The Mental Health Consultation Team (MHCT) at the Portland Veterans Af
fairs Medical Center nursing home is an interdisciplinary group of men
tal health professionals and primary care providers established to tri
age mental health consultations, improve communication between consult
ants and primary care providers, help staff translate consultants' rec
ommendations into patient care, and furnish education in the managemen
t of mental health problems. The MHCT has decreased the demands for fo
rmal psychiatry and psychology consultations while increasing mental h
ealth services through innovative use of existing staff.