TY - JOUR
AU - M. Weber
AU - S. Stalder
AU - A. Techau
AU - S. Centi
AU - B. McNair
AU - A. J. Barton
A1 - 
AB - BACKGROUND: Over the past 20 years, significant evidence has emerged for collaborative care in the treatment of depression and anxiety disorders in primary care. PURPOSE: The purpose of this project was to integrate an interprofessional and collaborative care model of behavioral health services into routine nurse-led primary care delivered to vulnerable and underserved populations across the lifespan. Team members included psychiatric nurse practitioners (PMHNPs), a registered nurse, and a case manager. METHODS: An Access database was developed to track clients seen by the PMHNPs. Three key outcome measures were tracked over time: Posttraumatic Stress Disorder (PTSD) Checklist Civilian Version, Hamilton Depression Rating Scale (HAM-D), and Bipolar Depression Rating Scale (BDRS). A retrospective analysis of client outcome data from January 2017 through December 2019 was conducted. RESULTS: There were 118 patients included who were mostly female (63.6%), White (90.7%), and not Hispanic (69.5%), with Medicaid as their primary insurance (74.6%). For each outcome, models with linear and quadratic function forms for time were fit. The final model for PTSD Checklist Score had a linear functional form for time and the final models for BDRS and HAM-D had linear and quadratic terms for time. All predictors were significantly associated with the outcome. IMPLICATIONS FOR PRACTICE: This program demonstrated that a patient-centered, nurse-led team approach to the treatment of depression, bipolar depression, and PTSD can be successful in primary care.
AD - University of Colorado College of Nursing, Aurora, Colorado.; University of Colorado College of Nursing, Aurora, Colorado.; University of Colorado College of Nursing, Aurora, Colorado.; Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, Colorado.; Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, Colorado.; Center for Research and Nursing Scholarship, University of Colorado Anschutz Medical Campus, Aurora, Colorado.; University of Colorado College of Nursing, Aurora, Colorado.
BT - Journal of the American Association of Nurse Practitioners
C5 - Education & Workforce; Healthcare Disparities; Measures
CY - United States
DO - 10.1097/JXX.0000000000000506
JF - Journal of the American Association of Nurse Practitioners
LA - eng
M1 - Journal Article
N2 - BACKGROUND: Over the past 20 years, significant evidence has emerged for collaborative care in the treatment of depression and anxiety disorders in primary care. PURPOSE: The purpose of this project was to integrate an interprofessional and collaborative care model of behavioral health services into routine nurse-led primary care delivered to vulnerable and underserved populations across the lifespan. Team members included psychiatric nurse practitioners (PMHNPs), a registered nurse, and a case manager. METHODS: An Access database was developed to track clients seen by the PMHNPs. Three key outcome measures were tracked over time: Posttraumatic Stress Disorder (PTSD) Checklist Civilian Version, Hamilton Depression Rating Scale (HAM-D), and Bipolar Depression Rating Scale (BDRS). A retrospective analysis of client outcome data from January 2017 through December 2019 was conducted. RESULTS: There were 118 patients included who were mostly female (63.6%), White (90.7%), and not Hispanic (69.5%), with Medicaid as their primary insurance (74.6%). For each outcome, models with linear and quadratic function forms for time were fit. The final model for PTSD Checklist Score had a linear functional form for time and the final models for BDRS and HAM-D had linear and quadratic terms for time. All predictors were significantly associated with the outcome. IMPLICATIONS FOR PRACTICE: This program demonstrated that a patient-centered, nurse-led team approach to the treatment of depression, bipolar depression, and PTSD can be successful in primary care.
PP - United States
PY - 2020
SN - 2327-6924; 2327-6886
T1 - Behavioral health integration in a nurse-led federally qualified health center: Outcomes of care
T2 - Journal of the American Association of Nurse Practitioners
TI - Behavioral health integration in a nurse-led federally qualified health center: Outcomes of care
U1 - Education & Workforce; Healthcare Disparities; Measures
U2 - 33038115
U3 - 10.1097/JXX.0000000000000506
VO - 2327-6924; 2327-6886
Y1 - 2020
Y2 - Oct 7
ER -