A novel approach for mental health disease management

The air force medical service's interdisciplinary model

Christine N. Runyan, Vincent P. Fonseca, John G. Meyer, Mark S. Oordt, Gerald Talcott

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Mental health disorders are one of the most substantial public health problems affecting society today, accounting for roughly 15% of the overall burden of disease from all causes in the United States. Although primary care (PC) has the potential to be the frontline for recognition and management of behavioral health conditions, this has been a challenge historically. In order to more effectively address the broad scope of behavioral health needs, the Air Force Medical Service (AFMS) established a new model of behavioral health care. Through a series of coordinated steps, the AFMS ultimately placed trained behavioral health providers into PC clinics to serve as consultants to PC providers (PCPs). Behavioral Health Consultants (BHCs) provide focused assessments, present healthcare options to patients, and deliver brief collaborative interventions in the PC setting. BHCs see patients at the request of the PCP, in 15-30-min appointments. In the pilot study, patients averaged 1. 6 visits to the BHC. Over 70% of patients fell into six categories of presenting problems: situational reactions, depressive disorders, adjustment disorders, anxiety disorders, health promotion, and obesity. Patient data (n = 76) suggest 97% of patients seen were either "satisfied" or "very satisfied" with BHC services, and 100% of the PCPs (n = 23, 68% response rate) were highly satisfied and indicated they would "definitely recommend" others use BHC services for their patients. Both the implications and the limitations of this pilot study are discussed.

Original languageEnglish (US)
Pages (from-to)179-188
Number of pages10
JournalDisease Management
Volume6
Issue number3
DOIs
StatePublished - Jan 1 2003

Fingerprint

Disease Management
Consultants
Mental Health
Air
Primary Health Care
Health
Health Services
Adjustment Disorders
Delivery of Health Care
Depressive Disorder
Anxiety Disorders
Health Promotion
Mental Disorders
Appointments and Schedules
Public Health
Obesity

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

A novel approach for mental health disease management : The air force medical service's interdisciplinary model. / Runyan, Christine N.; Fonseca, Vincent P.; Meyer, John G.; Oordt, Mark S.; Talcott, Gerald.

In: Disease Management, Vol. 6, No. 3, 01.01.2003, p. 179-188.

Research output: Contribution to journalArticle

Runyan, Christine N. ; Fonseca, Vincent P. ; Meyer, John G. ; Oordt, Mark S. ; Talcott, Gerald. / A novel approach for mental health disease management : The air force medical service's interdisciplinary model. In: Disease Management. 2003 ; Vol. 6, No. 3. pp. 179-188.
@article{0693750b6f8949a19e946667a6d20a1d,
title = "A novel approach for mental health disease management: The air force medical service's interdisciplinary model",
abstract = "Mental health disorders are one of the most substantial public health problems affecting society today, accounting for roughly 15{\%} of the overall burden of disease from all causes in the United States. Although primary care (PC) has the potential to be the frontline for recognition and management of behavioral health conditions, this has been a challenge historically. In order to more effectively address the broad scope of behavioral health needs, the Air Force Medical Service (AFMS) established a new model of behavioral health care. Through a series of coordinated steps, the AFMS ultimately placed trained behavioral health providers into PC clinics to serve as consultants to PC providers (PCPs). Behavioral Health Consultants (BHCs) provide focused assessments, present healthcare options to patients, and deliver brief collaborative interventions in the PC setting. BHCs see patients at the request of the PCP, in 15-30-min appointments. In the pilot study, patients averaged 1. 6 visits to the BHC. Over 70{\%} of patients fell into six categories of presenting problems: situational reactions, depressive disorders, adjustment disorders, anxiety disorders, health promotion, and obesity. Patient data (n = 76) suggest 97{\%} of patients seen were either {"}satisfied{"} or {"}very satisfied{"} with BHC services, and 100{\%} of the PCPs (n = 23, 68{\%} response rate) were highly satisfied and indicated they would {"}definitely recommend{"} others use BHC services for their patients. Both the implications and the limitations of this pilot study are discussed.",
author = "Runyan, {Christine N.} and Fonseca, {Vincent P.} and Meyer, {John G.} and Oordt, {Mark S.} and Gerald Talcott",
year = "2003",
month = "1",
day = "1",
doi = "10.1089/109350703322425527",
language = "English (US)",
volume = "6",
pages = "179--188",
journal = "Population Health Management",
issn = "1942-7891",
publisher = "Mary Ann Liebert Inc.",
number = "3",

}

TY - JOUR

T1 - A novel approach for mental health disease management

T2 - The air force medical service's interdisciplinary model

AU - Runyan, Christine N.

AU - Fonseca, Vincent P.

AU - Meyer, John G.

AU - Oordt, Mark S.

AU - Talcott, Gerald

PY - 2003/1/1

Y1 - 2003/1/1

N2 - Mental health disorders are one of the most substantial public health problems affecting society today, accounting for roughly 15% of the overall burden of disease from all causes in the United States. Although primary care (PC) has the potential to be the frontline for recognition and management of behavioral health conditions, this has been a challenge historically. In order to more effectively address the broad scope of behavioral health needs, the Air Force Medical Service (AFMS) established a new model of behavioral health care. Through a series of coordinated steps, the AFMS ultimately placed trained behavioral health providers into PC clinics to serve as consultants to PC providers (PCPs). Behavioral Health Consultants (BHCs) provide focused assessments, present healthcare options to patients, and deliver brief collaborative interventions in the PC setting. BHCs see patients at the request of the PCP, in 15-30-min appointments. In the pilot study, patients averaged 1. 6 visits to the BHC. Over 70% of patients fell into six categories of presenting problems: situational reactions, depressive disorders, adjustment disorders, anxiety disorders, health promotion, and obesity. Patient data (n = 76) suggest 97% of patients seen were either "satisfied" or "very satisfied" with BHC services, and 100% of the PCPs (n = 23, 68% response rate) were highly satisfied and indicated they would "definitely recommend" others use BHC services for their patients. Both the implications and the limitations of this pilot study are discussed.

AB - Mental health disorders are one of the most substantial public health problems affecting society today, accounting for roughly 15% of the overall burden of disease from all causes in the United States. Although primary care (PC) has the potential to be the frontline for recognition and management of behavioral health conditions, this has been a challenge historically. In order to more effectively address the broad scope of behavioral health needs, the Air Force Medical Service (AFMS) established a new model of behavioral health care. Through a series of coordinated steps, the AFMS ultimately placed trained behavioral health providers into PC clinics to serve as consultants to PC providers (PCPs). Behavioral Health Consultants (BHCs) provide focused assessments, present healthcare options to patients, and deliver brief collaborative interventions in the PC setting. BHCs see patients at the request of the PCP, in 15-30-min appointments. In the pilot study, patients averaged 1. 6 visits to the BHC. Over 70% of patients fell into six categories of presenting problems: situational reactions, depressive disorders, adjustment disorders, anxiety disorders, health promotion, and obesity. Patient data (n = 76) suggest 97% of patients seen were either "satisfied" or "very satisfied" with BHC services, and 100% of the PCPs (n = 23, 68% response rate) were highly satisfied and indicated they would "definitely recommend" others use BHC services for their patients. Both the implications and the limitations of this pilot study are discussed.

UR - http://www.scopus.com/inward/record.url?scp=0141998069&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0141998069&partnerID=8YFLogxK

U2 - 10.1089/109350703322425527

DO - 10.1089/109350703322425527

M3 - Article

VL - 6

SP - 179

EP - 188

JO - Population Health Management

JF - Population Health Management

SN - 1942-7891

IS - 3

ER -