title: Evaluation of integrated psychological services in a university-based primary care clinic.
abstract: Primary care is increasingly moving toward integration of psychological services; however few studies have been conducted to test the efficacy of such an integrated approach. This paper presents a program evaluation of psychological services provided by doctoral trainees in clinical and counseling psychology within a primary care clinic at an urban academic medical center. It includes: (1) a description of the program, including types of patients served, their presenting problems, and treatments administered and; (2) evidence of the impact of behavioral health services on primary care patients' emotional adjustment and progress on behavioral goals. Intake and follow-up measures of depression, anxiety, smoking, insomnia, chronic pain, and weight loss were collected on 452 adult patients (mean age = 52; 59 % African-American; 35 % uninsured) who were provided brief interventions (mean visits = 2.2) over a 16-month period. Although conclusions are limited by the lack of a control or comparison group, preliminary findings indicate that the integrated behavioral health services provided were effective. Implications and future directions are discussed.
authors.affiliation: Department of Psychology, Virginia Commonwealth University, 806 West Franklin Street, PO Box 842018, 23284-2018, Richmond, VA, USA, sadockej@vcu.edu.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Sadock
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Auerbach
authors.forename: Bruce
authors.initials: B
authors.lastname: Rybarczyk
authors.forename: Arpita
authors.initials: A
authors.lastname: Aggarwal
mesh_terms: D000046:Academic Medical Centers / Q000379:methods*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003376:Counseling / Q000379:methods; D019033:Delivery of Health Care, Integrated / Q000379:methods* / Q000706:statistics & numerical data; D004500:Education, Graduate / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000628:therapy*; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000379:methods* / Q000706:statistics & numerical data; D015397:Program Evaluation / Q000379:methods* / Q000706:statistics & numerical data; D011586:Psychology, Clinical / Q000379:methods; D014146:Training Support / Q000379:methods; D016896:Treatment Outcome; D014768:Virginia; D055815:Young Adult