Quality of Mental Health Care in Integrated Veterans Affairs Patient-Centered Medical Homes: a National Observational Study
Mental health integration in primary care is effective but challenging to disseminate and implement in health care systems.1 Over the past decade, the Veterans Health Administration (VA) transformed primary care practices nationally into team-based care models: Primary Care–Mental Health Integration (PC-MHI)2 (i.e., evidence-based collaborative care) in 2007 and Patient Aligned Care Teams (PACT)3 (i.e., patient-centered medical home) in 2010. Both initiatives provide staffing and resources to support primary care providers, care managers, and integrated mental health specialists in jointly treating low-to-moderate severity psychiatric conditions within primary care.2 Primary care has been tasked with universal mental health screening and expected to initiate timely treatment, aided by PC-MHI, for Veterans identified with needs. As such, mental health care has accordingly shifted from VA specialty to PACT/primary care settings.4This study examined whether increasing...
Our thanks go to the PACT Mental Health workgroup members (Ranak Trivedi, PhD, Leslie Taylor, PhD, among others) who contributed invaluable expertise and feedback. Quality measures were obtained from the VA External Peer Review Program, which is administered by the VA Office of Reporting, Analytics, Performance, Improvement & Deployment.
This work was undertaken as part of the Veterans Administration’s Primary Care Analytics Team, supporting and evaluating VA’s transition to a patient-centered medical home. Funding for the Primary Care Analytics Team is provided by the VA Office of Primary Care.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they do not have a conflict of interest.
The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the US government.
- 5.Nelson KM, Helfrich C, Sun H, et al. Implementation of the patient-centered medical home in the Veterans Health Administration: associations with patient satisfaction, quality of care, staff burnout, and hospital and emergency department use. JAMA Intern Med. 2014;174(8):1350–1358.CrossRefGoogle Scholar