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A Novel Approach for Mental Health Disease Management: The Air Force Medical Service's Interdisciplinary Model

机译：心理健康疾病管理的新方法：空军医疗部门的跨学科模型

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Mental health disorders are one of the most substantial public health problems affecting society today, accounting for roughly 15% of the overall burden of disease from all causes in the United States. Although primary care (PC) has the potential to be the frontline for recognition and management of behavioral health conditions, this has been a challenge historically. In order to more effectively address the broad scope of behavioral health needs, the Air Force Medical Service (AFMS) established a new model of behavioral health care. Through a series of coordinated steps, the AFMS ultimately placed trained behavioral health providers into PC clinics to serve as consultants to PC providers (PCPs). Behavioral Health Consultants (BHCs) provide focused assessments, present healthcare options to patients, and deliver brief collaborative interventions in the PC setting. BHCs see patients at the request of the PCP, in 15-30-min appointments. In the pilot study, patients averaged 1.6 visits to the BHC. Over 70% of patients fell into six categories of presenting problems: situational reactions, depressive disorders, adjustment disorders, anxiety disorders, health promotion, and obesity. Patient data (n = 76) suggest 97% of patients seen were either "satisfied" or "very satisfied" with BHC services, and 100% of the PCPs (n = 23, 68% response rate) were highly satisfied and indicated they would "definitely recommend" others use BHC services for their patients. Both the implications and the limitations of this pilot study are discussed.
机译：精神健康障碍是当今影响社会的最重要的公共卫生问题之一，约占美国各种原因造成的疾病总负担的15％。尽管初级保健（PC）可能成为识别和管理行为健康状况的前线，但从历史上看，这一直是一个挑战。为了更有效地满足行为健康需求的广泛范围，空军医疗服务局（AFMS）建立了行为健康护理的新模型。通过一系列协调的步骤，AFMS最终将训练有素的行为健康提供者安置在PC诊所中，以充当PC提供商（PCP）的顾问。行为健康顾问（BHC）提供有针对性的评估，为患者提供医疗保健选择，并在PC环境中进行简短的协作干预。 BHC按照PCP的要求在15-30分钟内就诊。在该初步研究中，患者平均接受BHC访问1.6次。超过70％的患者分为出现问题的六类：情境反应，抑郁症，适应障碍，焦虑症，健康促进和肥胖。患者数据（n = 76）表明，有97％的患者对BHC服务“满意”或“非常满意”，并且100％的PCP（n = 23，有效率68％）表示满意。 “绝对推荐”其他人为其患者使用BHC服务。讨论了该试验研究的意义和局限性。

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