Associations Between Mental Health and Social Needs Among Black Patients in Primary Care Settings.

IF 3 Q1 PRIMARY HEALTH CARE

Journal of Primary Care and Community Health Pub Date : 2025-01-01 Epub Date: 2025-05-17 DOI:10.1177/21501319251338912

Keri F Kirk, Serenity Budd, Ashley Splain, Clara L Parsons, Aniket Kini, George Daniel, Lana Kim, Kezia Alexander, Diana Rubio, Jenna Warren, Marsha Akoto, Christine D Laccay, Patricia Tanjutco

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Abstract

Introduction: Integrated Behavioral Health (IBH) clinics in primary care offer cost-effective options for receiving mental health (MH) support for Black patients. By tracking specific aspects of social determinants of health (SDOH), more commonly assessed in primary care, IBH programs can provide helpful insights to both MH and primary care providers.

Methods: This retrospective study examined the impact of IBH care delivery on MH and social needs variables in a Black adult patient population. MH outcomes were assessed using the PHQ9 and GAD7, with a positive score being greater than 5.

Results: There were N = 119 Black patients included in analysis. The sample was 83% female and the average age at first visit was 41. There was a significant reduction in both GAD7 (change = -1.8, P < .001) and PHQ9 (change = -2.3, P < .001) scores for patients receiving IBH services. There were no significant differences between those who had a SDOH screen and having an initial elevated GAD7/PHQ9 score.

Conclusion: More culturally inclusive research on the impact of IBH implementation where Black patients receive their primary care is needed to maximize treatment possibilities among this group.

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初级保健机构黑人患者心理健康与社会需求之间的关系

介绍：综合行为健康（IBH）诊所在初级保健提供具有成本效益的选择，接受精神卫生（MH）支持黑人患者。通过跟踪健康的社会决定因素（SDOH）的具体方面，IBH项目可以为医院和初级保健提供者提供有用的见解。方法：本回顾性研究考察了IBH护理对黑人成年患者人群中MH和社会需求变量的影响。使用PHQ9和GAD7评估MH结局，阳性评分大于5分。结果：共纳入N = 119例黑人患者。样本中83%为女性，初次就诊的平均年龄为41岁。GAD7（变化= -1.8，P）显著降低。结论：在黑人患者接受初级保健的情况下，需要对IBH实施的影响进行更具文化包容性的研究，以最大限度地提高该组患者的治疗可能性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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