title: Mental health measurement among women veterans receiving co-located, collaborative care services.
abstract: Routine use of measurement to identify patient concerns and track treatment progress is critical to high quality patient care. This is particularly relevant to the Primary Care Behavioral Health model, where rapid symptom assessment and effective referral management are critical to sustaining population-based care. However, research suggests that women who receive treatment in co-located collaborative care settings utilizing the PCBH model are less likely to be assessed with standard measures than men in these settings. The current study utilized regional retrospective data obtained from the Veterans Health Administration's electronic medical record system to: (1) explore rates of mental health measurement for women receiving co-located collaborative care services (N = 1008); and (2) to identify predictors of mental health measurement in women veterans in these settings. Overall, only 8% of women had documentation of standard mental health measures. Measurement was predicted by diagnosis, facility size, length of care episode and care setting. Specifically, women diagnosed with depression were less likely than those with anxiety disorders to have standard mental health measurement documented. Several suggestions are offered to increase the quality of mental health care for women through regular use of measurement in integrated care settings.
authors.affiliation: a VA Center for Integrated Healthcare , Syracuse , NY , USA.
authors.forename: Kaitlin R
authors.initials: KR
authors.lastname: Lilienthal
authors.affiliation: b VA Center for Integrated Healthcare , Buffalo , NY , USA.|c Department of Psychology , University at Buffalo/State University of New York , Buffalo , NY , USA.
authors.forename: Laura J
authors.initials: LJ
authors.lastname: Buchholz
authors.affiliation: b VA Center for Integrated Healthcare , Buffalo , NY , USA.|d Department of Counseling, School, and Educational Psychology , University of Buffalo/State University of New York , Buffalo , NY , USA.
authors.forename: Paul R
authors.initials: PR
authors.lastname: King
authors.affiliation: b VA Center for Integrated Healthcare , Buffalo , NY , USA.
authors.forename: Christina L
authors.initials: CL
authors.lastname: Vair
authors.affiliation: a VA Center for Integrated Healthcare , Syracuse , NY , USA.|e Department of Psychology , Syracuse University , Syracuse , NY , USA.|f Department of Psychiatry , University of Rochester , Rochester , NY , USA.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Funderburk
authors.affiliation: b VA Center for Integrated Healthcare , Buffalo , NY , USA.|g School of Nursing , University at Buffalo/State University of New York , Buffalo, NY , USA.|h School of Health and Health Professions , University at Buffalo/State University of New York , Buffalo, NY , USA.
authors.forename: Gregory P
authors.initials: GP
authors.lastname: Beehler
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019033:Delivery of Health Care, Integrated / Q000706:statistics & numerical data*; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Integrated care; measurement-based care; mental health; veterans; women