naa a22 4500 510781942 CHVBK 20180411083250.0 cr unu---uuuuu 180411e20131001xx s 000 0 eng 10.1007/s11414-013-9338-y doi (NATIONALLICENCE)springer-10.1007/s11414-013-9338-y Healthcare Utilization and Symptom Variation Among Veterans Using Behavioral Telehealth Center Services [Elektronische Daten] [Kyle Possemato, Todd Bishop, Matthew Willis, Larry Lantinga] Substance use and mental health problems are often underdiagnosed and undertreated in primary care. Veterans affairs facilities are using the Behavioral Telehealth Center (BTC) to provide evidence-based assessments for primary care patients via telephone. Whether participation in BTC services is associated with (1) increases in healthcare utilization and (2) decreases in symptoms based on behavioral health screening instruments, post-BTC services compared with pre-BTC services were investigated. Retrospective data were extracted for 1,820 patients who were referred to the BTC. Differences in utilization rates and symptom scores pre- and post-BTC services were tested using repeated measures analysis of covariance while controlling for relevant sociodemographic variables. Participants (1) utilized significantly more substance use and mental health treatment services and (2) had significantly lower alcohol and depression screening scores post-BTC services compared with pre-BTC services. This initial evaluation provides support that BTC services are associated with increased healthcare utilization and decreased alcohol and depressive symptoms. Springer Science+Business Media, LLC (outside the USA), 2013 Possemato Kyle Syracuse Veterans Affairs Medical, Center for Integrated Healthcare, 800 Irving Avenue-116C, 13210, Syracuse, NY, USA aut Bishop Todd Syracuse Veterans Affairs Medical, Center for Integrated Healthcare, 800 Irving Avenue-116C, 13210, Syracuse, NY, USA aut Willis Matthew Syracuse Veterans Affairs Medical, Center for Integrated Healthcare, 800 Irving Avenue-116C, 13210, Syracuse, NY, USA aut Lantinga Larry Syracuse Veterans Affairs Medical, Center for Integrated Healthcare, 800 Irving Avenue-116C, 13210, Syracuse, NY, USA aut The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/4(2013-10-01), 416-426 1094-3412 40:4<416 2013 40 11414 https://doi.org/10.1007/s11414-013-9338-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11414-013-9338-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Possemato Kyle Syracuse Veterans Affairs Medical, Center for Integrated Healthcare, 800 Irving Avenue-116C, 13210, Syracuse, NY, USA aut NATIONALLICENCE 700 1- Bishop Todd Syracuse Veterans Affairs Medical, Center for Integrated Healthcare, 800 Irving Avenue-116C, 13210, Syracuse, NY, USA aut NATIONALLICENCE 700 1- Willis Matthew Syracuse Veterans Affairs Medical, Center for Integrated Healthcare, 800 Irving Avenue-116C, 13210, Syracuse, NY, USA aut NATIONALLICENCE 700 1- Lantinga Larry Syracuse Veterans Affairs Medical, Center for Integrated Healthcare, 800 Irving Avenue-116C, 13210, Syracuse, NY, USA aut NATIONALLICENCE 773 0- The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/4(2013-10-01), 416-426 1094-3412 40:4<416 2013 40 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer