Provider practices in the primary care behavioral health (PCBH) model: An initial examination in the Veterans Health Administration and United States Air Force.
Abstract
The goals of this study were to identify characteristics of both behavioral health providers (BHPs) and the patients seen in a primary care behavioral health (PCBH) model of service delivery using prospective data obtained from BHPs. A secondary objective was to explore similarities and differences between these variables within the Veterans Health Administration (VHA) and United States Air Force (USAF) primary care clinics. A total of 159 VHA and 23 USAF BHPs, representing almost every state in the United States, completed the study, yielding data from 403 patient appointments. BHPs completed a web-based questionnaire that assessed BHP and setting characteristics, and a separate questionnaire after each patient seen on one day of clinical service. Data demonstrated that there are many similarities between the VHA and USAF BHPs and practices. Both systems tend to use well-trained psychologists as BHPs, had systems that support the BHP being in close proximity to the primary care providers, and have seamless operational elements (i.e., shared record, one waiting room, same-day appointments, and administrative support for BHPs). Comorbid anxiety and depression was the most common presenting problem in both systems, but overall rates were higher in VHA clinics, and patients were significantly more likely to meet diagnostic criteria for mental health conditions. This study provides the first systematic, prospective examination of BHPs and practices within a PCBH model of service…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Anxiety is the second most common reason patients are referred to IPC after depression.
“Anxiety is the second most common reason patients are referred to IPC after depression (Funderburk et al., 2013).”
From Barriers to and Facilitators of Using Evidence-Based, Cognitive–Behavioral Anxiety Interventions in Integrated Primary Care Practice (2023) · cites this paper as Funderburk et al., 2013
Cites
Tew, J., Klaus, J., & Oslin, D. W. (2010) · Families, Systems, & Health · doi:10.1037/a0020249 · Cited by 87 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
The primary care behavioral health (PCBH) model: an overview and operational definition
Reiter, J. T., Dobmeyer, A. C., & Hunter, C. L. (2018) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-017-9531-x · Cited by 231 · see citing works
Self-citationShepardson, R. L., Buchholz, L. J., Weisberg, R. B., & Funderburk, J. S. (2018) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2017.12.004 · Cited by 44 · see citing works
Self-citationShepardson, R. L., Fletcher, T. L., Funderburk, J. S., Weisberg, R. B., Beehler, G. P., & Maisto, S. A. (2023) · Psychological Services · doi:10.1037/ser0000696 · Cited by 13 · see citing works
Self-citation
- Authors
- Funderburk, J. S., Dobmeyer, A. C., Hunter, C. L., Walsh, C. O., & Maisto, S. A.
- Affiliations
- United States Department of Defense (US)
- University of Rochester (US)
- Syracuse University (US)
- Venue
- Families, Systems, & Health
- Published
- 2013-12
- Volume
- 31
- Issue
- 4
- Pages
- 341-353
- ISSN
- 1091-7527 (ISSN-L)
- 1939-0602
- OpenAlex
- W2102055569
- Cited by
- 29
- References
- 1
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2022: 1 · 2020: 2 · 2018: 6 · 2017: 7 · 2016: 6 · 2015: 3
- FWCI
- 3.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Families Systems & Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- VA Center for Integrated Healthcare
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Keywords
- primary care behavioral health, behavioral health providers, behavioral health integration, Veterans Health Administration, United States Air Force, military health services, integrated care delivery, anxiety, depression, psychiatric comorbidity, provider characteristics, same-day appointments, provider training
- MeSH terms
- Adult, Mental Disorders, Behavioral Medicine, Humans, Mass Screening, Middle Aged, Military Medicine, Practice Patterns, Physicians', Primary Health Care, Prospective Studies, United States, United States Department of Veterans Affairs, Models, Organizational, Delivery of Health Care, Integrated, Health Care Surveys, Young Adult, Veterans Health
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
