Office of Mental Health Operations, Veterans Health Administration, Department of Veterans Affairs.
Primary Care, Veterans Health Administration, Department of Veterans Affairs.
Am Psychol. 2014 May-Jun;69(4):399-408. doi: 10.1037/a0035909.
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, serving more than 8 million veterans. VHA is currently undergoing extensive changes to its health care delivery model, moving toward the full implementation of the patient-centered medical home. Mental health providers, including psychologists working in primary care, are playing key roles in this transformation to interprofessional teams and systems-as clinicians, researchers, program evaluators, and educators. Moreover, VHA mental health staff serves critical leadership functions supporting primary care in the broad transformation that is required to implement the medical home. In this article, we review the implementation of mental health integration into this new model of care.
退伍军人健康管理局(VHA)是美国最大的综合性医疗保健系统,为超过 800 万退伍军人提供服务。VHA 目前正在对其医疗服务提供模式进行广泛改革,朝着全面实施以患者为中心的医疗之家的方向迈进。心理健康提供者,包括在初级保健中工作的心理学家,正在作为临床医生、研究人员、项目评估人员和教育工作者,在向跨专业团队和系统的转变中发挥关键作用。此外,VHA 心理健康工作人员在支持初级保健的广泛转型方面发挥着至关重要的领导作用,这种转型是实施医疗之家所必需的。在本文中,我们回顾了将心理健康纳入这种新的护理模式的实施情况。