TY - JOUR
KW - Delivery of Health Care, Integrated/organization & administration
KW - Female
KW - Humans
KW - Male
KW - Mental Health Services/standards
KW - Organizational Innovation
KW - Primary Health Care/organization & administration
KW - Quality Improvement
KW - Surveys and Questionnaires
KW - Vulnerable Populations
KW - behavioral health
KW - integrated care
KW - primary care
KW - underserved populations
AU - D. Swavely
AU - D. T. O'Gurek
AU - V. Whyte
AU - A. Schieber
AU - D. Yu
AU - A . Y. Tien
AU - S. L. Freeman
A1 - 
AB - This study examined a program focused on integrating mental health in a family medicine practice in an economically challenged urban setting. The program included using a behavioral health technology platform, a behavioral health collaborative composed of community mental health agencies, and a community health worker (CHW). Of the 202 patients screened, 196 were used for analysis; 56% were positive for anxiety, 38% had scores consistent with moderate to severe depression, and 34% were positive for post-traumatic stress disorder. There was a statistically significant difference in the diagnosis of depression when comparing the screened group to a control group. Only 27% of patients followed through with behavioral health referrals despite navigational assistance provided by a CHW and assured access to care through a community agency engaged with the Behavioral Health Alliance. Further qualitative analysis revealed that there were complex patient factors that affected patient decision making regarding follow-up with behavioral health care.
AD - Temple Center for Population Health, Philadelphia, PA.; Temple University, Philadelphia, PA.; Temple University, Philadelphia, PA.; Temple Center for Population Health, Philadelphia, PA.; Temple University, Philadelphia, PA.; Temple University, Philadelphia, PA.; mdlogix, Baltimore, MD.; Temple Center for Population Health, Philadelphia, PA.; Temple University, Philadelphia, PA.
BT - American Journal of Medical Quality : The Official Journal of the American College of Medical Quality
C5 - Education & Workforce; Healthcare Disparities
CP - 2
CY - United States
DO - 10.1177/1062860619855136
IS - 2
JF - American Journal of Medical Quality : The Official Journal of the American College of Medical Quality
LA - eng
M1 - Journal Article
N2 - This study examined a program focused on integrating mental health in a family medicine practice in an economically challenged urban setting. The program included using a behavioral health technology platform, a behavioral health collaborative composed of community mental health agencies, and a community health worker (CHW). Of the 202 patients screened, 196 were used for analysis; 56% were positive for anxiety, 38% had scores consistent with moderate to severe depression, and 34% were positive for post-traumatic stress disorder. There was a statistically significant difference in the diagnosis of depression when comparing the screened group to a control group. Only 27% of patients followed through with behavioral health referrals despite navigational assistance provided by a CHW and assured access to care through a community agency engaged with the Behavioral Health Alliance. Further qualitative analysis revealed that there were complex patient factors that affected patient decision making regarding follow-up with behavioral health care.
PP - United States
PY - 2020
SN - 1555-824X; 1062-8606
SP - 101
EP - 109
EP - 
T1 - Primary Care Practice Redesign: Challenges in Improving Behavioral Health Care for a Vulnerable Patient Population
T2 - American Journal of Medical Quality : The Official Journal of the American College of Medical Quality
TI - Primary Care Practice Redesign: Challenges in Improving Behavioral Health Care for a Vulnerable Patient Population
U1 - Education & Workforce; Healthcare Disparities
U2 - 31226884
U3 - 10.1177/1062860619855136
VL - 35
VO - 1555-824X; 1062-8606
Y1 - 2020
Y2 - Mar/Apr
ER -