Integrating Mental Health Into Primary Care Within the Veterans Health Administration

Integrating Mental Health Into Primary Care Within the Veterans Health Administration
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DOI:
10.1037/a0020130
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发表时间:
2010-06-01
影响因子:
1.3
通讯作者:
Lehmann, Laurent
Lehmann, Laurent
中科院分区:
医学4区
文献类型:
--
作者:
Post, Edward P.;Metzger, Maureen;Lehmann, Laurent

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退伍军人健康管理局(VHA)一直在进行一项重大的转型计划,将协作精神卫生资源整合到初级保健环境中。该计划的关键组成部分包括由精神健康专业人员提供的托管协作护理;护理管理;以及结合这两个组成部分的元素的混合计划,其功能互补性很强。自2007年以来,该计划已从在参与机构实施试点计划,发展为所有VHA医疗中心和大型社区门诊诊所的常规初级保健。国家项目办公室以多种方式支持VHA倡议,包括向现场提供技术援助、计划和政策制定、传播信息工具以促进持续质量改进、教育和培训,以及与其他现有和新兴的VHA项目建立合作伙伴关系,如部署后保健诊所和以患者为中心的医疗之家。
The Veterans Health Administration (VHA) has been undertaking a major transformational program of integrating collaborative mental health resources into primary care settings. Key components of the program include colocated collaborative care provided by mental health professionals; care management; and blended programs that combine elements of these two components, whose functions are highly complementary to each other. The program has grown since 2007 from an initiative implementing pilot programs at participating facilities, to a routine expectation of primary care within all VHA medical centers and large community-based outpatient clinics. The national program office supports this VHA initiative in multiple ways, including technical assistance to sites, program and policy development, dissemination of informational tools to facilitate continuous quality improvement, education and training, and partnerships with other existing and emerging VHA programs such as postdeployment health clinics and the patient-centered medical home.