TY - JOUR
KW - Blessed Dementia Scale
KW - Mini International Neuropsychiatric Interview (Sheehan et al)
KW - MOS Short-Form General Health Survey
KW - Patient Health Questionnaire (Spitzer et al)
KW - Scale for Suicide Ideation (Paykel)
AU - Faika Zanjani
AU - Bree Miller
AU - Nicholas Turiano
AU - Jennifer Ross
AU - David W. Oslin
A1 - 
AB - OBJECTIVE: This study examined the effectiveness of a telephone-based referral care management (TBR-CM) intervention for improving engagement in psychiatric treatment. METHODS: From September 2005 to May 2006, 169 primary care patients at the Philadelphia Veterans Affairs Medical Center completed a psychiatric diagnostic interview and were identified as needing psychiatric care. From this total of eligible patients, 113 (67%) gave informed consent and were randomly assigned to receive either usual care or the intervention. Usual care consisted of participants' being scheduled for a behavioral health care appointment, followed by a letter and reminder by telephone. The intervention group received the same, plus 1 or 2 brief motivational telephone sessions. Participant interviews and medical records provided study data. RESULTS: Research participants were primarily African American and 22-83 years old. In the sample, 40 patients (39%) had severe depression, 40 (39%) had substance use problems, and 33 (22%) had co-occurring severe depression and substance abuse. Overall, 40 participants (70%) in the intervention group compared with 18 (32%) in the usual care group engaged in at least 1 psychiatric treatment appointment (p < .001). Analyses also indicated that on average the intervention group attended more appointments (more than 3) compared with the usual care group (less than 2) (p = .008). CONCLUSIONS: The TBR-CM intervention program was effective at improving psychiatric treatment engagement. Future research is necessary to examine effectiveness of TBR-CM in more heterogeneous and larger samples and to evaluate economic benefits versus costs of intervention delivery. [Author Abstract]
BT - Psychiatric Services
C5 - HIT & Telehealth
CP - 7
DO - 10.1176/appi.ps.59.7.776
IS - 7
JF - Psychiatric Services
N2 - OBJECTIVE: This study examined the effectiveness of a telephone-based referral care management (TBR-CM) intervention for improving engagement in psychiatric treatment. METHODS: From September 2005 to May 2006, 169 primary care patients at the Philadelphia Veterans Affairs Medical Center completed a psychiatric diagnostic interview and were identified as needing psychiatric care. From this total of eligible patients, 113 (67%) gave informed consent and were randomly assigned to receive either usual care or the intervention. Usual care consisted of participants' being scheduled for a behavioral health care appointment, followed by a letter and reminder by telephone. The intervention group received the same, plus 1 or 2 brief motivational telephone sessions. Participant interviews and medical records provided study data. RESULTS: Research participants were primarily African American and 22-83 years old. In the sample, 40 patients (39%) had severe depression, 40 (39%) had substance use problems, and 33 (22%) had co-occurring severe depression and substance abuse. Overall, 40 participants (70%) in the intervention group compared with 18 (32%) in the usual care group engaged in at least 1 psychiatric treatment appointment (p < .001). Analyses also indicated that on average the intervention group attended more appointments (more than 3) compared with the usual care group (less than 2) (p = .008). CONCLUSIONS: The TBR-CM intervention program was effective at improving psychiatric treatment engagement. Future research is necessary to examine effectiveness of TBR-CM in more heterogeneous and larger samples and to evaluate economic benefits versus costs of intervention delivery. [Author Abstract]
PY - 2008
SN - 1075-2730, 1075-2730
SP - 776
EP - 781
EP - 
T1 - Effectiveness of telephone-based referral care management, a brief intervention to improve psychiatric treatment engagement
T2 - Psychiatric Services
TI - Effectiveness of telephone-based referral care management, a brief intervention to improve psychiatric treatment engagement
U1 - HIT & Telehealth
U3 - 10.1176/appi.ps.59.7.776
UR - http://search.proquest.com/docview/42438548?accountid=28100
VL - 59
VO - 1075-2730, 1075-2730
Y1 - 2008
ER -