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Research ArticleOriginal Research

Changing Patterns of Mental Health Care Use: The Role of Integrated Mental Health Services in Veteran Affairs Primary Care

Lucinda B. Leung, Jean Yoon, Lisa V. Rubenstein, Edward P. Post, Maureen E. Metzger, Kenneth B. Wells, Catherine A. Sugar and José J. Escarce
The Journal of the American Board of Family Medicine January 2018, 31 (1) 38-48; DOI: https://doi.org/10.3122/jabfm.2018.01.170157
Lucinda B. Leung
From the VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation, & Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA (LBL, LVR, KBW); Division of General Internal Medicine and Health Services Research, University of California–Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles (LBL, LVR, JJE); VA Health Economics Resource Center, VA Palo Alto Healthcare System, Menlo Park, CA (JY); Department of General Internal Medicine, University of California–San Francisco School of Medicine, San Francisco, CA (JY); RAND Corporation, Santa Monica, CA (LVR, KBW); UCLA School of Public Health, Los Angeles (LVR, KBW, CAS, JJE); VA Center for Clinical Management Research, Ann Arbor, MI (EPP, MEM); University of Michigan Medical School, Ann Arbor (EPP); UCLA Center for Health Services and Society, Los Angeles (KBW); 10UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles (KBW, CAS).
MD, PhD, MPH
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Jean Yoon
From the VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation, & Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA (LBL, LVR, KBW); Division of General Internal Medicine and Health Services Research, University of California–Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles (LBL, LVR, JJE); VA Health Economics Resource Center, VA Palo Alto Healthcare System, Menlo Park, CA (JY); Department of General Internal Medicine, University of California–San Francisco School of Medicine, San Francisco, CA (JY); RAND Corporation, Santa Monica, CA (LVR, KBW); UCLA School of Public Health, Los Angeles (LVR, KBW, CAS, JJE); VA Center for Clinical Management Research, Ann Arbor, MI (EPP, MEM); University of Michigan Medical School, Ann Arbor (EPP); UCLA Center for Health Services and Society, Los Angeles (KBW); 10UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles (KBW, CAS).
PhD
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Lisa V. Rubenstein
From the VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation, & Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA (LBL, LVR, KBW); Division of General Internal Medicine and Health Services Research, University of California–Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles (LBL, LVR, JJE); VA Health Economics Resource Center, VA Palo Alto Healthcare System, Menlo Park, CA (JY); Department of General Internal Medicine, University of California–San Francisco School of Medicine, San Francisco, CA (JY); RAND Corporation, Santa Monica, CA (LVR, KBW); UCLA School of Public Health, Los Angeles (LVR, KBW, CAS, JJE); VA Center for Clinical Management Research, Ann Arbor, MI (EPP, MEM); University of Michigan Medical School, Ann Arbor (EPP); UCLA Center for Health Services and Society, Los Angeles (KBW); 10UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles (KBW, CAS).
MD, MSPH
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Edward P. Post
From the VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation, & Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA (LBL, LVR, KBW); Division of General Internal Medicine and Health Services Research, University of California–Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles (LBL, LVR, JJE); VA Health Economics Resource Center, VA Palo Alto Healthcare System, Menlo Park, CA (JY); Department of General Internal Medicine, University of California–San Francisco School of Medicine, San Francisco, CA (JY); RAND Corporation, Santa Monica, CA (LVR, KBW); UCLA School of Public Health, Los Angeles (LVR, KBW, CAS, JJE); VA Center for Clinical Management Research, Ann Arbor, MI (EPP, MEM); University of Michigan Medical School, Ann Arbor (EPP); UCLA Center for Health Services and Society, Los Angeles (KBW); 10UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles (KBW, CAS).
MD, PhD
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Maureen E. Metzger
