@article{ETD,
      school = {Ph.D.},
      author = {Notton, Sarah},
      url = {http://digitalcollections.ohsu.edu/record/3002},
      title = {Improving management of somatic symptom disorders in  integrated healthcare through routine assessment},
      publisher = {Oregon Health and Science University},
      abstract = {This project implemented routine screening for Somatic  Symptom Disorders (SSD) in a reverse integration clinic  (that is, primary care incorporated into a mental health  center). The purpose of the screening was twofold: first,  to explore the prevalence of somatization in this  particular clinical setting; and second, to identify  patients who might benefit from enhanced care for  treating  high symptom burden and/or health anxiety. Screening was  conducted for new enrollees in a reverse integration  setting over a six-month period. The screening found that  in this setting,  57% of newly-enrolled patients who  underwent screening endorsed high health anxiety, high  symptom burden, or high levels of distress from their  physical symptoms. Patients had high rates of co-occurring  mental health diagnosis (including depressive disorders,  post-traumatic stress disorder, and substance use  disorders) and high rates of co-morbid medical issues  (including pain, headaches, gastrointestinal disorders, and  breathing problems).},
      number = {ETD},
      doi = {https://doi.org/10.6083/M4BV7FPJ},
      recid = {3002},
      address = {2016-07-01},
}