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 |
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| creator | 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. |
| description | 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 |
| doi_str_mv | 10.1007/s10488-016-0775-9 |
| format | Article |
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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 < 0.05). No effects were found for antidepressants. Mental health staffing and PCMHI utilization explained only a small amount of the variance in the adequacy of depression care.</description><identifier>ISSN: 0894-587X</identifier><identifier>EISSN: 1573-3289</identifier><identifier>DOI: 10.1007/s10488-016-0775-9</identifier><identifier>PMID: 27909877</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>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</subject><ispartof>Administration and policy in mental health and mental health services research, 2018, Vol.45 (1), p.131-141</ispartof><rights>Springer Science+Business Media New York (outside the USA) 2016</rights><rights>Administration and Policy in Mental Health and Mental Health Services Research is a copyright of Springer, (2016). All Rights Reserved.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-d8f4adaca3c935afacefef2d5d3b0e8d78c25382fa766d32cc21ddde8d03acd13</citedby><cites>FETCH-LOGICAL-c372t-d8f4adaca3c935afacefef2d5d3b0e8d78c25382fa766d32cc21ddde8d03acd13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10488-016-0775-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10488-016-0775-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,12825,27901,27902,30976,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27909877$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cooper, Denise C.</creatorcontrib><creatorcontrib>Helfrich, Christian D.</creatorcontrib><creatorcontrib>Thielke, Stephen M.</creatorcontrib><creatorcontrib>Trivedi, Ranak B.</creatorcontrib><creatorcontrib>Nelson, Karin M.</creatorcontrib><creatorcontrib>Reiber, Gayle E.</creatorcontrib><creatorcontrib>Eugenio, Evercita C.</creatorcontrib><creatorcontrib>Beaver, Kristine</creatorcontrib><creatorcontrib>Nugent-Carney, Julie</creatorcontrib><creatorcontrib>Fan, Vincent S.</creatorcontrib><title>Association Between Mental Health Staffing Level and Primary Care-Mental Health Integration Level on Provision of Depression Care in Veteran’s Affairs Medical Facilities</title><title>Administration and policy in mental health and mental health services research</title><addtitle>Adm Policy Ment Health</addtitle><addtitle>Adm Policy Ment Health</addtitle><description>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. 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Mental health staffing and PCMHI utilization explained only a small amount of the variance in the adequacy of depression care.</description><subject>Adequacy</subject><subject>Antidepressants</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Clinical Psychology</subject><subject>Depressive Disorder - therapy</subject><subject>Female</subject><subject>Health Administration</subject><subject>Health Informatics</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Integrated care</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental Health Services - organization & administration</subject><subject>Middle Aged</subject><subject>Odds Ratio</subject><subject>Original Article</subject><subject>Personnel Staffing and Scheduling - statistics & numerical data</subject><subject>Primary care</subject><subject>Primary Health Care - 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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 < 0.05). No effects were found for antidepressants. Mental health staffing and PCMHI utilization explained only a small amount of the variance in the adequacy of depression care.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>27909877</pmid><doi>10.1007/s10488-016-0775-9</doi><tpages>11</tpages></addata></record> |
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| subjects | 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 |
| title | Association Between Mental Health Staffing Level and Primary Care-Mental Health Integration Level on Provision of Depression Care in Veteran’s Affairs Medical Facilities |
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