The rate and variation of referrals to behavioral medicine services for patients reporting poor mental health in the national spine network

Descriptive analysis of cross-sectional data collected prospectively in 20 National Spine Network (NSN) centers. First, to summarize clinical and demographic characteristics of patients likely to need servicesfor psychosocial concerns. Second, to determine the rate and variability of referrals for behavioral medicine interventions (BMED) across the NSN. The prevalence of mental distress resulting from or coexisting with spinal pain is unclear. There is evidence that psychological treatments, particularly BMED, can aid the recovery of patients with symptoms of mental distress. From 1998 to 2001, 28,349 patients presenting to NSN centers completed the SF-36 General Health Survey. Patients were dichotomized by the mental component summary (MCS) score into two groups: 1) those scoring 35. Clinicians recorded a "treatment plan" comprised of a standard array of treatment options. For patients scoring