Healthcare Utilization and Symptom Variation Among Veterans Using Behavioral Telehealth Center Services

@article{Possemato2013HealthcareUA,
  title={Healthcare Utilization and Symptom Variation Among Veterans Using Behavioral Telehealth Center Services},
  author={Kyle Possemato and Todd M. Bishop and Matt Willis and Larry J. Lantinga},
  journal={The Journal of Behavioral Health Services \& Research},
  year={2013},
  volume={40},
  pages={416-426}
}
Substance use and mental health problems are often underdiagnosed and undertreated in primary care. Veterans affairs facilities are using the Behavioral Telehealth Center (BTC) to provide evidence-based assessments for primary care patients via telephone. Whether participation in BTC services is associated with (1) increases in healthcare utilization and (2) decreases in symptoms based on behavioral health screening instruments, post-BTC services compared with pre-BTC services were investigated… Expand
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References

SHOWING 1-10 OF 28 REFERENCES
Screening, assessment, and management of depression in VA primary care clinics
TLDR
Not only were more patients identified, the broad-based approach of the BHL identified significant comorbidity with alcohol misuse, illicit drugs, and suicidal ideation, symptoms likely to have been missed in routine clinical practice. Expand
Mental disorders and mental health treatment among U.S. Department of Veterans Affairs outpatients: the Veterans Health Study.
TLDR
Screening rates of depression and PTSD and rates of mental health treatment were considerably higher among these VA outpatients than among similar patients in primary care in the private sector. Expand
Treatment Receipt by Veterans After a PTSD Diagnosis in PTSD, Mental Health, or General Medical Clinics
TLDR
Greater availability of mental health specialty services, particularly PTSD services, may be needed to ensure that veterans receive minimally adequate treatment after a PTSD diagnosis. Expand
Prevalence of posttraumatic stress disorder in Veterans Affairs primary care clinics.
TLDR
The prevalence of PTSD using Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition diagnostic criteria in Veterans Affairs (VA) primary care settings and associated sociodemographic characteristics and comorbidities was estimated to be 11.5%. Expand
Age differences in posttraumatic stress disorder, psychiatric disorders, and healthcare service use among veterans in Veterans Affairs primary care clinics.
TLDR
Results from examination of VA health care service use across the three groups were consistent with the findings that the oldest veteran group is functioning significantly better across mental health domains. Expand
Mental disorders in primary care: prevalence and co-morbidity among disorders. Results from the Functional Illness in Primary care (FIP) study
TLDR
ICD-10 mental disorders are very prevalent in primary care and there is a high co-occurrence between most disorders. Expand
Predictors of general medical and psychological treatment use among a national sample of peacekeeping veterans with health problems.
TLDR
Results revealed that the depression and PTSD model was associated with increased medical and psychological treatment use intensity, highlighting the importance of an integrated primary care-mental health service delivery model for veterans. Expand
Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites.
TLDR
The results indicated that poor Latinos (family income of less than $15,000) have lower access to specialty care than poor non-Latino whites, and African Americans who were not classified as poor were less likely to receive specialty care, even after adjustment for demographic characteristics, insurance status, and psychiatric morbidity. Expand
Posttraumatic stress, depression, and health among older adults in primary care.
TLDR
Both posttraumatic stress and depression are related to more negative health perceptions and higher likelihood of suicidal ideation and neither PTS nor depression significantly contributed to a model of at-risk drinking. Expand
Posttraumatic stress disorder in primary care: prevalence and relationships with physical symptoms and medical utilization.
TLDR
This study suggests research directions for enhancing the understanding of PTSD among civilian primary care patients and for developing appropriate interventions that can be conducted in the primary care setting. Expand
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