Integrated Mental and Behavioral Health Services to Improve Patient Outcomes and Clinical Care
| Autor: | Tonya Cross Hansel, Joy D. Osofsky, Anthony Speier, Carl F. Weems, Howard J. Osofsky, Lucy S. King, Erin T. Reuther, John Wells |
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| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | International Oil Spill Conference Proceedings. 2014:201-214 |
| ISSN: | 2169-3358 2169-3366 |
| Popis: | This presentation will focus on the importance of addressing mental health in the overall response to the Deepwater Horizon Oil Spill. Emphasis will be placed on evidence based, integrated mental and behavioral health services in primary care clinics as an essential component of physical and mental health care. Community surveillance data collected by LSUHSC Department of Psychiatry in the fall of 2010 and one year post spill revealed increased symptoms of depression, anxiety, and posttraumatic stress compared to national norms. Symptoms were higher for individuals directly impacted by the spill. The Mental and Behavioral Health Capacity Project (MBHCP), part of the Gulf Region Health Outreach Program (GRHOP), was developed across the four impacted states of Louisiana, Mississippi, Alabama, and Florida.In collaboration with the Primary Care Capacity Project (PCCP) and other GRHOP projects, it is designed to decrease disparities in care and develop an evidence-based system of integrated mental and behavioral health services within primary care clinics. In Louisiana, seven impacted parishes, culturally diverse and predominantly rural, were designated for services. Louisiana MBHCP (MBHCP-LA) is applying established principles of collaborative care combining on-site and telemedicine consultation, training, therapeutic services, and care management. It is working with PCCP to develop and utilize a technologically advanced telemedicine system to integrate mental and behavioral health into electronic health records to meet physical and mental health needs. Preliminary analysis of screening and follow-up data beginning in May 2013 from 303 clients who completed measures at intake into services indicates that integrating mental health services in primary care clinics resulted in significant decreases at follow-up in reported depression, generalized anxiety, and posttraumatic stress disorder symptoms. The data showed that the greater the decrease in reported depression, anxiety, and posttraumatic stress symptoms at follow-up, the greater the decrease in physical health symptoms. While the MBHCP-LA integration of mental and behavioral health in primary care clinics in parishes heavily impacted by the Deepwater Horizon Oil Spill has been in place for less than a year, the outcomes are promising in reducing both behavioral and physical health symptoms. The clinics are reporting greater comfort in addressing mental and behavioral health problems as well as more resilience by having mental and behavioral health partners. MBHCP-LA will continue to evaluate improvement in physical and mental health symptoms as well as resilience and quality of life by more fully addressing mental and behavioral health concerns. |
| Databáze: | OpenAIRE |
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