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Building Capacity for Behavioral Health Services and Clinical Research in a Rural Primary Care Clinic: A Case Study

1 Department of Psychology, East Carolina University, Greenville, NC 27858, USA858;
2 Psychology Services, Tuscaloosa VA Medical Center, Tuscaloosa, AL 35404, USA

Special Issues: Addressing Understudied and Vulnerable Populations and Health Systems

Integrating sustainable, evidence-based, and collaborative depression screening and follow-up treatment into primary care clinics is a significant challenge in health care. In this article a case study approach is used to describe the process of building capacity for a depression screening program in a rural federally qualified health center (FQHC). A conceptual framework addressing the clinical, operational, and financial perspectives of a primary care setting is applied restrospectively to identify 1) the barriers and facilitating factors associated with integrating a depression screening program into standard practice and 2) how the program was leveraged to conduct clinical research to improve self-management in patients with diabetes and elevated depressive symptoms.
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Keywords depression screening; diabetes self-management; integrated care; behavioral health; rural health; primary care; disparities

Citation: Laura M. Daniels, Kim E. Dixon, Lisa C. Campbell. Building Capacity for Behavioral Health Services and Clinical Research in a Rural Primary Care Clinic: A Case Study. AIMS Public Health , 2014, 1(2): 60-75. doi: 10.3934/publichealth.2014.2.60


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Copyright Info: 2014, Laura M. Daniels, et al., licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

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