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Full-Text Articles in Psychology
A Learning Collaborative Of Cmhcs And Chcs To Support Integration Of Behavioral Health And General Medical Care, Steven D. Vannoy, Barbara Mauer, John Kern, Kamaljeet Girn, Charles Ingoglia, Jeannie Campbell, Laura Galbreath, JüRgen UnüTzer
A Learning Collaborative Of Cmhcs And Chcs To Support Integration Of Behavioral Health And General Medical Care, Steven D. Vannoy, Barbara Mauer, John Kern, Kamaljeet Girn, Charles Ingoglia, Jeannie Campbell, Laura Galbreath, JüRgen UnüTzer
Steven D Vannoy
Objective: Integration of general medical and mental health services is a growing priority for safety-net providers. The authors describe a project that established a one-year learning collaborative focused on integration of services between community health centers (CHCs) and community mental health centers (CMHCs). Specific targets were treatment for general medical and psychiatric symptoms related to depression, bipolar dis- order, alcohol use disorders, and metabolic syndrome. Methods: This ob- servational study used mixed methods. Quantitative measures included 15 patient-level health indicators, practice self-assessment of resources and support for chronic disease self-management, and participant satisfaction. Results: Sixteen CHC-CMHC pairs were selected for …
Now What Should I Do? Primary Care Physicians’ Responses To Older Adults Expressing Thoughts Of Suicide, Steven D. Vannoy, Ming Tai-Seale, Paul Duberstein, Laura J. Eaton, Mary Ann Cook
Now What Should I Do? Primary Care Physicians’ Responses To Older Adults Expressing Thoughts Of Suicide, Steven D. Vannoy, Ming Tai-Seale, Paul Duberstein, Laura J. Eaton, Mary Ann Cook
Steven D Vannoy
ACKGROUND: Many older adults who die by suicide have had recent contact with a primary care physician. As the risk-assessment and referral process for suicide is not readily comparable to procedures for other high- risk behaviors, it is important to identify areas in need of quality improvement (QI). OBJECTIVE: Identify patterns in physician-patient com- munication regarding suicide to inform QI interventions. DESIGN: Qualitative thematic analysis of video-taped clinical encounters in which suicide was discussed. PARTICIPANTS: Adult primary care patients (n=385) 65 years and older and their primary care physicians. RESULTS: Mental health was discussed in 22% of encounters (n=85), with …