TY - JOUR
KW - Analysis of Variance
KW - Chi-Square Distribution
KW - Delivery of Health Care, Integrated/organization & administration
KW - Depression/therapy
KW - Humans
KW - Medical Records Systems, Computerized
KW - Patient Compliance
KW - Primary Health Care
KW - Questionnaires
KW - Referral and Consultation
KW - Statistics, Nonparametric
KW - Wisconsin
AU - N. Serrano
AU - K. Monden
A1 - 
AB - PURPOSE: The aim of this study is to assess the impact of an integrated care model, called the Behavioral Health Consultation model, in the delivery of care for depression in an urban Federally Qualified Health Center, and to gauge the receptiveness of primary care clinicians to increasing their responsibility for the mental health care of their patients. METHODS: We reviewed electronic medical records to measure referral rates to mental health specialty care, patient engagement in care, management of psychotropic medications, and initiation of antidepressant medication, comparing data from the year prior to program implementation to that from the third year post-implementation. Clinician attitudes were assessed using an online anonymous questionnaire. RESULTS: Statistically significant findings included post-implementation increases in the use of standardized measures of depression, documentation of behavioral goals and patient visits to the primary care clinician (increased engagement), decreases in initiation rates of antidepressant medications, and decreases in referrals to mental health specialty care. No significant difference was found in rates of dosage changes or change to new medications among patients who were already on psychiatric medications. Clinicians reported near universal acceptance of the behavioral health consultation program and willingness to increase their role in managing patient mental health issues. CONCLUSIONS: This study demonstrates that a behavioral health consultation program in an urban community health center can improve adherence to evidence-based indicators in the care of depression, making it possible to manage the majority of patients presenting with depression in the primary care setting.
BT - WMJ : official publication of the State Medical Society of Wisconsin
C5 - HIT & Telehealth
CP - 3
CY - United States
IS - 3
JF - WMJ : official publication of the State Medical Society of Wisconsin
N2 - PURPOSE: The aim of this study is to assess the impact of an integrated care model, called the Behavioral Health Consultation model, in the delivery of care for depression in an urban Federally Qualified Health Center, and to gauge the receptiveness of primary care clinicians to increasing their responsibility for the mental health care of their patients. METHODS: We reviewed electronic medical records to measure referral rates to mental health specialty care, patient engagement in care, management of psychotropic medications, and initiation of antidepressant medication, comparing data from the year prior to program implementation to that from the third year post-implementation. Clinician attitudes were assessed using an online anonymous questionnaire. RESULTS: Statistically significant findings included post-implementation increases in the use of standardized measures of depression, documentation of behavioral goals and patient visits to the primary care clinician (increased engagement), decreases in initiation rates of antidepressant medications, and decreases in referrals to mental health specialty care. No significant difference was found in rates of dosage changes or change to new medications among patients who were already on psychiatric medications. Clinicians reported near universal acceptance of the behavioral health consultation program and willingness to increase their role in managing patient mental health issues. CONCLUSIONS: This study demonstrates that a behavioral health consultation program in an urban community health center can improve adherence to evidence-based indicators in the care of depression, making it possible to manage the majority of patients presenting with depression in the primary care setting.
PP - United States
PY - 2011
SN - 1098-1861; 1098-1861
SP - 113
EP - 118
EP - 
T1 - The effect of behavioral health consultation on the care of depression by primary care clinicians
T2 - WMJ : official publication of the State Medical Society of Wisconsin
TI - The effect of behavioral health consultation on the care of depression by primary care clinicians
U1 - HIT & Telehealth
U2 - 21748995
VL - 110
VO - 1098-1861; 1098-1861
Y1 - 2011
ER -