The Role of Integrated Primary Care in Increasing Access to Effective Psychotherapies in the Veterans Health Administration.
The Role of Integrated Primary Care in Increasing Access to Effective Psychotherapies in the Veterans Health Administration.
复制标题
综合初级保健在增加退伍军人健康管理局获得有效心理治疗的机会方面的作用。
DOI：
10.1176/appi.focus.20180024
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Funderburk,JenniferS
中科院分区：
文献类型：
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作者：
Possemato,Kyle;Shepardson,RobynL;Funderburk,JenniferS
美国退伍军人精神疾病的发病率较高，及时获得退伍军人健康管理局（VHA）的高质量精神健康治疗是一个持续的挑战。综合初级保健（IPC）是VHA为增加获得保健的机会而实施的许多战略之一。IPC，包括协作护理和初级保健行为健康服务，成功地增加了初级保健中获得初始行为健康服务的机会（例如，短期心理治疗、药物治疗），并继续参与专业精神卫生服务。IPC的组成部分，推动增加访问包括基于人口的护理，对病人的喜好，并以团队为基础的护理。在初级保健（抑郁症，焦虑，创伤后应激障碍，酒精使用，烟草使用和失眠）的IPC干预措施的证据的状态进行审查，与未来的研究和实施讨论的领域，包括技术如何可以协助IPC服务和将循证心理疗法纳入IPC的重要性。
American military veterans have higher rates of psychiatric disorders, and timely access to high-quality mental health treatment in the Veterans Health Administration (VHA) is a persistent challenge. Integrated primary care (IPC) is one of many strategies implemented by VHA to increase access to care. IPC, including collaborative care and primary care behavioral health services, successfully increases access to initial behavioral health services in primary care (e.g., brief psychotherapies, pharmacotherapy) and continued engagement in specialty mental health services. IPC components that drive increased access include population-based care, response to patient preferences, and team-based care. The state of the evidence for IPC interventions for common behavioral health concerns in primary care (depression, anxiety, posttraumatic stress disorder, alcohol use, tobacco use, and insomnia) is reviewed, with areas for future research and implementation discussed, including how technology can assist IPC services and the importance of incorporating evidence-based psychotherapies into IPC.