TY - JOUR
AU - B. I. Felleman
AU - D. R. Athenour
AU - M. T. Ta
AU - D. G. Stewart
A1 - 
AB - Although research has shown benefits of integrating psychological care in primary care settings, it is unclear how this form of treatment impacts individuals with comorbid substance use and depression. The findings are also mixed concerning how frequently this comorbid population seeks primary care services. This study examined the associations between substance use, depression, and medical treatment utilization among 224 primary care patients. The aim of the investigation was twofold. First, to determine if depression increases medical treatment utilization among patients with substance use disorders; second, to evaluate if behavioral health treatment reduces medical service utilization. A moderated mediation model with bootstrapping analyses revealed that depression strengthened the relationship between substance use and primary care treatment utilization (both medical and behavioral health). The model also indicated that behavioral health services were associated with fewer primary care visits for individuals with comorbid substance use and depression. Clinical and social implications are discussed.
BT - Journal of clinical psychology in medical settings
C5 - Opioids & Substance Use
CP - 4
CY - United States
DO - 10.1007/s10880-013-9367-y
IS - 4
JF - Journal of clinical psychology in medical settings
N2 - Although research has shown benefits of integrating psychological care in primary care settings, it is unclear how this form of treatment impacts individuals with comorbid substance use and depression. The findings are also mixed concerning how frequently this comorbid population seeks primary care services. This study examined the associations between substance use, depression, and medical treatment utilization among 224 primary care patients. The aim of the investigation was twofold. First, to determine if depression increases medical treatment utilization among patients with substance use disorders; second, to evaluate if behavioral health treatment reduces medical service utilization. A moderated mediation model with bootstrapping analyses revealed that depression strengthened the relationship between substance use and primary care treatment utilization (both medical and behavioral health). The model also indicated that behavioral health services were associated with fewer primary care visits for individuals with comorbid substance use and depression. Clinical and social implications are discussed.
PP - United States
PY - 2013
SN - 1573-3572; 1068-9583
SP - 415
EP - 426
EP - 
T1 - Behavioral health services influence medical treatment utilization among primary care patients with comorbid substance use and depression
T2 - Journal of clinical psychology in medical settings
TI - Behavioral health services influence medical treatment utilization among primary care patients with comorbid substance use and depression
U1 - Opioids & Substance Use
U2 - 23744107
U3 - 10.1007/s10880-013-9367-y
VL - 20
VO - 1573-3572; 1068-9583
Y1 - 2013
ER -