Evaluation Of Psychological Services For Anxiety And Depression Provided In A University Based Primary Care Clinic
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Author | : Elizabeth Sadock |
Publisher | : |
Total Pages | : 113 |
Release | : 2014 |
Genre | : Clinics |
ISBN | : |
Primary care clinics are increasingly integrating psychological services into their service programs, however few studies have used a comparison group to demonstrate the effectiveness of these services. This study evaluated the psychological services provided at the Ambulatory Care Clinic (ACC) at the Virginia Commonwealth University Health System (VCUHS) by comparing changes in 147 pati PHQ-9 depression scores and GAD-7 anxiety scores over time to the scores of 139 patients at the Hayes E. Willis Health Center, a comparison clinic with demographically similar patients but no integrated psychological services. Assessment data were collected from participants in the ACC at VCUHS during their first or second primary care psychology appointment and during their 3rd-5th appointment. To maximize similarity in baseline levels, participants in the Hayes clinic were matched to participants from the ACC at VCUHS according to their initial levels of depression and anxiety. Participants from the Hayes clinic were then evaluated with follow-up measures of depression and anxiety at approximately the same time interval as their matched counterparts from the ACC at VCUHS. Results indicated that participants from the ACC at VCUHS experienced significantly greater decreases in their depression and anxiety scores compared to participants in the Hayes Clinic. These results remained significant after accounting for participants' medication for depression and anxiety and participants' medical diagnoses. The influence of additional mental health services, treatment resistance factors, marital status, employment status, and general demographic variables were also evaluated. This study provided modest preliminary evidence that indicate integration of psychological services is effective. Strengths, limitations, and implications and future directions are discussed.
Author | : Renée Marie Grinnell |
Publisher | : |
Total Pages | : 96 |
Release | : 2014 |
Genre | : |
ISBN | : |
Although integrated primary care psychology services are becoming increasingly common, the literature lacks adequate research support for the longitudinal durability of treatment effects following the conclusion of brief primary care interventions. This study served as a follow-up program evaluation of psychological services for depression and anxiety provided at the Medical College of Virginia's Ambulatory Care Center in Richmond, Virginia. Data were collected on 47 adult primary care patients who received treatment for depression and/or anxiety between six and 18 months prior to the follow-up telephone call. Data were collected on the trajectory of depression scores throughout and following treatment, treatment received by patients in the interim, and reasons provided by patients for discontinuing treatment. Analyses of these data indicated that primary care psychology services were effective in reducing patient anxiety and depression as measured by the GAD-7 and PHQ-9 respectively, even when controlling for additional treatment in the interim, and that patients as a group continued to improve over time following the conclusion of treatment. These preliminary results should be interpreted with caution, however, due to the study's small sample size and lack of a control group. Study limitations, strengths, and future directions are addressed.
Author | : Elizabeth Sadock |
Publisher | : |
Total Pages | : |
Release | : 2012 |
Genre | : |
ISBN | : |
Primary care clinics are increasingly integrating psychological services into their service programs; however few studies have provided quantitative data to support these services. This study served as a program evaluation of the psychological services provided at the Ambulatory Care Clinic at the Virginia Commonwealth University Medical Center in Richmond, Virginia. It includes: 1) a description of the program, including types of patients served, their presenting problems, and treatments administered and 2) evidence of the impact of mental health services on primary care patients' emotional adjustment and progress on behavioral goals. Data on exposure to stressful life events and intake and follow-up measures of depression, anxiety, smoking, insomnia, chronic pain, and weight loss were collected on 452 adult primary care patients. Although inferences are limited by the lack of a control or comparison group, preliminary findings indicate that the mental health services provided were effective. Implications and future directions are discussed.
Author | : Mark E. Maruish |
Publisher | : Routledge |
Total Pages | : 1076 |
Release | : 2017-04-21 |
Genre | : Psychology |
ISBN | : 1317330943 |
The second edition Handbook of Psychological Assessment in Primary Care Settings offers an overview of the application of psychological screening and assessment instruments in primary care settings. This indispensable reference addresses current psychological assessment needs and practices in primary care settings to inform psychologists, behavioral health clinicians, and primary care providers the clinical benefits that can result from utilizing psychological assessment and other behavioral health care services in primary care settings.
