Association Between Mental Health Staffing Level and Primary Care-Mental Health Integration Level on Provision of Depression Care in Veteran’s Affairs Medical Facilities

Association Between Mental Health Staffing Level and Primary Care-Mental Health Integration Level on Provision of Depression Care in Veteran’s Affairs Medical Facilities

We examined the association of mental health staffing and the utilization of primary care/mental health integration (PCMHI) with facility-level variations in adequacy of psychotherapy and antidepressants received by Veterans with new, recurrent, and chronic depression. Greater likelihood of adequate...

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Veröffentlicht in:Administration and policy in mental health and mental health services research 2018, Vol.45 (1), p.131-141
Hauptverfasser: Cooper, Denise C., Helfrich, Christian D., Thielke, Stephen M., Trivedi, Ranak B., Nelson, Karin M., Reiber, Gayle E., Eugenio, Evercita C., Beaver, Kristine, Nugent-Carney, Julie, Fan, Vincent S.
Format: Artikel
Sprache:eng
Schlagworte:
Adequacy
Antidepressants
Antidepressive Agents - therapeutic use
Clinical Psychology
Depressive Disorder - therapy
Female
Health Administration
Health Informatics
Health Services Accessibility
Humans
Integrated care
Male
Medicine
Medicine & Public Health
Mental depression
Mental disorders
Mental health
Mental health care
Mental Health Services - organization & administration
Middle Aged
Odds Ratio
Original Article
Personnel Staffing and Scheduling - statistics & numerical data
Primary care
Primary Health Care - organization & administration
Psychiatry
Psychotherapy
Psychotherapy - statistics & numerical data
Public Health
Quality of Health Care
Recurrent
Staffing
United States
United States Department of Veterans Affairs
Veterans
Workforce planning
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Zusammenfassung:We examined the association of mental health staffing and the utilization of primary care/mental health integration (PCMHI) with facility-level variations in adequacy of psychotherapy and antidepressants received by Veterans with new, recurrent, and chronic depression. Greater likelihood of adequate psychotherapy was associated with increased (1) PCMHI utilization by recurrent depression patients (AOR 1.02; 95% CI 1.00, 1.03); and (2) staffing for recurrent (AOR 1.03; 95% CI 1.01, 1.06) and chronic (AOR 1.02; 95% CI 1.00, 1.03) depression patients (p 
ISSN:0894-587X
1573-3289
DOI:10.1007/s10488-016-0775-9