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J Clin Psychol Med Settings. 2012 Mar;19(1):105-16. doi: 10.1007/s10880-011-9285-9.

Implementation of primary care-mental health integration services in the Veterans Health Administration: program activity and associations with engagement in specialty mental health services.

Author information

1
Department of Veterans Affairs, Center for Integrated Healthcare, VAWNYHS (116 N), 3495 Bailey Avenue, Buffalo, NY 14215, USA. Laura.wray@va.gov

Abstract

This paper describes the status of the Veterans Health Administration (VHA) Primary Care-Mental Health Integration (PC-MHI) services implementation and presents an assessment of associations between receipt of PC-MHI services and likelihood of receiving a second specialty mental health (SMH) appointment following an initial SMH encounter. The total PC-MHI service recipients and encounters/month rose substantially between October 2007 and April 2011. Adjusting for important covariates, the likelihood of receiving a second SMH encounter within 3 months of an index SMH appointment was 1.37 times greater among individuals who had received a PC-MHI encounter within 3 months of the initial SMH appointment. Implementation of VHA PC-MHI services has substantially increased VHA capacity to deliver mental health services in primary care and findings indicate that PC-MHI services are associated with greater engagement in SMH treatment. Implementation of VHA PC-MHI services is progressing with new technical assistance strategies being deployed.

PMID:
22383016
DOI:
10.1007/s10880-011-9285-9
[Indexed for MEDLINE]

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