Beehler Gregory P, King Paul R, Vair Christina L, Gass Julie, Funderburk Jennifer S
VA Center for Integrated Healthcare (116N), VA Western New York Healthcare System, 3495 Bailey Ave., Buffalo, NY, 14215, USA.
School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY, USA.
J Clin Psychol Med Settings. 2016 Dec;23(4):378-388. doi: 10.1007/s10880-016-9478-3.
The VA has integrated psychologists and other licensed mental health providers, known collectively as co-located collaborative care (CCC) providers, into patients' primary care medical homes to improve mental health services for veterans. However, it is unclear if CCC providers are routinely using mental health measures as part of evidence-based, coordinated care. This study aimed to determine the prevalence and predictors of CCC provider utilization of brief, validated measures. A retrospective review of VA electronic medical records from 8403 veterans diagnosed with depression, posttraumatic stress disorder, or anxiety disorder was conducted. Results indicated that 23 % of the sample had a screening or brief symptom measure documented by a CCC provider. Likelihood of measurement was predicted by primary diagnosis, length of care episode, CCC provider credential, and clinic setting. Future research should address factors impacting measurement practices of CCC providers in order to develop implementation strategies for advancing measurement-based mental health care.
美国退伍军人事务部（VA）已将心理学家和其他持牌心理健康服务提供者（统称为同址协作护理（CCC）提供者）纳入患者的初级保健医疗之家，以改善为退伍军人提供的心理健康服务。然而，目前尚不清楚CCC提供者是否常规使用心理健康测量方法作为循证协调护理的一部分。本研究旨在确定CCC提供者使用简短、经过验证的测量方法的患病率及预测因素。对8403名被诊断患有抑郁症、创伤后应激障碍或焦虑症的退伍军人的VA电子病历进行了回顾性审查。结果表明，23%的样本有CCC提供者记录的筛查或简短症状测量。测量的可能性由主要诊断、护理期间长度、CCC提供者资质和诊所环境预测。未来的研究应解决影响CCC提供者测量实践的因素，以便制定推进基于测量的精神卫生保健的实施策略。
