THE TREATMENT OF ANXIETY DISORDERS
IN A PRIMARY CARE HMO SETTING
David Price, M.D., Arne Beck, Ph.D., Carolee Nimmer, Ph.D.,
and Stephen Bensen, Ph.D.
Anxiety disorders are common, yet under diagnosed, in primary care settings.
Many patients with anxiety and other psychiatric disorders do not seek care in
mental health care settings. An integrated primary care/mental health model of-
fers one approach to improving outcomes for patients with anxiety disorders. This
model has been researched for the treatment of depression with positive results
but has not been well studied for the treatment of anxiety disorders. We describe
the results of care for a cohort of adult patients with Generalized Anxiety Disorder
(GAD) and clinically signiﬁcant anxiety secondary to Major Depressive Disorder
(MDD) treated in an integrated model. Compared to a matched cohort of adults
treated in a primary care setting with usual care, the intervention cohort experi-
enced signiﬁcantly improved reduction in symptoms of anxiety at 6 months. The
intervention cohort also was signiﬁcantly more satisﬁed with care.
Anxiety disorders are associated with signiﬁcant morbidity, dis-
ability and cost (1). Recent epidemiologic studies have found that
Dr. Price is the Director of Education and a clinical researcher for the Colo-
rado Permanente Medical Group. He is also an assistant professor of Family
Medicine at the University of Colorado Health Sciences Center. Dr. Beck is the
Director of Research and Development for the Kaiser Permanente Colorado Re-
gion. Dr. Nimmer is a clinical psychologist for the Kaiser Permanente Colorado
Region. Dr. Bensen is a clinical psychologist for the Kaiser Permanente Colo-
Address correspondence to Carolee Nimmer, Ph.D., 4851 Independence St.,
Suite 270, Wheat Ridge, CO.
PSYCHIATRIC QUARTERLY, Vol. 71, No. 1, Spring 2000
0033-2720/00/0300-0031$18.00/0 2000 Human Sciences Press, Inc.