Enhancing Provider Mental Health Screening in Primary Care: A Quality Improvement Project.

IF 0.2 Q4 NURSING
Lauren N D'Amico, Hannah Hanania, Loretta T Lee
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Abstract

Background: Depression and anxiety occur in 7.8% and 19.1% of the US population, respectively. About half of those patients are diagnosed in primary care. Objective: The purpose of this quality improvement project was to improve the screening and diagnosing of anxiety and/or depression among adult patients at a primary care clinic by implementing an evidence-based mental health screening interview technique. Methods: The team implemented a mental health screening interview technique that incorporates background, affect, trouble, handling, and empathy and motivational interviewing techniques in addition to self-report surveys. Pre- and post-intervention surveys were conducted to assess providers' perceptions of the new interview technique. ICD-10 code data were gathered to assess the effectiveness of the new mental health screening interview technique. Results: The number of documented diagnoses of single-episode major depressive disorder decreased by 18%, recurrent major depressive disorder increased by 34%, and anxiety disorders increased by 3%. There were more favorable provider perceptions of the new screening interview technique versus the traditional screening method. Conclusions: The results show an improvement in provider comfort and providers preferred the new mental health screening when using an evidence-based mental health screening interview technique. Implications for nursing: The results show the potential benefits of using a structured mental health interview with self-report screening tools when diagnosing anxiety and depression in primary care.

加强初级保健提供者心理健康筛查:质量改进项目。
背景:抑郁症和焦虑症分别占美国人口的7.8%和19.1%。这些患者中约有一半是在初级保健中确诊的。目的:该质量改进项目的目的是通过实施循证心理健康筛查访谈技术,改进初级保健诊所成年患者焦虑和/或抑郁的筛查和诊断。方法:除了自我报告调查外,该团队还实施了心理健康筛查访谈技术,包括背景、情感、麻烦、处理、同理心和动机访谈技术。进行干预前和干预后的调查,以评估提供者对新访谈技术的看法。收集ICD-10代码数据,以评估新的心理健康筛查面谈技术的有效性。结果:单次发作的重度抑郁障碍的记录诊断数量减少了18%,复发性重度抑郁障碍增加了34%,焦虑障碍增加了3%。与传统的筛选方法相比,提供者对新的筛选面试技术有更有利的看法。结论:研究结果表明,当使用循证心理健康筛查访谈技术时,提供者的舒适度有所提高,提供者更喜欢新的心理健康筛查。对护理的启示:研究结果显示,在初级保健中诊断焦虑和抑郁时,使用结构化心理健康访谈和自我报告筛查工具的潜在好处。
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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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
45
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