title: Measurement of Common Mental Health Conditions in VHA Co-located, Collaborative Care.
abstract: The VA has integrated psychologists and other licensed mental health providers, known collectively as co-located collaborative care (CCC) providers, into patients' primary care medical homes to improve mental health services for veterans. However, it is unclear if CCC providers are routinely using mental health measures as part of evidence-based, coordinated care. This study aimed to determine the prevalence and predictors of CCC provider utilization of brief, validated measures. A retrospective review of VA electronic medical records from 8403 veterans diagnosed with depression, posttraumatic stress disorder, or anxiety disorder was conducted. Results indicated that 23 % of the sample had a screening or brief symptom measure documented by a CCC provider. Likelihood of measurement was predicted by primary diagnosis, length of care episode, CCC provider credential, and clinic setting. Future research should address factors impacting measurement practices of CCC providers in order to develop implementation strategies for advancing measurement-based mental health care.
authors: VA Center for Integrated Healthcare (116N), VA Western New York Healthcare System, 3495 Bailey Ave., Buffalo, NY, 14215, USA. gregory.beehler@va.gov.|School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY, USA. gregory.beehler@va.gov.|School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY, USA. gregory.beehler@va.gov.
authors: Gregory P
authors: GP
authors: Beehler
authors: VA Center for Integrated Healthcare (116N), VA Western New York Healthcare System, 3495 Bailey Ave., Buffalo, NY, 14215, USA.
authors: Paul R
authors: PR
authors: King
authors: VA Center for Integrated Healthcare (116N), VA Western New York Healthcare System, 3495 Bailey Ave., Buffalo, NY, 14215, USA.
authors: Christina L
authors: CL
authors: Vair
authors: Department of Psychology, University at Buffalo, The State University of New York, Buffalo, NY, USA.
authors: Julie
authors: J
authors: Gass
authors: VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, USA.|Department of Psychology, Syracuse University, Syracuse, NY, USA.|Department of Psychiatry, University of Rochester, Rochester, NY, USA.
authors: Jennifer S
authors: JS
authors: Funderburk
mesh_terms: D006801:Humans; D008603:Mental Health; D008605:Mental Health Services; D011320:Primary Health Care; D011569:Psychiatric Status Rating Scales; D012189:Retrospective Studies; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis*; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans
keywords: Anxiety; Depression; Measurement; Mental health; Posttraumatic stress disorder; Primary care