Community Health Advanced by Medical Practice Superstars is a 1-year, Health Resources and Services Administration (HRSA)-funded fellowship for early career physicians and physician assistants/associates to become primary care transformational leaders. Fellows implement practice-based health care transformation projects in one of the three HRSA priority areas: childhood obesity, mental health, and opioid use disorder. The purpose of these projects is to expand on integrated health in primary care settings where there is a shortage of mental health professionals. The fellows identified areas in which they were able to incorporate mental health care provision to improve diagnostic capacity and whole health delivery, facilitate appropriate behavioral health outcomes, and improve patient physical health outcomes. Project modalities included initiating or increasing behavioral health screenings, aligning screenings with patient outcomes, and coordinating behavioral health care with physical health care. This article describes six mental health-related health care practice transformation projects implemented across rural health care settings, including Federally Qualified Health Centers and academic medical centers. The topics included (a) depression in pregnant and postpartum mothers; (b) adverse childhood experiences screening; (c) depression and chronic disease outcomes, especially diabetes; (d) the use of automated enhancements in patients' electronic medical records for management of clinical depression; (e) improving health outcomes and medication adherence of patients with opioid use disorder; and (f) the (in)adequacy of the Patient Health Questionairre-2 (PHQ-2) for the assessment of depression among patients with diabetes. Clinical specialties included family medicine, pediatrics, and women's health. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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与初级保健提供者一起实施综合心理健康实践的实际应用。

Medical Practice Superstars 推进的社区健康是一项为期 1 年、由卫生资源和服务管理局 (HRSA) 资助的奖学金，旨在帮助早期职业医师和医师助理/助理成为初级保健转型领导者。研究员在 HRSA 的三个优先领域之一实施基于实践的医疗保健转型项目：儿童肥胖、心理健康和阿片类药物使用障碍。这些项目的目的是在精神卫生专业人员短缺的初级保健机构中扩大综合卫生。研究员确定了他们能够纳入精神卫生保健服务的领域，以提高诊断能力和整体健康服务，促进适当的行为健康结果，并改善患者的身体健康结果。项目模式包括启动或增加行为健康筛查、使筛查与患者结果保持一致以及协调行为健康护理与身体健康护理。本文描述了在农村医疗保健机构（包括联邦合格医疗中心和学术医疗中心）实施的六个与心理健康相关的医疗保健实践转型项目。主题包括 (a) 孕妇和产后母亲的抑郁症；(b) 童年不良经历筛查；(c) 抑郁症和慢性病的结果，尤其是糖尿病；(d) 使用患者电子病历的自动增强功能来管理临床抑郁症；(e) 改善阿片类药物使用障碍患者的健康结果和服药依从性；(f) Patient Health Questionairre-2 (PHQ-2) 用于评估糖尿病患者抑郁症的（不）充分性。临床专业包括家庭医学、儿科和妇女健康。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。