From the VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation, & Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA (LBL, LVR, KBW); Division of General Internal Medicine and Health Services Research, University of California–Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles (LBL, LVR, JJE); VA Health Economics Resource Center, VA Palo Alto Healthcare System, Menlo Park, CA (JY); Department of General Internal Medicine, University of California–San Francisco School of Medicine, San Francisco, CA (JY); RAND Corporation, Santa Monica, CA (LVR, KBW); UCLA School of Public Health, Los Angeles (LVR, KBW, CAS, JJE); VA Center for Clinical Management Research, Ann Arbor, MI (EPP, MEM); University of Michigan Medical School, Ann Arbor (EPP); UCLA Center for Health Services and Society, Los Angeles (KBW); 10UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles (KBW, CAS).
PhD, MPH
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Kenneth B. Wells
From the VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation, & Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA (LBL, LVR, KBW); Division of General Internal Medicine and Health Services Research, University of California–Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles (LBL, LVR, JJE); VA Health Economics Resource Center, VA Palo Alto Healthcare System, Menlo Park, CA (JY); Department of General Internal Medicine, University of California–San Francisco School of Medicine, San Francisco, CA (JY); RAND Corporation, Santa Monica, CA (LVR, KBW); UCLA School of Public Health, Los Angeles (LVR, KBW, CAS, JJE); VA Center for Clinical Management Research, Ann Arbor, MI (EPP, MEM); University of Michigan Medical School, Ann Arbor (EPP); UCLA Center for Health Services and Society, Los Angeles (KBW); 10UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles (KBW, CAS).
MD, MPH
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Catherine A. Sugar
From the VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation, & Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA (LBL, LVR, KBW); Division of General Internal Medicine and Health Services Research, University of California–Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles (LBL, LVR, JJE); VA Health Economics Resource Center, VA Palo Alto Healthcare System, Menlo Park, CA (JY); Department of General Internal Medicine, University of California–San Francisco School of Medicine, San Francisco, CA (JY); RAND Corporation, Santa Monica, CA (LVR, KBW); UCLA School of Public Health, Los Angeles (LVR, KBW, CAS, JJE); VA Center for Clinical Management Research, Ann Arbor, MI (EPP, MEM); University of Michigan Medical School, Ann Arbor (EPP); UCLA Center for Health Services and Society, Los Angeles (KBW); 10UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles (KBW, CAS).
PhD
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José J. Escarce
From the VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation, & Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA (LBL, LVR, KBW); Division of General Internal Medicine and Health Services Research, University of California–Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles (LBL, LVR, JJE); VA Health Economics Resource Center, VA Palo Alto Healthcare System, Menlo Park, CA (JY); Department of General Internal Medicine, University of California–San Francisco School of Medicine, San Francisco, CA (JY); RAND Corporation, Santa Monica, CA (LVR, KBW); UCLA School of Public Health, Los Angeles (LVR, KBW, CAS, JJE); VA Center for Clinical Management Research, Ann Arbor, MI (EPP, MEM); University of Michigan Medical School, Ann Arbor (EPP); UCLA Center for Health Services and Society, Los Angeles (KBW); 10UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles (KBW, CAS).
MD, PhD
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  • Article
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The Journal of the American Board of Family     Medicine: 31 (1)
The Journal of the American Board of Family Medicine
Vol. 31, Issue 1
January-February 2018
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Changing Patterns of Mental Health Care Use: The Role of Integrated Mental Health Services in Veteran Affairs Primary Care
Lucinda B. Leung, Jean Yoon, Lisa V. Rubenstein, Edward P. Post, Maureen E. Metzger, Kenneth B. Wells, Catherine A. Sugar, José J. Escarce
The Journal of the American Board of Family Medicine Jan 2018, 31 (1) 38-48; DOI: 10.3122/jabfm.2018.01.170157

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Changing Patterns of Mental Health Care Use: The Role of Integrated Mental Health Services in Veteran Affairs Primary Care
Lucinda B. Leung, Jean Yoon, Lisa V. Rubenstein, Edward P. Post, Maureen E. Metzger, Kenneth B. Wells, Catherine A. Sugar, José J. Escarce
The Journal of the American Board of Family Medicine Jan 2018, 31 (1) 38-48; DOI: 10.3122/jabfm.2018.01.170157
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