Author: Kilbourne Amy Pincus Harold Schutte Kathleen Kirchner JoAnn Haas Gretchen Yano Elizabeth
Publisher: Springer Publishing Company
ISSN: 0894-587X
Source: Administration and Policy in Mental Health, Vol.33, Iss.2, 2006-03, pp. : 208-214
Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.
Abstract
The association between facility-level organizational features and management of mental health services was assessed based on a survey of directors from 219 VA primary care facilities. Overall, 26.4% of VA primary care facilities referred patients with depression, while 72.6% and 46.1% referred patients with serious mental illness and substance use disorders, respectively Staffing mix (i.e., physician extenders such as nurse practitioners) was associated with a lesser likelihood of mental health referral. Managed care (preauthorization requirement) was associated with a greater likelihood of referral for depression. VA primary care programs, while tending to refer for more serious mental illnesses, may also be using mental health specialists and physician extenders to provide mental health care within general medical settings.
Related content
By Thomas Hollie V Lewis Glyn Watson Margaret Bell Truda Lyons Ita Lloyd Keith Weich Scott Sharp Deborah
British Journal of General Practice, Vol. 54, Iss. 508, 2004-11 ,pp. :
Quality of Disease Management and Risk of Mortality in English Primary Care Practices
HEALTH SERVICES RESEARCH, Vol. 17-9124, Iss. 5, 2015-10 ,pp. :
Case finding of lifestyle and mental health disorders in primary care: validation of the ‘CHAT’ tool
By Goodyear-Smith Felicity Coupe Nicole M Arroll Bruce Elley C Raina Sullivan Sean McGill Anne-Thea
British Journal of General Practice, Vol. 58, Iss. 546, 2008-01 ,pp. :