AFC was at the forefront of integrating mental/ behavioral healthcare into a primary care setting when we established our Mental Behavioral Health program in 2002. Most patients have had limited (if any) prior access to healthcare, let alone mental health services. The majority screen positive for anxiety or depression during intake, and it is common for patients to report exposure to trauma. Others come to their medical appointment, bring their hands to their chest and say their “heart hurts.” Conditions such as depression commonly cause physical symptoms such as chest or back pain and can be helped by timely access to a mental health professional.
Our mental health program has grown in response to the increased need. A partnership with Northern Virginia Family Service—an agency providing a range of services to vulnerable families—has embedded a fulltime, bilingual counselor in our clinic to provide just-in-time care to patients. Having a consistent staff person onsite during clinic sessions has proven especially valuable during these uncertain times when funding cuts for safety-net services are being weighed and new immigration policies are emerging.
A case that illustrates this value is that of a man in his early 20s who was admitted to Virginia Hospital Center after tests revealed a dangerously high blood sugar level. Following a diagnosis of insulinrequiring diabetes and stabilization, a hospital case worker referred the patient to AFC where his diabetes could be managed and monitored. At his initial appointment, the patient was visibly upset and anxious about this new diagnosis, the need for lifelong insulin, and the implications for his future. His doctor reached out to our mental health program manager to intervene before the patient left the Clinic. She listened to his concerns and validated his feelings, and offered an immediate appointment with our counselor. The patient now has a medical home—where his primary care provider and mental health counselor work in tandem to optimize his overall health.
Your support enables us to deliver this care, live up to our mission, and contribute to a healthier Arlington. Thank you!