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Behavioral Health Interventions Being Implemented in a VA Primary Care System

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Abstract

The integration of behavioral health and primary care has received much attention in the literature. Behavioral health providers (BHPs) in integrated settings are faced with different treatment constraints than those who work in specialty mental health. The existing literature focuses on what BHPs should do in primary care settings; however, little research exists specifying what BHPs are actually doing. This study provides a glimpse into what types of interventions BHPs are using, and what types of patients they are seeing, in primary care. A chart review was conducted of patients (N = 180) seen by BHPs in five Veterans Affairs primary care clinics. Depression was the most common diagnosis, while less common presenting problems included substance abuse/dependence, psychosis, and bipolar disorder. Common interventions used were medical management, psycho-education, elements of cognitive-behavioral therapy (CBT), and supportive psychotherapy. Future research should examine the efficacy of brief interventions in primary care settings.

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Acknowledgments

This material is based upon work supported by the Department of Veterans Affairs, Veterans Health Administration, and the Center for Integrated Healthcare.

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Correspondence to Jennifer S. Funderburk.

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The views expressed in this article are those of the authors and do not reflect the official policy of the Veteran’s Affair’s department or other departments of the U.S. government.

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Funderburk, J.S., Sugarman, D.E., Labbe, A.K. et al. Behavioral Health Interventions Being Implemented in a VA Primary Care System. J Clin Psychol Med Settings 18, 22–29 (2011). https://doi.org/10.1007/s10880-011-9230-y

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  • DOI: https://doi.org/10.1007/s10880-011-9230-y

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