Integrated primary and behavioral healthcare (IPBH) programs have been investigated extensively in community settings, but few studies have included the effect of such programs on college campuses, and fewer have focused on outcomes with students with severe symptoms. We analyzed the recovery curves of 267 students with severe mental health symptoms in a collegiate IPBH program using ex post facto design and growth curve modeling. Students fit into three subgroups according with type of services received: (1) counseling only; (2) counseling and primary care; and (3) counseling, primary care, and psychiatric care. Results showed all treatment groups demonstrated positive growth trajectories. The outcome of this study is discussed in relationship with existing literature. Implications for future collegiate IPBH research and clinical practice for counselors, primary care staff, and psychiatrists are presented.

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