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Abstract

In 2020, the Women's Preventative Services Initiative recommended that all adult women should receive annual anxiety screening. In 2022, the United States Preventative Service Task Force published recommendations expanding annual anxiety screening to all children, adolescents and adults including pregnant and postpartum persons up to age 64. This is a quality improvement project that sought to incorporate these screening recommendations into the health maintenance workflow at the Center for Women's Health primary care clinic. This was done by incorporating the GAD-2 anxiety screening tool into the clinic's Annual Behavioral Health Screening form. The primary aim was to increase the monthly percentage of individuals screened for anxiety, among patients 18 years and older who were due for and completed health maintenance screening during a new patient or wellness visit, to 70% by incorporating an anxiety screening tool into the clinic's established health maintenance screening form. The secondary aim was to increase the monthly percentage of individuals connected to appropriate resources and treatment among patients who were identified to have an underlying anxiety disorder. Results demonstrated that incorporating the GAD-2 into the Annual Behavioral Health Screening form did successfully increase the percentage of women screened for anxiety. Additionally, the intervention yielded a small benefit to patient outcomes as more individuals received counseling on anxiety management. This represents one model for annual anxiety screening that could be trialed in other OHSU-affiliated clinics in the community.

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