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Implementation of a Collaborative Care Initiative for PTSD and Depression in the Army Primary Care System
Authors:Bradley E Belsher  Justin Curry  Phoebe McCutchan  Thomas Oxman  Kent A Corso  Kelly Williams
Institution:1. Department of Defense Deployment Health Clinical Center, Defense Center of Excellence for Psychological Health and Traumatic Brain Injury, Silver Spring, Maryland, USA;2. Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USAbradley.e.belsher.ctr@mail.mil;4. Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA;5. National Capital Region Medical Directorate, Department of Defense, Bethesda, Maryland, USA;6. Department of Family Medicine, Uniformed Services University of Health Sciences, Bethesda, Maryland, USA;7. NCR Behavioral Health, LLC, Bethesda, Maryland, USA
Abstract:Collaborative care models hold promise as a means to improve the Military Health System (MHS) to better meet the mental health needs of U.S. military personnel. This article describes an Army-wide collaborative care initiative, RESPECT-Mil (“Re-engineering Systems of Primary Care Treatment for Depression and PTSD in the Military”), aimed at improving care for soldiers with depression and post traumatic stress disorder. Essential to the implementation of RESPECT-Mil has been the use of a centralized coordinating team to facilitate collaborative care practice and policy activities across the multiple levels of the MHS. The article explores the relevance of collaborative care frameworks to the social work profession and concludes with a discussion of future directions for the social work field to promote greater involvement in the integrated care movement.
Keywords:collaborative care  mental health screening  military  veterans  integrated care  primary care  service members
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