Deploying behavioral health social workers in primary care settings
can increase the likelihood that patients with depression or anxiety will
receive treatment within 30 days of their diagnosis, a study published
today in Psychiatric Services in Advance has found.
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In May 2018, changes were made to the electronic health record
(EHR) system enabling physicians to more easily refer patients to the
behavioral health social workers, who would then call patients within
seven days of receiving the referral.
The social workers screened
patients using tools such as the Patient Health Questionnaire-9 and
asked patients about current substance use and anxiety as well as
any history of psychiatric disorders. The social workers also offered
community resources or referred patients to mental health
professionals such as a psychiatrist, psychologist, or licensed
independent social worker.
Compared with those diagnosed with depression or anxiety before the
social workers began working with the primary care practices, patients
diagnosed with depression or anxiety had the following:
4.35 times the odds and 4.27 times the odds, respectively, of
having a behavioral health visit within 30 days of diagnosis.
5 times the odds of having a visit with a non-psychiatrist
therapist.
1.82 times and 1.58 times the odds, respectively, of having a
visit with a psychiatrist.
“Other health systems that have advanced EHR systems should
consider introducing social workers trained in behavioral health to
triage patients receiving new diagnoses of depression, anxiety, or
both and systematically link them to appropriate care,” Pfoh and
colleagues concluded.
For more click here.
Editor's note:
This activity described above has been called "case finding" and "outreach." The Behavioral Health Social Workers help lower the barriers to access to MH services. These services are valuable and beneficial. The problem is who pays for them?
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