The separation between behavioral services and traditional medicine is increasingly being seen as counterproductive on personal and societal levels. Despite this, there has been little research examining how integrated models blending mental and physical health services could be implemented. The literature revealed that behavioral interventions have been incorporated into traditional medical treatments, but this often has been piecemeal in nature and has yielded equivocal results. This study examined the assertion that effective integration between behavioral and medical services will increase the standard of care for the patient. Integration in this study was accomplished by colocating a psychologist on the primary care unit, implementing formal behavioral screening, and ongoing consultations between primary care and psychological/psychiatric providers. Data obtained from 15 medical providers pre and post implementation examined if there would be an increase in the number of behavioral discussions between patients and providers, and the number of behavioral referrals generated. Also, data was examined to determine if there would be a drop in the number of emergency room and psychiatric admissions related to these provider's patients. A repeated measures ANOVA showed a significant increase in mental health discussions and referrals by providers for their patients post intervention. With integrated services, positive social change for patients could be realized in decreased stigma associated with mental health issues, less personal distress, and the ability to better manage daily demands. There will be positive societal results with increased productivity in the workplace and relief from the burdens of increased healthcare utilization associated with comorbid behavioral and medical issues.
|Commitee:||Bigatti, Silvia, Wilson, Debra|
|School Location:||United States -- Minnesota|
|Source:||DAI-B 70/07, Dissertation Abstracts International|
|Subjects:||Medicine, Psychology, Experimental psychology|
|Keywords:||Behavioral health, Integrated care, Ob/gyn, Primary care|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be