Behavioral Screening in Adult Primary Care

  • Michelle R. Byrd
  • Kevin N. Alschuler

The Importance of Screening in Integrated Care

From the moment patient are seen by a nurse in the primary care setting, they are placed on a multifaceted decision tree designed to screen for myriad medical diagnoses ranging from minor annoyances to life-threatening illnesses. Unfortunately, it is typically only when medical etiologies have been ruled out that the decision tree branches sufficiently to include psychological concerns and disorders. The integrated care setting invites the opportunity to screen for psychological problems while screening for medical etiologies. However, in doing so, the complexity of the already daunting task of identifying the likely causes of a patient’s distress increases exponentially.

Despite the inherent challenge, the value of screening for behavioral issues at (apparently) the same time as the physically based complaints cannot be overstated. As the growing body of literature on integrated care has shown, neglecting behavioral issues ultimately also...


Behavioral Health Primary Care Setting Patient Health Questionnaire Primary Care Visit Behavioral Concern 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Michelle R. Byrd
    • 1
  • Kevin N. Alschuler
    • 1
  1. 1.Department of PsychologyEastern Michigan UniversityYpsilantiUSA

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