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Author: Molly Glauner
Publisher:
ISBN:
Category : Mental health services
Languages : en
Pages : 0
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Book Description
Background: Active-duty military servicemembers experiencing mental illness while stationed at geographically remote bases may encounter barriers to behavioral health treatment. Purpose: This Defense Health Agency (DHA) Quadruple Aim Initiative-aligned quality improvement project sought to increase access to on-site mental health services for active-duty personnel at remote bases by developing, implementing, and evaluating care processes to improve individual medical readiness, organizational readiness (availability of behavioral health appointments), quality of care, patient satisfaction, and efficiency. Methods: The project followed a pre- and post-implementation design over three months at four military primary care clinics. Training curricula over primary care behavioral health (PCBH) screening and treatment were developed and implemented. Clinical staff also received training on PCBH screening and treatment resources. Primary care providers completed surveys measuring self-efficacy with PCBH. Evaluated outcomes included patient satisfaction, cost, and individual and organizational readiness. Results: Nine providers completed pre- and post-implementation surveys. A paired samples t-test revealed clinically and statistically significant increased self-efficacy scores (t = -2.612, df = 8, p = 0.031), and Cohens d = 0.87, indicating a large effect size. Patient satisfaction scores remained unchanged at 100%. Individual readiness measures increased at one clinic and organizational readiness measures improved 8%. Behavioral health referrals, claims, and overall cost decreased 11%, 26%, and 19%, respectively. Conclusions: Changes in care processes were associated with significant increases in provider self-efficacy, organizational readiness, and cost savings. Limitations included loss to follow up from deployment, Covid-19 pandemic, and small sample size.
Author: Molly Glauner
Publisher:
ISBN:
Category : Mental health services
Languages : en
Pages : 0
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Book Description
Background: Active-duty military servicemembers experiencing mental illness while stationed at geographically remote bases may encounter barriers to behavioral health treatment. Purpose: This Defense Health Agency (DHA) Quadruple Aim Initiative-aligned quality improvement project sought to increase access to on-site mental health services for active-duty personnel at remote bases by developing, implementing, and evaluating care processes to improve individual medical readiness, organizational readiness (availability of behavioral health appointments), quality of care, patient satisfaction, and efficiency. Methods: The project followed a pre- and post-implementation design over three months at four military primary care clinics. Training curricula over primary care behavioral health (PCBH) screening and treatment were developed and implemented. Clinical staff also received training on PCBH screening and treatment resources. Primary care providers completed surveys measuring self-efficacy with PCBH. Evaluated outcomes included patient satisfaction, cost, and individual and organizational readiness. Results: Nine providers completed pre- and post-implementation surveys. A paired samples t-test revealed clinically and statistically significant increased self-efficacy scores (t = -2.612, df = 8, p = 0.031), and Cohens d = 0.87, indicating a large effect size. Patient satisfaction scores remained unchanged at 100%. Individual readiness measures increased at one clinic and organizational readiness measures improved 8%. Behavioral health referrals, claims, and overall cost decreased 11%, 26%, and 19%, respectively. Conclusions: Changes in care processes were associated with significant increases in provider self-efficacy, organizational readiness, and cost savings. Limitations included loss to follow up from deployment, Covid-19 pandemic, and small sample size.
Author: Andrada Tomoaia-Cotisel
Publisher:
ISBN: 9781977407139
Category : Medical
Languages : en
Pages : 0
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Book Description
"Prepared for Psychological Health Center of Excellence, Approved for public release; distribution unlimited."
Author: Robert E. Feinstein
Publisher: Oxford University Press
ISBN: 0190276207
Category : Medical
Languages : en
Pages : 593
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Book Description
Integrated care incorporates behavioral and physical health services into primary care and specialty medical environments. These models of care are patient-centered. population focused, and delivered by a multidisciplinary team of medical professionals. This book is practical, office-based, comfortably accessible, and intended for mental health professionals, primary care and medical specialists, and professional health students, residents, and other professionals working in integrated care environments.
