Behavioral Health Interventions Being Implemented in a VA Primary Care System
Behavioral Health Interventions Being Implemented in a VA Primary Care System
复制标题
DOI：
10.1007/s10880-011-9230-y
复制
发表时间：
2011-03-01
影响因子：
2.2
通讯作者：
Nelson, Bruce
中科院分区：
文献类型：
--
作者：
Funderburk, Jennifer S.;Sugarman, Dawn E.;Nelson, Bruce
行为健康和初级保健的整合在文献中受到了很多关注。综合环境中的行为健康提供者（BHPs）面临着与专业心理健康提供者不同的治疗限制。现有文献关注的是BHPs在初级保健环境中应该做什么；然而，很少有研究表明必和必拓公司实际上在做什么。这项研究提供了BHPs在初级保健中使用的干预类型以及他们所看到的患者类型的一瞥。对5家退伍军人事务初级保健诊所的BHPs所见的患者（N = 180）进行了图表回顾。抑郁症是最常见的诊断，而不太常见的表现问题包括药物滥用/依赖、精神病和双相情感障碍。常用的干预措施包括医疗管理、心理教育、认知行为疗法（CBT）和支持性心理治疗。未来的研究应该检查在初级保健环境中简短干预的效果。
The integration of behavioral health and primary care has received much attention in the literature. Behavioral health providers (BHPs) in integrated settings are faced with different treatment constraints than those who work in specialty mental health. The existing literature focuses on what BHPs should do in primary care settings; however, little research exists specifying what BHPs are actually doing. This study provides a glimpse into what types of interventions BHPs are using, and what types of patients they are seeing, in primary care. A chart review was conducted of patients (N = 180) seen by BHPs in five Veterans Affairs primary care clinics. Depression was the most common diagnosis, while less common presenting problems included substance abuse/dependence, psychosis, and bipolar disorder. Common interventions used were medical management, psycho-education, elements of cognitive-behavioral therapy (CBT), and supportive psychotherapy. Future research should examine the efficacy of brief interventions in primary care settings.