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Medical Specialties

University of Vermont

2023

Depression

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Improving Depression Screening Protocol And Subsequent Sbirt Referrals, Mclaine S. Rich Jan 2023

Improving Depression Screening Protocol And Subsequent Sbirt Referrals, Mclaine S. Rich

Family Medicine Clerkship Student Projects

As a federally qualified health center, Lamoille Health Family Medicine receives annual data evaluating their performance in a number of categories. They exceeded expectations in screening eligible patients for depression, yet did not see the same success in referrals following a positive screening. After discussing with nursing and physician staff it became clear that there were discrepancies regarding office workflow/specific responsibilities. Moreover, some physicians expressed that they were unsure exactly how to handle positive screening results. This flowsheet developed will alleviate confusion in who is responsible for each step of screening, and uses evidence based guidelines for when to refer …


Is There An App For That? Introducing Self-Guided Therapy-Based Mental Health Apps In A Primary Care Setting, Althea Jem Darbin Tapales Jan 2023

Is There An App For That? Introducing Self-Guided Therapy-Based Mental Health Apps In A Primary Care Setting, Althea Jem Darbin Tapales

Family Medicine Clerkship Student Projects

The prevalence of mental health disorders in Vermont continues to be an economic burden, especially in Addison County. The Addison County, VT Community Health Improvement Plan 2022-2025 identified “Access to Mental Health Services” as the top priority with a general concern regarding the affordability and demand of such services, and shortage of providers in the general community. Consequently, the shortage of mental health services along with the coronavirus pandemic resulted in a mental illness epidemic which led to an accelerated growth of self-guided therapy-based mental health apps. Most apps are affordable, accessible, and prioritize patient privacy which overcomes barriers to …


Bridging Cultural Barriers To Perinatal Mental Health Care In New Americans, Madeline Yvette Powell Jan 2023

Bridging Cultural Barriers To Perinatal Mental Health Care In New Americans, Madeline Yvette Powell

Family Medicine Clerkship Student Projects

Perinatal mental health outcomes are worse in New Americans, particularly in refugee patients. Mental health stigma and cultural differences in views on mental illness impact New Americans’ willingness to discuss mental health concerns with healthcare workers. This is in addition to language barriers, time constraints, financial barriers, and general mistrust of medical professionals.