{ Managing the Impact of Mental Health Issues on a Healthcare System David W. Greaves, Ph.D. VA Portland Healthcare System
28% of Americans have a diagnosable psychiatric disorder in any given year; only half get care Common issues include depression, anxiety, PTSD, relationship issues, substance abuse Of those who do get care, only half are seen by MH providers Prevalence of Mental Health Issues
Effective Strategies of Care Evidence-based Practices (EBPs) for specific conditions; episodes of care Medication management with nurse case management Group education and therapy Use of Peers for extended services
Healthcare systems become overwhelmed with demand for MH care Primary Care has become “de facto” MH treatment Up to 70% of Primary Care visits are related to MH needs Over 80% of psychotropic meds are prescribed by non-psychiatric medical providers The Problem
Co-located MH and PC teams Provide real-time MH services in PC clinics Absorbs large portion of demand for MH but does not replace specialty MH services PC staff gain proficiency in managing MH issues Solution: PCMHI
What is Integrated Care?