TY - JOUR KW - Adolescent KW - Adult KW - Aged KW - Female KW - Humans KW - Male KW - Mental Disorders/therapy KW - Mental Health Services/utilization KW - Middle Aged KW - Primary Health Care KW - United States KW - United States Department of Veterans Affairs KW - Veterans/psychology KW - Young Adult AU - V. Johnson-Lawrence AU - K. Zivin AU - B. R. Szymanski AU - P. N. Pfeiffer AU - J. F. McCarthy A1 - AB - OBJECTIVE: In 2007, the U.S. Department of Veterans Affairs (VA) health system began nationwide implementation of primary care-mental health integration (PC-MHI) programs to enhance mental health access and promote treatment of common mental health conditions for patients in primary care settings. This report describes patients initiating PC-MHI services in fiscal years (FYs) 2008-2010, including those who received prior mental health services. METHODS: Using VA administrative records, the investigators examined characteristics and services utilization of individuals who initiated PC-MHI services in FY 2008 (N=76,985), FY 2009 (N=107,417), or FY 2010 (N=149,938). RESULTS: PC-MHI service initiation increased by 95%, from 76,985 to 149,938 veterans. Over time, new user cohorts were increasingly younger, newer to VA services, and less likely to have received VA mental health treatment in the prior year. CONCLUSIONS: This study documents substantial expansion in VA PC-MHI program activity. PC-MHI program expansion may increase access to mental health services in primary care settings. BT - Psychiatric services (Washington, D.C.) C5 - General Literature CP - 11 CY - United States DO - 10.1176/appi.ps.201100365 IS - 11 JF - Psychiatric services (Washington, D.C.) N2 - OBJECTIVE: In 2007, the U.S. Department of Veterans Affairs (VA) health system began nationwide implementation of primary care-mental health integration (PC-MHI) programs to enhance mental health access and promote treatment of common mental health conditions for patients in primary care settings. This report describes patients initiating PC-MHI services in fiscal years (FYs) 2008-2010, including those who received prior mental health services. METHODS: Using VA administrative records, the investigators examined characteristics and services utilization of individuals who initiated PC-MHI services in FY 2008 (N=76,985), FY 2009 (N=107,417), or FY 2010 (N=149,938). RESULTS: PC-MHI service initiation increased by 95%, from 76,985 to 149,938 veterans. Over time, new user cohorts were increasingly younger, newer to VA services, and less likely to have received VA mental health treatment in the prior year. CONCLUSIONS: This study documents substantial expansion in VA PC-MHI program activity. PC-MHI program expansion may increase access to mental health services in primary care settings. PP - United States PY - 2012 SN - 1557-9700; 1075-2730 SP - 1137 EP - 1141 EP - T1 - VA primary care-mental health integration: patient characteristics and receipt of mental health services, 2008-2010 T2 - Psychiatric services (Washington, D.C.) TI - VA primary care-mental health integration: patient characteristics and receipt of mental health services, 2008-2010 U1 - General Literature U2 - 23117512 U3 - 10.1176/appi.ps.201100365 VL - 63 VO - 1557-9700; 1075-2730 Y1 - 2012 ER -