Longitudinal Outcomes After Brief Behavioral Health Intervention in an Integrated Primary Care Clinic

Nellis Air Force Base, NV, USA.
Families Systems & Health (Impact Factor: 1.13). 01/2012; 30(1):60-71. DOI: 10.1037/a0027029
Source: PubMed


The primary aim of the current study was to obtain information about the longitudinal clinical functioning of primary care patients who had received care from behavioral health consultants (BHCs) integrated into a large family medicine clinic. Global mental health functioning was measured with the 20-item self-report Behavioral Health Measure (BHM), which was completed by patients at all appointments with the BHC. The BHM was then mailed to 664 patients 1.5 to 3 years after receipt of intervention from BHCs in primary care, of which 70 (10.5%) were completed and returned (62.9% female; mean age 43.1 ± 12.7 years; 48.6% Caucasian, 12.9% African American, 21.4% Hispanic/Latino, 2.9% Asian/Pacific Islander, 10.0% Other, 4.3% no response). Mixed effects modeling revealed that patients improved from their first to last BHC appointment, with gains being maintained an average of 2 years after intervention. Patterns of results remained significant even when accounting for the receipt of additional mental health treatment subsequent to BHC intervention. Findings suggest that clinical gains achieved by this subset of primary care patients that were associated with brief BHC intervention were maintained approximately 2 years after the final appointment.

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    • "A majority of the items included on the PPAQ belong to the practice and session management, clinical scope, and interventions domains. This finding is not surprising because previously published CCC literature [6,43] focuses heavily on the population-based framework of the model that emphasizes providing easily accessible care to a large number of patients with a wide range of acute, chronic, and preventive medicine concerns [14]. Providing population-based care impacts BHP clinical behaviors directed toward a brief, time-limited treatment model compared to specialty mental health settings which do not follow that framework. "
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