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    A novel approach for mental health disease management: the Air Force Medical Service's interdisciplinary model

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    Authors
    Runyan, Christine
    Fonseca, Vincent P.
    Meyer, John G.
    Oordt, Mark S.
    Talcott, G. Wayne
    UMass Chan Affiliations
    Department of Family Medicine and Community Health
    Center for Integrated Primary Care
    Document Type
    Journal Article
    Publication Date
    2003-09-01
    Keywords
    Behavioral Medicine
    Health Psychology
    Health Services Administration
    Integrative Medicine
    Mental and Social Health
    Mental Disorders
    Primary Care
    Psychiatry and Psychology
    
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    Link to Full Text
    https://doi.org/10.1089/109350703322425527
    Abstract
    Mental health disorders are one of the most substantial public health problems affecting society today, accounting for roughly 15% of the overall burden of disease from all causes in the United States. Although primary care (PC) has the potential to be the frontline for recognition and management of behavioral health conditions, this has been a challenge historically. In order to more effectively address the broad scope of behavioral health needs, the Air Force Medical Service (AFMS) established a new model of behavioral health care. Through a series of coordinated steps, the AFMS ultimately placed trained behavioral health providers into PC clinics to serve as consultants to PC providers (PCPs). Behavioral Health Consultants (BHCs) provide focused assessments, present healthcare options to patients, and deliver brief collaborative interventions in the PC setting. BHCs see patients at the request of the PCP, in 15-30-min appointments. In the pilot study, patients averaged 1.6 visits to the BHC. Over 70% of patients fell into six categories of presenting problems: situational reactions, depressive disorders, adjustment disorders, anxiety disorders, health promotion, and obesity. Patient data (n = 76) suggest 97% of patients seen were either "satisfied" or "very satisfied" with BHC services, and 100% of the PCPs (n = 23, 68% response rate) were highly satisfied and indicated they would "definitely recommend" others use BHC services for their patients. Both the implications and the limitations of this pilot study are discussed.
    Source

    Dis Manag. 2003 Fall;6(3):179-88. doi: 10.1089/109350703322425527. Link to article on publisher's site

    DOI
    10.1089/109350703322425527
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/26791
    PubMed ID
    14570386
    Notes

    At the time of publication, Christine Runyan was not yet affiliated with the University of Massachusetts Medical School.

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    10.1089/109350703322425527
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