title: Behavioral health interventions being implemented in a VA primary care system.
abstract: The integration of behavioral health and primary care has received much attention in the literature. Behavioral health providers (BHPs) in integrated settings are faced with different treatment constraints than those who work in specialty mental health. The existing literature focuses on what BHPs should do in primary care settings; however, little research exists specifying what BHPs are actually doing. This study provides a glimpse into what types of interventions BHPs are using, and what types of patients they are seeing, in primary care. A chart review was conducted of patients (N = 180) seen by BHPs in five Veterans Affairs primary care clinics. Depression was the most common diagnosis, while less common presenting problems included substance abuse/dependence, psychosis, and bipolar disorder. Common interventions used were medical management, psycho-education, elements of cognitive-behavioral therapy (CBT), and supportive psychotherapy. Future research should examine the efficacy of brief interventions in primary care settings.
authors.affiliation: VA Center for Integrated Healthcare (116C), 800 Irving Ave., Syracuse, NY 13210, USA. Jennifer.Funderburk@va.gov
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Funderburk
authors.forename: Dawn E
authors.initials: DE
authors.lastname: Sugarman
authors.forename: Allison K
authors.initials: AK
authors.lastname: Labbe
authors.forename: Amy
authors.initials: A
authors.lastname: Rodrigues
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Maisto
authors.forename: Bruce
authors.initials: B
authors.lastname: Nelson
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001524:Behavioral Medicine / Q000458:organization & administration*; D001714:Bipolar Disorder / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D015897:Comorbidity; D003299:Cooperative Behavior; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D006787:Hospitals, Veterans; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D009518:New York; D010348:Patient Care Team; D010353:Patient Education as Topic; D011320:Primary Health Care / Q000458:organization & administration*; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012189:Retrospective Studies; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D014728:Veterans / Q000523:psychology*
chemical_list: D011619:Psychotropic Drugs