دورية أكاديمية
Expanding Access to Psychiatric Care Through Universal Depression Screening: Lessons from an Urban Student-Run Free Clinic.
| العنوان: | Expanding Access to Psychiatric Care Through Universal Depression Screening: Lessons from an Urban Student-Run Free Clinic. |
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| المؤلفون: | Park N; Weill Cornell Medical College, New York, NY, USA. nap4006@nyp.org., Gundlach C; Weill Cornell Medical College, New York, NY, USA., Judge T; Weill Cornell Medical College, New York, NY, USA., Batavia AS; Department of Medicine, Weill Cornell Medicine, New York, NY, USA., Charney P; Department of Medicine, Weill Cornell Medicine, New York, NY, USA. |
| المصدر: | Journal of community health [J Community Health] 2023 Dec; Vol. 48 (6), pp. 932-936. Date of Electronic Publication: 2023 Jul 03. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: Netherlands NLM ID: 7600747 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3610 (Electronic) Linking ISSN: 00945145 NLM ISO Abbreviation: J Community Health Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Amsterdam : Springer Original Publication: New York, Human Sciences Press. |
| مواضيع طبية MeSH: | Depression*/diagnosis , Student Run Clinic*, Humans ; Female ; Adult ; Male ; Retrospective Studies ; Ambulatory Care Facilities ; Comorbidity ; Mass Screening |
| مستخلص: | The purpose of this study is to report the utility of a universal depression screening in a student-run free clinic (SRFC) to improve bridging to psychiatric care. Patients (n = 224) seen by an SRFC between April 2017 and November 2022 were screened for depression in the patient's primary language using the standardized Patient Health Questionnaire (PHQ-9). A PHQ-9 score greater or equal to 5 prompted psychiatry referral. Retrospective chart review was conducted to determine clinical characteristics and length of psychiatry follow-up. Out of 224 patients screened, 77 patients had positive depression screens and were referred to the SRFC's adjacent psychiatry clinic. Of these 77 patients, 56 patients (73%) were female, the average age was 43.7 (SD = 14.5), and the mean PHQ score was 10 (SD = 5.13). Thirty-seven patients (48%) accepted referral, while 40 (52%) declined or were lost to follow-up. There were no statistical differences in age or number of medical comorbidities between the two groups. Patients who accepted referrals were more likely to be female, as well as to have psychiatric histories, higher PHQ-9 scores, and a history of trauma. Reasons for declining and being lost to follow-up included transition to insurance, geographic relocation and deferral due to hesitancy in seeking psychiatric care. Implementation of a standardized depression screening reveals a significant rate of depressive symptoms among an urban uninsured primary care population. Universal screening may serve as a tool to improve the delivery of psychiatric care to underserved patients. (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
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| فهرسة مساهمة: | Keywords: Community mental health; Depression screening; PHQ-9; Quality improvement; Student-run free clinic; Uninsured |
| تواريخ الأحداث: | Date Created: 20230703 Date Completed: 20231204 Latest Revision: 20240422 |
| رمز التحديث: | 20240422 |
| DOI: | 10.1007/s10900-023-01250-4 |
| PMID: | 37400658 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1573-3610 |
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| DOI: | 10.1007/s10900-023-01250-4 |