Collaborative care and care management are cornerstones of Primary Care-Mental Health Integration (PC-MHI) and have been shown to reduce depressive symptoms. Historically, the standard of Veterans Affairs (VA) collaborative care was referring patients with posttraumatic stress disorder (PTSD) to specialty care. Although referral to evidence-based specialty care is ideal, many veterans with PTSD do not receive such care. To address this issue and reduce barriers to care, VA currently recommends veterans with PTSD be offered treatment within PC-MHI as an alternative. The current project outlines a pilot implementation of an established telephone-based collaborative care model-Translating Initiatives for Depression into Effective Solutions (TIDES)-adapted for Iraq/Afghanistan War veterans with PTSD symptoms (TIDES/PTSD) seen in a postdeployment primary care clinic.Structured medical record extraction and qualitative data collection procedures were used to evaluate acceptability, feasibility, and outcomes.Most participants (n=17) were male (94.1

作者：Katherine D, Hoerster；Matthew, Jakupcak；Kyle R, Stephenson；Jacqueline J, Fickel；Carol E, Simons；Ashley, Hedeen；Megan, Dwight-Johnson；Julia M, Whealin；Edmund, Chaney；Bradford L, Felker

来源：Telemedicine journal and e-health : the official journal of the American Telemedicine Association 2015 年 21卷 1期