and mixed-effects linear models for data analysis.
  • Analyzed changes in behavioral health measure scores from baseline to program completion.

Main Results:

  • 139 patients were enrolled, with an average of 2 psychiatric diagnoses each.
  • Mean access time was 8 days, and the average length of stay was 11 weeks.
  • Significant improvements were observed: Patient Health Questionnaire-9 scores decreased by 5.9 points (P < .0001), and GAD-7 scores decreased by 4.4 points (P < .0001).

Conclusions:

  • The PABI program offers prompt, quality mental health care for patients with medical comorbidities.
  • Results indicate significant clinical improvements in depression and anxiety symptoms.
  • Further research is required to assess the long-term sustainability and generalizability of the PABI model.