TY - JOUR KW - ORS KW - PHQ-9 KW - primary care screens AU - B. DeSantis AU - M. J. Jackson AU - B. L. Duncan AU - R. J. Reese A1 - AB - Introduction The integration of behavioral health services into primary care has led to enhanced use of brief screening measures to identify mental health problems. Although useful, such instruments are largely symptom based and diagnosis specific. This narrow focus can potentially limit the identification of broader social or relational distress in patients that affect medical outcomes, as well as present feasibility challenges using a multi-measure approach in identifying mental health comorbidities. METHOD: This exploratory study of adult primary care patients compared an ultra-brief, and widely used measure of global distress across life functioning, the Outcome Rating Scale (ORS), with the Patient Health Questionnaire (PHQ-9 and PHQ-2). RESULTS: Correlations between the ORS and the PHQ-9 and PHQ-2 indicated agreement between the measures in classifying patients, and the ORS identified significantly more patients in the clinical range. Discussion Although results are preliminary, the ORS may cast a wider net in identifying patients with significant distress in primary care. BT - Primary health care research & development C5 - Measures CP - 2 CY - England DO - 10.1017/S1463423616000311 IS - 2 JF - Primary health care research & development N2 - Introduction The integration of behavioral health services into primary care has led to enhanced use of brief screening measures to identify mental health problems. Although useful, such instruments are largely symptom based and diagnosis specific. This narrow focus can potentially limit the identification of broader social or relational distress in patients that affect medical outcomes, as well as present feasibility challenges using a multi-measure approach in identifying mental health comorbidities. METHOD: This exploratory study of adult primary care patients compared an ultra-brief, and widely used measure of global distress across life functioning, the Outcome Rating Scale (ORS), with the Patient Health Questionnaire (PHQ-9 and PHQ-2). RESULTS: Correlations between the ORS and the PHQ-9 and PHQ-2 indicated agreement between the measures in classifying patients, and the ORS identified significantly more patients in the clinical range. Discussion Although results are preliminary, the ORS may cast a wider net in identifying patients with significant distress in primary care. PP - England PY - 2017 SN - 1477-1128; 1463-4236 SP - 188 EP - 193 EP - T1 - Casting a wider net in behavioral health screening in primary care: a preliminary study of the Outcome Rating Scale T2 - Primary health care research & development TI - Casting a wider net in behavioral health screening in primary care: a preliminary study of the Outcome Rating Scale U1 - Measures U2 - 27609138 U3 - 10.1017/S1463423616000311 VL - 18 VO - 1477-1128; 1463-4236 Y1 - 2017 ER -