Screening Recommendations for Common Behavioral Health Conditions in Primary Care
摘要
For the majority of individuals with a behavioral health (BH) disorder, the primary care clinic is the most frequently used source of identification, treatment, and follow-up (Kessler, 2012; Petterson et al., 2014; Thielke et al., 2007). Early detection and mitigation of psychological distress can improve a patient’s overall quality of life, can positively impact other coinciding medical conditions, and can help reduce the significant financial burden often experienced by patients with untreated mental health concerns (Hine et al., 2008; Kazak et al. 2017; Reppeto et al., 2021). As such, this chapter reviews screening guidelines provided by the United States Preventative Services Taskforce (USPSTF), the American Academy of Family Physicians (AAFP), the American College of Obstetricians and Gynecologists (ACOG), and the American Academy of Pediatrics (AAP). This chapter also includes a sample of brief and freely available screeners for commonly presenting behavioral health conditions for adults and children. Finally, considerations for implementing behavioral health screening and time-saving practices are also discussed. Given that PCPs are often the first (and sometimes only) stop on a patient’s journey to improved mental health, PCPs are in a unique position to significantly influence their patients’ lives with early detection and treatment of psychological concerns.