+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Continuation of care following an initial primary care visit with a mental health diagnosis: differences by receipt of VHA Primary Care-Mental Health Integration services



Continuation of care following an initial primary care visit with a mental health diagnosis: differences by receipt of VHA Primary Care-Mental Health Integration services



General Hospital Psychiatry 35(1): 66-70



For patients with an initial primary care (PC) encounter in the Veterans Health Administration (VHA) that included a mental health diagnosis, we evaluate whether same-day receipt of Primary Care-Mental Health Integration (PC-MHI) services is associated with the likelihood of receiving a subsequent mental-health-related encounter in the following 90 days. Using VHA administrative data, we identified 9046 patients who received VHA care for the first time in fiscal year 2009, received a PC encounter that included a mental health diagnosis on the first day of their VHA services and initiated care at a VHA facility that provided PC-MHI services. Using multivariable generalized estimating equations logistic regression, we examined whether receipt of same-day PC-MHI was associated with receipt of a subsequent encounter with a mental health diagnosis within 90 days. Analyses adjusted for Operation Enduring Freedom/Operation Iraqi Freedom Veteran status, demographic characteristics, service-connected disability, psychiatric and non-psychiatric diagnoses, and psychotropic medication initiation on the index day of service use. Receipt of same-day PC-MHI services was positively associated with having a mental-health-related encounter in the following 90 days (adjusted odds ratio=2.05; 95% confidence interval=1.66-2.54). PC-MHI services may enhance mental health continuation of care among PC patients with mental health conditions who initiate VHA services.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 036608081

Download citation: RISBibTeXText

PMID: 23062728

DOI: 10.1016/j.genhosppsych.2012.09.002


Related references

VA primary care-mental health integration: patient characteristics and receipt of mental health services, 2008-2010. Psychiatric Services 63(11): 1137-1141, 2013

Attitudes towards mental health and the integration of mental health services into primary health care: a cross-sectional survey among health-care workers in Lvea Em District, Cambodia. Global Health Action 10(1): 1331579, 2017

Primary Care-Mental Health Integration in the VA: Shifting Mental Health Services for Common Mental Illnesses to Primary Care. Psychiatric Services 69(4): 403-409, 2018

Mental health training for primary health care workers and implication for success of integration of mental health into primary care: evaluation of effect on knowledge, attitude and practices (KAP). International Journal of Mental Health Systems 11: 63, 2017

Implementation of primary care-mental health integration services in the Veterans Health Administration: program activity and associations with engagement in specialty mental health services. Journal of Clinical Psychology in Medical Settings 19(1): 105-116, 2012

Specifying the integration of mental health and primary health care services for persons with HIV/AIDS: The Indiana integration of care project. Social Networks 17(3-4): 319-340, 1995

Integration of mental health services into primary care overcomes ethnic disparities in access to mental health services between black and white elderly. American Journal of Geriatric Psychiatry 15(10): 906-912, 2007

Developing mental health services in a primary care setting: Liverpool Primary Care Mental Health Project. International Journal of Social Psychiatry 47(4): 16-29, 2001

National integration of mental health providers in VA home-based primary care: an innovative model for mental health care delivery with older adults. Gerontologist 54(5): 868-879, 2014

Integration between Primary Care and Mental Health Services in Italy: Determinants of Referral and Stepped Care. International Journal of Family Medicine 2012: 507464, 2012

Health system challenges to integration of mental health delivery in primary care in Kenya--perspectives of primary care health workers. Bmc Health Services Research 13: 368, 2013

Changing Patterns of Mental Health Care Use: The Role of Integrated Mental Health Services in Veteran Affairs Primary Care. Journal of the American Board of Family Medicine 31(1): 38-48, 2018

The guide to mental health for nurses in primary care The guide to mental health for nurses in primary care Elizabeth Armstrong The Guide to Mental Health for Nurses in Primary Care Radcliffe Medical Press 159pp £17.95 1 85775 435 2 1857754352 [Formula: see text. Nursing Standard 1987) 16(29): 29-29, 2002

Mental Health Care in Developing Countries || Factors Influencing The Integration Of Psychiatric Care Into Primary Health Care In Botswana. International Journal of Mental Health 12(3): 107-122, 1983

Are primary care mental health services associated with differences in specialty mental health clinic use?. Psychiatric Services 62(4): 422-425, 2011