Skip to main content

Advertisement

Log in

Predisposing Characteristics, Enabling Factors, and Need as Predictors of Integrated Behavioral Health Utilization

  • Published:
The Journal of Behavioral Health Services & Research Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Elhai JD, Richardson JD, Pedlar DJ. Predictors of general medical and psychological treatment use among a national sample of peacekeeping veterans with health problems. Journal of Anxiety Disorders. 2007; 21(4): 580–589.

    Article  PubMed  Google Scholar 

  2. Brooks E, Kaufman C, Nagamoto HT, et al. The impact of demographic differences on native veterans’ outpatient service utilization. Psychological Services. 2015; 12(2): 134–140.

    Article  PubMed  Google Scholar 

  3. Elhai JD, Grubaugh AL, Richardson JD, et al. Outpatient medical and mental healthcare utilization models among military veterans: results from the 2001 National Survey of Veterans. Journal of Psychiatric Research. 2008; 42(10): 858–867.

    Article  PubMed  Google Scholar 

  4. Gathchel RJO, High utilizers of primary care services. Clinical Health Psychology & Primary Care: Practical Advice and Clinical Guidance for Successful Collaboration. Washington, DC: American Psychological Association, 2003, pp. 203–211

  5. Hundt NE, Barrera TL, Mott JM, et al. Predisposing, enabling, and need factors as predictors of low and high psychotherapy utilization in veterans. Psychological Services. 2014; 11(3): 281–289.

    Article  PubMed  Google Scholar 

  6. Peek C, Cohen D, deGruy III F. Research and evaluation in the transformation of primary care. American Psychologist. 2014; 63: 430–443.

    Article  Google Scholar 

  7. Blount A. Integrated primary care: Organizing the evidence. Families, Systems & Health. 2003; 21:121–133.

    Article  Google Scholar 

  8. Hunter CL, Goodie JL, Oordt MS, et al. Integrated Behavioral Health in Primary Care: Step-by-step Guidance for Assessment and Intervention. Washington, DC: American Psychological Association, 2009.

    Book  Google Scholar 

  9. Pomerantz AS, Kearney LK, Wray LO, et al. Mental health services in the medical home in the Department of Veterans Affairs: Factors for successful integration. Psychological Services. 2014; 11(3): 243–253.

    Article  PubMed  Google Scholar 

  10. Beehler GP, Funderburk JS, Possemato K, et al. Psychometric assessment of the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ). Translational Behavioral Medicine. 2013; 3: 379–3391.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Hunter CL, Goodie JL. Operational and clinical components for integrated-collaborative behavioral healthcare in the patient-centered medical home. Families, Systems, & Health. 2010; 28(4): 308–321.

    Article  Google Scholar 

  12. Davis MM, Balasubramanian, BA, Cifuentes, M, et al. Clinician staffing, scheduling, and engagement stratagies among primary care practices delivering integrated care. Journal of the American Board of Family Medicine. 2015; 28(Supplement 1): S32-S40.

    Article  PubMed  Google Scholar 

  13. Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? Journal of Health and Social Behavior. 1995; 36: 1–10.

    Article  CAS  PubMed  Google Scholar 

  14. Beehler GP, Rodrigues AE, Mercurio‐Riley D, et al. Primary care utilization among veterans with chronic musculoskeletal pain: A retrospective chart review. Pain Medicine. 2013; 14(7):1021–1031.

    Article  PubMed  Google Scholar 

  15. Possemato K, Wade M, Andersen J, et al. The impact of PTSD, depression, and substance use disorders on disease burden and health care utilization among OEF/OIF veterans. Psychological Trauma: Theory, Research, Practice, and Policy. 2010; 2(3): 218–223.

    Article  Google Scholar 

  16. Carey T, Crott K, Morrissey J, et al. Future research needs for the integration of mental health/substance abuse and primary care. Future Research Needs Paper No. 3. Rockville, MD; 2010.

  17. Association of VA Psychologist Leaders. Integrated primary care in VISN 2: a critical model of healthcare delivery. Available online at http://www.avapl.org/archives.html. Accessed June 30, 2015.

  18. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, text revision (DSM-IV-TR). Washington D.C.: Author; 2000.

  19. American Medical Association. International classification of diseases, 9th revision, clinical modification: physician ICD-9-CM, 2005: volumes 1 and 2, color-coded, illustrated: American Medical Association; 2004.

  20. Funderburk JS, Sugarman DE, Maisto SA, et al. The description and evaluation of the implementation of an integrated healthcare model. Families, Systems, & Health. 2010; 28(2): 146–160.

