TY - JOUR
KW - Antidepressants
KW - Depression
KW - integrated care
KW - Psychotherapy
KW - Staffing
AU - D. C. Cooper
AU - C. D. Helfrich
AU - S. M. Thielke
AU - R. B. Trivedi
AU - K. M. Nelson
AU - G. E. Reiber
AU - E. C. Eugenio
AU - K. Beaver
AU - J. Nugent-Carney
AU - V. S. Fan
A1 - 
AB - We examined the association of mental health staffing and the utilization of primary care/mental health integration (PCMHI) with facility-level variations in adequacy of psychotherapy and antidepressants received by Veterans with new, recurrent, and chronic depression. Greater likelihood of adequate psychotherapy was associated with increased (1) PCMHI utilization by recurrent depression patients (AOR 1.02; 95% CI 1.00, 1.03); and (2) staffing for recurrent (AOR 1.03; 95% CI 1.01, 1.06) and chronic (AOR 1.02; 95% CI 1.00, 1.03) depression patients (p < 0.05). No effects were found for antidepressants. Mental health staffing and PCMHI utilization explained only a small amount of the variance in the adequacy of depression care.
BT - Administration and Policy in Mental Health
C5 - Education & Workforce
CY - United States
DO - 10.1007/s10488-016-0775-9
JF - Administration and Policy in Mental Health
N2 - We examined the association of mental health staffing and the utilization of primary care/mental health integration (PCMHI) with facility-level variations in adequacy of psychotherapy and antidepressants received by Veterans with new, recurrent, and chronic depression. Greater likelihood of adequate psychotherapy was associated with increased (1) PCMHI utilization by recurrent depression patients (AOR 1.02; 95% CI 1.00, 1.03); and (2) staffing for recurrent (AOR 1.03; 95% CI 1.01, 1.06) and chronic (AOR 1.02; 95% CI 1.00, 1.03) depression patients (p < 0.05). No effects were found for antidepressants. Mental health staffing and PCMHI utilization explained only a small amount of the variance in the adequacy of depression care.
PP - United States
PY - 2016
SN - 1573-3289; 0894-587X
T1 - Association Between Mental Health Staffing Level and Primary Care-Mental Health Integration Level on Provision of Depression Care in Veteran's Affairs Medical Facilities
T2 - Administration and Policy in Mental Health
TI - Association Between Mental Health Staffing Level and Primary Care-Mental Health Integration Level on Provision of Depression Care in Veteran's Affairs Medical Facilities
U1 - Education & Workforce
U2 - 27909877
U3 - 10.1007/s10488-016-0775-9
VO - 1573-3289; 0894-587X
Y1 - 2016
ER -