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Association Between Mental Health Staffing Level and Primary Care-Mental Health Integration Level on Provision of Depression Care in Veteran's Affairs Medical Facilities.
Cooper, Denise C; Helfrich, Christian D; Thielke, Stephen M; Trivedi, Ranak B; Nelson, Karin M; Reiber, Gayle E; Eugenio, Evercita C; Beaver, Kristine; Nugent-Carney, Julie; Fan, Vincent S.
Afiliación
  • Cooper DC; Health Services Research & Development (HSR&D), Veteran Affairs (VA) Puget Sound Health Care System, 1660 Columbian Way, Seattle, WA, 98108, USA.
  • Helfrich CD; Health Services Research & Development (HSR&D), Veteran Affairs (VA) Puget Sound Health Care System, 1660 Columbian Way, Seattle, WA, 98108, USA.
  • Thielke SM; Department of Health Services, University of Washington, Seattle, WA, USA.
  • Trivedi RB; Geriatric Research, Education, and Clinical Center, VA Puget Sound Health Care System, Seattle, WA, USA.
  • Nelson KM; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, USA.
  • Reiber GE; VA Palo Alto Health Care System, Palo Alto, CA, USA.
  • Eugenio EC; Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, CA, USA.
  • Beaver K; Health Services Research & Development (HSR&D), Veteran Affairs (VA) Puget Sound Health Care System, 1660 Columbian Way, Seattle, WA, 98108, USA.
  • Nugent-Carney J; Department of Medicine, University of Washington, Seattle, WA, USA.
  • Fan VS; Health Services Research & Development (HSR&D), Veteran Affairs (VA) Puget Sound Health Care System, 1660 Columbian Way, Seattle, WA, 98108, USA.
Adm Policy Ment Health ; 45(1): 131-141, 2018 01.
Article en En | MEDLINE | ID: mdl-27909877
ABSTRACT
We examined the association of mental health staffing and the utilization of primary care/mental health integration (PCMHI) with facility-level variations in adequacy of psychotherapy and antidepressants received by Veterans with new, recurrent, and chronic depression. Greater likelihood of adequate psychotherapy was associated with increased (1) PCMHI utilization by recurrent depression patients (AOR 1.02; 95% CI 1.00, 1.03); and (2) staffing for recurrent (AOR 1.03; 95% CI 1.01, 1.06) and chronic (AOR 1.02; 95% CI 1.00, 1.03) depression patients (p < 0.05). No effects were found for antidepressants. Mental health staffing and PCMHI utilization explained only a small amount of the variance in the adequacy of depression care.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Admisión y Programación de Personal / Atención Primaria de Salud / Psicoterapia / Trastorno Depresivo / Servicios de Salud Mental / Antidepresivos Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Adm Policy Ment Health Asunto de la revista: PSICOLOGIA / SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos
Texto completo
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Admisión y Programación de Personal / Atención Primaria de Salud / Psicoterapia / Trastorno Depresivo / Servicios de Salud Mental / Antidepresivos Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Adm Policy Ment Health Asunto de la revista: PSICOLOGIA / SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos