Prevalence and Impact of Behavioral Health Conditions in Medicaid

Identifying beneficiaries with behavioral and physical health comorbidities is a critical step toward integrating and improving care. The following resources can help states identify high-opportunity subsets of beneficiaries for enhanced care management.

Screening and Assessment Tools

Following are examples of screening and assessment tools.

  • Patient Health Questionnaire-2 (PHQ-2) This two-item self-report tool inquires about the frequency of depressed mood and anhedonia. The PHQ-2 includes the first two items of the Patient Health Questionnaire (PHQ-9) that screens for and diagnoses depression based on DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) criteria. Subject to copyright.
  • Patient Health Questionnaire-9 (PHQ-9) This nine-item depression scale can assist primary care clinicians in diagnosing depression as well as selecting and monitoring treatment. The PHQ-9 is based directly on the diagnostic criteria for major depressive disorder in the Diagnostic and Statistical Manual Fourth Edition (DSM-IV). Subject to copyright.
  • Generalized Anxiety Disorder 7-item (GAD-7) Scale This clinical measurement tool can serve as a screening instrument to identify probable cases of generalized anxiety disorder (GAD), as well as severity of the disorder. Subject to copyright.
  • Global Assessment of Functioning (GAF) Scale This numeric scale can be used by mental health clinicians and physicians to subjectively rate the social, occupational, and psychological functioning of adults. Available for use in the public domain.
  • Overall Anxiety Severity and Impairment Scale (OASIS) This five-item self-report measure can be used to assess severity and impairment associated with any anxiety disorder or multiple anxiety disorders. Available for use in the public domain.