Author | : Mark E. Maruish |
Publisher | : Routledge |
Total Pages | : 635 |
Release | : 2018-05-03 |
Genre | : Psychology |
ISBN | : 1351757342 |
Handbook of Pediatric Psychological Screening and Assessment in Primary Care provides an overview of the principles of screening, monitoring, and measuring of the treatment outcomes of behavioral health disorders in pediatric primary care. The Handbook serves as a guide to the selection of psychometric measures that can be used to screen for and/or assess behavioral health problems of children and adolescents. The Handbook is an invaluable reference to behavioral health clinicans in maximizing potential benefits in efficient assessment and effective treatment of children and adolescents in pediatric primary care settings as well as other health care settings.
Author | : Larry James |
Publisher | : Springer Science & Business Media |
Total Pages | : 331 |
Release | : 2008-12-16 |
Genre | : Psychology |
ISBN | : 0387789715 |
Integrated care is receiving a lot of attention from clinicians, administrators, policy makers, and researchers. Given the current healthcare crises in the United States, where costs, quality, and access to care are of particular concern, many are looking for new and better ways of delivering behavioral health services. Integrating behavioral health into primary care medical settings has been shown to: (1) produce healthier patients; (2) produce medical savings; (3) produce higher patient satisfaction; (4) leverage the primary care physician’s time so that they can be more productive; and (5) increase physician satisfaction. For these reasons this is an emerging paradigm with a lot of interest and momentum. For example, the President’s New Freedom Commission on Mental Health has recently endorsed redesigning the mental health system so that much of this is integrated into primary care medicine.
Author | : Institute of Medicine |
Publisher | : National Academies Press |
Total Pages | : 411 |
Release | : 1996-09-05 |
Genre | : Medical |
ISBN | : 0309175690 |
Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
Author | : Danielle Christina Worthington |
Publisher | : |
Total Pages | : 210 |
Release | : 2015 |
Genre | : Mental health services |
ISBN | : |
This study served as an initial evaluation of integrated psychology services within a clinic designed to serve uninsured patients with complex medical concerns and high utilization histories at the Medical College of Virginia in Richmond, Virginia. The current study evaluates patient outcomes, and more specifically, it further quantifies and describes the role that psychologists play in the primary care setting and their impact on utilization of medical care and in improved health outcomes. Additionally, the study evaluates psychologists' success at treating mental and behavioral health conditions within the primary care model. The present study demonstrates that patients with complex medical and mental health needs can be effectively managed and treated in an integrated ambulatory care clinic. Care within this clinic resulted in significant improvements in depression, anxiety, HbA1c, cholesterol, and blood pressure. The findings suggested possible improvements in behavioral health outcomes such as insomnia as well, but more structured follow-up data are needed in future research to explore this relationship. Additionally it is possible that reductions in BMI may be significant if followed over a longer period of time. Utilization outcomes were more mixed, and contrary to the expectation that integrated services and improvements in health would be related to decreased utilization. Given the shift in health outcomes over the follow-up period, it is possible that early increases in utilization at the six-month mark, may shift to reductions in utilization and cost if the window of observation is expanded.
Author | : |
Publisher | : |
Total Pages | : 1666 |
Release | : 2004 |
Genre | : Medicine |
ISBN | : |
Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
Author | : Larry James |
Publisher | : Springer |
Total Pages | : 0 |
Release | : 2008-11-01 |
Genre | : Psychology |
ISBN | : 9780387570587 |
Integrated care is receiving a lot of attention from clinicians, administrators, policy makers, and researchers. Given the current healthcare crises in the United States, where costs, quality, and access to care are of particular concern, many are looking for new and better ways of delivering behavioral health services. Integrating behavioral health into primary care medical settings has been shown to: (1) produce healthier patients; (2) produce medical savings; (3) produce higher patient satisfaction; (4) leverage the primary care physician’s time so that they can be more productive; and (5) increase physician satisfaction. For these reasons this is an emerging paradigm with a lot of interest and momentum. For example, the President’s New Freedom Commission on Mental Health has recently endorsed redesigning the mental health system so that much of this is integrated into primary care medicine.