ABSTRACT
This chapter focuses on the implementation of measurement-based care (MBC) efforts in Primary Care-Mental Health Integration (PCMHI) within Veterans Health Administration (VHA). It describes that VHA provides both training for evidence-based psychotherapies and program implementation support through external facilitation. The key functions of psychological assessment in primary care include population-based screening, triage to the most appropriate treatment setting, individual monitoring across time, tracking of patient outcomes across the entire primary care panel, and communication to the primary care team on patient and panel progress. The Behavioral Health Lab care management program typically includes a health technician to collect data during the initial screening assessment, care managers, and a supervising prescriber. A major driver of healthcare practice and part of all VHA medical centers' outer setting is policy. Beyond basic implementation of PCMHI and MBC, many programs have developed innovations that continue to move integrated care forward in VHA.