Author: Larry James
Publisher: Springer
ISBN: 9780387570587
Category : Psychology
Languages : en
Pages : 0
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Book Description
Integrated care is receiving a lot of attention from clinicians, administrators, policy makers, and researchers. Given the current healthcare crises in the United States, where costs, quality, and access to care are of particular concern, many are looking for new and better ways of delivering behavioral health services. Integrating behavioral health into primary care medical settings has been shown to: (1) produce healthier patients; (2) produce medical savings; (3) produce higher patient satisfaction; (4) leverage the primary care physician’s time so that they can be more productive; and (5) increase physician satisfaction. For these reasons this is an emerging paradigm with a lot of interest and momentum. For example, the President’s New Freedom Commission on Mental Health has recently endorsed redesigning the mental health system so that much of this is integrated into primary care medicine.
Author: Ryan Andrew Brown
Publisher:
ISBN:
Category : Military dependents
Languages : en
Pages : 12
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Book Description
With many service members now returning to the United States from the recent conflicts in Iraq and Afghanistan, concern over adequate access to behavioral health care (treatment for mental, behavioral, or addictive disorders) has risen. Yet data remain very sparse regarding how many service members (and their dependents) reside in locations remote from behavioral health providers, as well as the resulting effect on their access to and utilization of care. Little is also known about the effectiveness of existing policies and other efforts to improve access to services among this population. To help fill these gaps, a team of RAND researchers conducted a geospatial analysis using TRICARE and other data, finding that roughly 300,000 military service members and 1 million dependents are geographically distant from behavioral health care, and an analysis of claims data indicated that remoteness is associated with lower use of specialty behavioral health care. A review of existing policies and programs discovered guidelines for access to care, but no systematic monitoring of adherence to those guidelines, limiting their value. RAND researchers recommend implementing a geospatial data portal and monitoring system to track access to care in the military population and mark progress toward improvements in access to care. In addition, the RAND team highlighted two promising pathways for improving access to care among remote military populations: telehealth and collaborative care that integrates primary care with specialty behavioral care.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309682711
Category : Medical
Languages : en
Pages : 123
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Book Description
Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.
Author: Larry James
Publisher: Springer
ISBN: 9780387789705
Category : Psychology
Languages : en
Pages : 333
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Book Description
Integrated care is receiving a lot of attention from clinicians, administrators, policy makers, and researchers. Given the current healthcare crises in the United States, where costs, quality, and access to care are of particular concern, many are looking for new and better ways of delivering behavioral health services. Integrating behavioral health into primary care medical settings has been shown to: (1) produce healthier patients; (2) produce medical savings; (3) produce higher patient satisfaction; (4) leverage the primary care physician’s time so that they can be more productive; and (5) increase physician satisfaction. For these reasons this is an emerging paradigm with a lot of interest and momentum. For example, the President’s New Freedom Commission on Mental Health has recently endorsed redesigning the mental health system so that much of this is integrated into primary care medicine.
Author: Ryan Andrew Brown
Publisher:
ISBN: 9780833088727
Category : Military dependents
Languages : en
Pages : 11
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Book Description
Author: Larry James
Publisher: Springer
ISBN: 9781441927088
Category : Psychology
Languages : en
Pages : 0
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Book Description
Integrated care is receiving a lot of attention from clinicians, administrators, policy makers, and researchers. Given the current healthcare crises in the United States, where costs, quality, and access to care are of particular concern, many are looking for new and better ways of delivering behavioral health services. Integrating behavioral health into primary care medical settings has been shown to: (1) produce healthier patients; (2) produce medical savings; (3) produce higher patient satisfaction; (4) leverage the primary care physician’s time so that they can be more productive; and (5) increase physician satisfaction. For these reasons this is an emerging paradigm with a lot of interest and momentum. For example, the President’s New Freedom Commission on Mental Health has recently endorsed redesigning the mental health system so that much of this is integrated into primary care medicine.
Author: Ryan Andrew Brown
Publisher: Rand Corporation
ISBN: 0833087304
Category : Business & Economics
Languages : en
Pages : 173
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Book Description
Concerns about access to behavioral health care for military service members and their dependents living in geographically remote locations prompted research into how many in this population are remote and the effects of this distance on their use of behavioral health care. The authors conducted geospatial and longitudinal analyses to answer these questions and reviewed current policies and programs to determine barriers and possible solutions.
