TY - JOUR
KW - integrated care
KW - measurement-based care
KW - Mental Health
KW - Veterans
KW - Women
AU - K. R. Lilienthal
AU - L. J. Buchholz
AU - P. R. King
AU - C. L. Vair
AU - J. S. Funderburk
AU - G. P. Beehler
A1 - 
AB - Routine use of measurement to identify patient concerns and track treatment progress is critical to high quality patient care. This is particularly relevant to the Primary Care Behavioral Health model, where rapid symptom assessment and effective referral management are critical to sustaining population-based care. However, research suggests that women who receive treatment in co-located collaborative care settings utilizing the PCBH model are less likely to be assessed with standard measures than men in these settings. The current study utilized regional retrospective data obtained from the Veterans Health Administration's electronic medical record system to: (1) explore rates of mental health measurement for women receiving co-located collaborative care services (N = 1008); and (2) to identify predictors of mental health measurement in women veterans in these settings. Overall, only 8% of women had documentation of standard mental health measures. Measurement was predicted by diagnosis, facility size, length of care episode and care setting. Specifically, women diagnosed with depression were less likely than those with anxiety disorders to have standard mental health measurement documented. Several suggestions are offered to increase the quality of mental health care for women through regular use of measurement in integrated care settings.
BT - Psychology, Health & Medicine
C5 - Education & Workforce; Healthcare Disparities
CY - England
DO - 10.1080/13548506.2017.1290809
JF - Psychology, Health & Medicine
N2 - Routine use of measurement to identify patient concerns and track treatment progress is critical to high quality patient care. This is particularly relevant to the Primary Care Behavioral Health model, where rapid symptom assessment and effective referral management are critical to sustaining population-based care. However, research suggests that women who receive treatment in co-located collaborative care settings utilizing the PCBH model are less likely to be assessed with standard measures than men in these settings. The current study utilized regional retrospective data obtained from the Veterans Health Administration's electronic medical record system to: (1) explore rates of mental health measurement for women receiving co-located collaborative care services (N = 1008); and (2) to identify predictors of mental health measurement in women veterans in these settings. Overall, only 8% of women had documentation of standard mental health measures. Measurement was predicted by diagnosis, facility size, length of care episode and care setting. Specifically, women diagnosed with depression were less likely than those with anxiety disorders to have standard mental health measurement documented. Several suggestions are offered to increase the quality of mental health care for women through regular use of measurement in integrated care settings.
PP - England
PY - 2017
SN - 1465-3966; 1354-8506
SP - 1
EP - 11
EP - 
T1 - Mental health measurement among women veterans receiving co-located, collaborative care services
T2 - Psychology, Health & Medicine
TI - Mental health measurement among women veterans receiving co-located, collaborative care services
U1 - Education & Workforce; Healthcare Disparities
U2 - 28276949
U3 - 10.1080/13548506.2017.1290809
VO - 1465-3966; 1354-8506
Y1 - 2017
ER -