Abstract
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.
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This material is the result of work supported with resources and the use of facilities at the Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY. The contents do not represent the views of the Department of Veterans Affairs or the US Government.
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Possemato, K., Bishop, T.M., Willis, M.A. et al. Healthcare Utilization and Symptom Variation Among Veterans Using Behavioral Telehealth Center Services. J Behav Health Serv Res 40, 416–426 (2013). https://doi.org/10.1007/s11414-013-9338-y
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DOI: https://doi.org/10.1007/s11414-013-9338-y