  21. Dundon M, Dollar K, Schon M, et al. Primary care-mental health integration co-located, collaborative care: An operations manual. Syracuse: Center for Integrated Healthcare. 2011.

    Google Scholar 

  22. Wray LO, Szymanski BR, Kearney LK, et al. Implementation of primary care-mental health integration services in the Veterans Health Administration: Program activity and associations with engagement in specialty mental health services. Journal of Clinical Psychology in Medical Settings. 2012; 19(1): 105–116.

    Article  PubMed  Google Scholar 

  23. Nieuwsma JA, Trivedi RB, McDuffie J, et al. Brief psychotherapy for depression: a systematic review and meta-analysis. International Journal of Psychiatry in Medicine. 2012; 43(2): 129–151.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Seekles W, Cuijpers P, Kok R, et al. Psychological treatment of anxiety in primary care: a meta-analysis. Psychological Medicine. 2013; 43(2): 351–361.

    Article  CAS  PubMed  Google Scholar 

  25. Cigrang JA, Rauch, SAM., Avila, LL, et al. Treatment of active-duty military with PTSD in primary care: Early Findings. Psychological Services. 2011; 8(2): 104–13.

    Article  Google Scholar 

  26. Possemato K. The current state of intervention research for posttraumatic stress disorder within the primary care setting. Journal of Clinical Psychology in Medical Settings. 2011; 18(3): 268–280.

    Article  PubMed  Google Scholar 

  27. Magruder K, Frueh, BC, Knapp, et al. Prevalence of posttraumatic stress disorder in Veterans Affairs primary care clinics. General Hospital Psychiatry. 2005; 27(3): 169–179.

    Article  PubMed  Google Scholar 

  28. Stein, MB, McQuaid, JR, Pedrelli, P., et al. Posttraumatic stress disorder in the primary care medical setting. General Hospital Psychiatry, 2000; 22(4): 261–269.

    Article  CAS  PubMed  Google Scholar 

  29. Bridges, AJ, Gregus, SJ, Rodriquez, et al. Diagnosis, intervention strategies, and rates of functional improvement in integrated behavioral health patients. Journal of Consulting and Clinical Psychology. 2015; 83(3): 590–601.

  30. Scott KL, Lewis, CC. Using measurement-based care to enhance any treatment. Cognitive and Behavioral Practice. 2015; 22(1): 49–59.

    Article  PubMed  PubMed Central  Google Scholar 

  31. O’Donnell A, Anderson P, Newbury-Birch D, et al. The impact of brief alcohol interventions in primary healthcare: a systematic review of reviews. Alcohol and Alcoholism. 2014; 49(1): 66–78.

    Article  PubMed  Google Scholar 

  32. Beehler, GP & Wray, LO. Behavioral health providers’ perspectives of delivering behavioral health services in primary care: A qualitative analysis. BMC Health Services Research. 2012; 12(3): 37.

    Google Scholar 

  33. Curran GM, Stecker T, Han X, et al. Individual and program predictors of attrition from VA substance use treatment. Journal of Behavioral Health Services & Research. 2007; 36(1): 25–34.

    Article  Google Scholar 

  34. Cohen D, Balasubramanian, BA, Davis, et al. Understanding care integration from the ground up: Five organizing constructs that shape integrated practices. Journal of the American Board of Family Medicine. 2015; 28(S1): S7 - S20.

  35. VHA Veteran Support Service Center. Primary Care-Mental Health Integration Dashboard. 2015 Available online at https://securereports2.vssc.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPC%2fPCMHI_CUBE%2fMainMenu. Accessed June 30, 2015.

  36. Beehler GP, Funderburk, JS, King, PR, et al. Using the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ) to identify practice patterns. Translational Behavioral Medicine. 2015; online only.

Download references

Acknowledgments

This study was supported with resources and the use of facilities at the VA Center for Integrated Healthcare and the VA Western New York Healthcare System. This research was additionally supported in part by the Department of Veterans Affairs Office of Academic Affiliations, Advanced Fellowship Program in Mental Illness Research and Treatment. The information provided in this study does not represent the views of the Department of Veterans Affairs or the United States Government.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kaitlin Lilienthal PhD, MS.

Ethics declarations

Conflict of Interest

The authors declare that they have no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lilienthal, K., Possemato, K., Funderburk, J. et al. Predisposing Characteristics, Enabling Factors, and Need as Predictors of Integrated Behavioral Health Utilization. J Behav Health Serv Res 44, 263–273 (2017). https://doi.org/10.1007/s11414-016-9496-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11414-016-9496-9

Keywords

Navigation