To address these barriers, we have developed and tested the BH-Works program, a web-based system for mental health screening, prevention, and triage, in primary care and emergency room settings. The BH-Works Program consists of provider education, web-based screening, and assistance with building a stronger behavioral health “neighborhood.” At the core of BH-Works Program is the Behavioral Health Screening (BHS) assessment tool, a web based, comprehensive screening tool that targets thirteen different behavioral health domains in 7 to 10 minutes. These domains cover all the best practice recommendation from the AAP for a wellness visit including depression, substance abuse, trauma and suicide.
The program has been operational for 5 years across 12 counties in Pennsylvania. Over 20,000 patients have been screened in 4 Emergency rooms and 25 primary care practices. Findings indicate the 4.2% of patient report current suicidal ideation, and 18% report current severe depression. Of those with current ideation, 30% were in treatment, 40% were referred for treatment and 30% refused a referral. Of those with current suicidal ideation, 12% reported having access to a gun in their home. Other psychopathology data will be presented as well as the barriers and solutions to implementing a screening program in primary care.