{"title":"通过综合初级保健/行为卫生规划应对COVID-19。","authors":"Emily Benedetto, Margarida Holmes, Astrea Greig, Ellie Grossman, Leah Soumerai, Kate Zona, Hsiang Huang","doi":"10.1037/fsh0000636","DOIUrl":null,"url":null,"abstract":"<p><p>Background and Implementation: Novel coronavirus disease 2019 (COVID-19) has presented unique challenges for patients and health care systems, including a surge in behavioral health (BH) needs. A community teaching public hospital system in Massachusetts (MA) whose 13 primary care (PC) clinics serve a diverse patient population, has developed a model for Primary Care Behavioral Health Integration (PCBHI) to provide brief, evidence-based interventions to patients in PC. In response to COVID-19, the system developed an intensive community management strategy to care for patients with COVID-19 outside of the hospital, and its PCBHI program adapted alongside this strategy to provide rapid support to patients in emotional distress. Over a 13-week period, 78 patients were specifically referred to the PCBHI COVID clinic and received rapid therapeutic support and/or care navigation. Recommendations: This article will discuss the development and implementation of the PCBHI COVID clinic, common presenting issues and clinical interventions used, and lessons that informed our adaptation of clinic operations and that can serve as recommendations to other health systems in establishing similar services. (PsycInfo Database Record (c) 2021 APA, all rights reserved).</p>","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"644-649"},"PeriodicalIF":0.0000,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"4","resultStr":"{\"title\":\"Responding to COVID-19 through an integrated primary care/behavioral health program.\",\"authors\":\"Emily Benedetto, Margarida Holmes, Astrea Greig, Ellie Grossman, Leah Soumerai, Kate Zona, Hsiang Huang\",\"doi\":\"10.1037/fsh0000636\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Background and Implementation: Novel coronavirus disease 2019 (COVID-19) has presented unique challenges for patients and health care systems, including a surge in behavioral health (BH) needs. A community teaching public hospital system in Massachusetts (MA) whose 13 primary care (PC) clinics serve a diverse patient population, has developed a model for Primary Care Behavioral Health Integration (PCBHI) to provide brief, evidence-based interventions to patients in PC. In response to COVID-19, the system developed an intensive community management strategy to care for patients with COVID-19 outside of the hospital, and its PCBHI program adapted alongside this strategy to provide rapid support to patients in emotional distress. Over a 13-week period, 78 patients were specifically referred to the PCBHI COVID clinic and received rapid therapeutic support and/or care navigation. Recommendations: This article will discuss the development and implementation of the PCBHI COVID clinic, common presenting issues and clinical interventions used, and lessons that informed our adaptation of clinic operations and that can serve as recommendations to other health systems in establishing similar services. (PsycInfo Database Record (c) 2021 APA, all rights reserved).</p>\",\"PeriodicalId\":358476,\"journal\":{\"name\":\"Families, systems & health : the journal of collaborative family healthcare\",\"volume\":\" \",\"pages\":\"644-649\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"4\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Families, systems & health : the journal of collaborative family healthcare\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1037/fsh0000636\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/9/16 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Families, systems & health : the journal of collaborative family healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1037/fsh0000636","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/9/16 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 4
摘要
背景和实施情况:2019年新型冠状病毒病(COVID-19)给患者和卫生保健系统带来了独特的挑战,包括行为健康需求激增。马萨诸塞州(MA)的一个社区教学公立医院系统,其13个初级保健(PC)诊所服务于不同的患者群体,开发了一个初级保健行为健康整合(PCBHI)模型,为PC患者提供简短的、基于证据的干预措施。为应对COVID-19,该系统制定了一项强化社区管理战略,以在医院外照顾COVID-19患者,其PCBHI项目也根据该战略进行了调整,为情绪困扰的患者提供快速支持。在13周的时间里,78名患者被专门转介到PCBHI COVID诊所,并获得了快速的治疗支持和/或护理导航。建议:本文将讨论PCBHI COVID诊所的发展和实施,常见的呈现问题和使用的临床干预措施,以及为我们适应诊所运营提供的经验教训,并可作为其他卫生系统建立类似服务的建议。(PsycInfo Database Record (c) 2021 APA,版权所有)。
Responding to COVID-19 through an integrated primary care/behavioral health program.
Background and Implementation: Novel coronavirus disease 2019 (COVID-19) has presented unique challenges for patients and health care systems, including a surge in behavioral health (BH) needs. A community teaching public hospital system in Massachusetts (MA) whose 13 primary care (PC) clinics serve a diverse patient population, has developed a model for Primary Care Behavioral Health Integration (PCBHI) to provide brief, evidence-based interventions to patients in PC. In response to COVID-19, the system developed an intensive community management strategy to care for patients with COVID-19 outside of the hospital, and its PCBHI program adapted alongside this strategy to provide rapid support to patients in emotional distress. Over a 13-week period, 78 patients were specifically referred to the PCBHI COVID clinic and received rapid therapeutic support and/or care navigation. Recommendations: This article will discuss the development and implementation of the PCBHI COVID clinic, common presenting issues and clinical interventions used, and lessons that informed our adaptation of clinic operations and that can serve as recommendations to other health systems in establishing similar services. (PsycInfo Database Record (c) 2021 APA, all rights reserved).