Healthcare Utilization and Symptom Variation Among Veterans Using Behavioral Telehealth Center Services

  • Kyle PossematoEmail author
  • Todd M. Bishop
  • Matthew A. Willis
  • Larry J. Lantinga


Substance use and mental health problems are often underdiagnosed and undertreated in primary care. Veterans affairs facilities are using the Behavioral Telehealth Center (BTC) to provide evidence-based assessments for primary care patients via telephone. Whether participation in BTC services is associated with (1) increases in healthcare utilization and (2) decreases in symptoms based on behavioral health screening instruments, post-BTC services compared with pre-BTC services were investigated. Retrospective data were extracted for 1,820 patients who were referred to the BTC. Differences in utilization rates and symptom scores pre- and post-BTC services were tested using repeated measures analysis of covariance while controlling for relevant sociodemographic variables. Participants (1) utilized significantly more substance use and mental health treatment services and (2) had significantly lower alcohol and depression screening scores post-BTC services compared with pre-BTC services. This initial evaluation provides support that BTC services are associated with increased healthcare utilization and decreased alcohol and depressive symptoms.


Behavioral Health Veteran Health Administration Healthcare Utilization Primary Care Patient Alcohol Misuse 
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Conflict of Interest Statement

The authors do not have financial or any other conflicts of interest regarding the contents of this manuscript.


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Copyright information

© Springer Science+Business Media, LLC (outside the USA) 2013

Authors and Affiliations

  • Kyle Possemato
    • 1
    • 2
    • 4
    Email author
  • Todd M. Bishop
    • 1
    • 2
  • Matthew A. Willis
    • 1
    • 3
  • Larry J. Lantinga
    • 1
    • 2
  1. 1.Syracuse Veterans Affairs MedicalCenter for Integrated HealthcareSyracuseUSA
  2. 2.Department of PsychologySyracuse UniversitySyracuseUSA
  3. 3.School for Information StudiesSyracuse UniversitySyracuseUSA
  4. 4.VA Center for Integrated HealthcareSyracuse VA Medical CenterSyracuseUSA

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