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首页> 外文期刊>Journal of Clinical Psychology in Medical Settings >Implementation of Primary Care-Mental Health Integration Services in the Veterans Health Administration: Program Activity and Associations with Engagement in Specialty Mental Health Services
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Implementation of Primary Care-Mental Health Integration Services in the Veterans Health Administration: Program Activity and Associations with Engagement in Specialty Mental Health Services

机译：在退伍军人健康管理局中实施初级保健-精神健康整合服务：计划活动和参与特殊心理健康服务的协会

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摘要

This paper describes the status of the Veterans Health Administration (VHA) Primary Care-Mental Health Integration (PC-MHI) services implementation and presents an assessment of associations between receipt of PC-MHI services and likelihood of receiving a second specialty mental health (SMH) appointment following an initial SMH encounter. The total PC-MHI service recipients and encounters/month rose substantially between October 2007 and April 2011. Adjusting for important covariates, the likelihood of receiving a second SMH encounter within 3 months of an index SMH appointment was 1.37 times greater among individuals who had received a PC-MHI encounter within 3 months of the initial SMH appointment. Implementation of VHA PC-MHI services has substantially increased VHA capacity to deliver mental health services in primary care and findings indicate that PC-MHI services are associated with greater engagement in SMH treatment. Implementation of VHA PC-MHI services is progressing with new technical assistance strategies being deployed.
机译：本文描述了退伍军人健康管理局（VHA）初级保健-精神健康整合（PC-MHI）服务实施的状态，并提出了对PC-MHI服务的接收与接受第二种特殊心理健康（SMH）的可能性之间的关联性的评估）在最初的SMH遭遇后进行约会。从2007年10月到2011年4月，每月PC-MHI服务接收者和遭遇的总人数大幅增加。对重要的协变量进行调整后，接受SMH指数的3个月内再次接受SMH的可能性是接受MMH的个人的1.37倍在最初SMH任命后的3个月内遇到PC-MHI。 VHA PC-MHI服务的实施已大大提高了VHA提供初级保健中的心理健康服务的能力，研究结果表明PC-MHI服务与SMH治疗的更多参与相关。通过部署新的技术援助策略，VHA PC-MHI服务的实施正在进行中。

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  • 作者

    Laura O. Wray; Benjamin R. Szymanski; Lisa K. Kearney; John F. McCarthy;

  • 作者单位

    Department of Veterans Affairs, Center for Integrated Healthcare, VAWNYHS (116 N), 3495 Bailey Avenue, Buffalo, NY, 14215, USA;

    Department of Veterans Affairs, National Primary Care-Mental Health Integration Evaluation, Office of Mental Health Operations, Serious Mental Illness Treatment Resource and Evaluation Center, Ann Arbor, MI, USA;

    Department of Veterans Affairs, Office of Mental Health Operations, Washington, DC, USA;

    Department of Veterans Affairs, National Primary Care-Mental Health Integration Evaluation, Office of Mental Health Operations, Serious Mental Illness Treatment Resource and Evaluation Center, Ann Arbor, MI, USA;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    Primary care; Mental health; Engagement; Veterans;

    机译：基层医疗;精神卫生;参与;退伍军人;

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