TY - JOUR
KW - Attitude of Health Personnel
KW - Community Mental Health Services/organization & administration
KW - Delivery of Health Care, Integrated/organization & administration
KW - Depression/nursing
KW - Diagnosis, Dual (Psychiatry)/nursing
KW - Hospitals, Veterans
KW - Humans
KW - Interviews as Topic
KW - Middle Aged
KW - Nurse Practitioners
KW - Psychiatric Nursing/organization & administration
KW - Rural Health Services/organization & administration
KW - Southeastern United States
KW - Substance-Related Disorders/nursing
KW - United States
KW - United States Department of Veterans Affairs
KW - Veterans/psychology
AU - J. E. Kirchner
AU - M. Cody
AU - C. R. Thrush
AU - G. Sullivan
AU - C. G. Rapp
A1 - 
AB - The purpose of this study was to gain a better understanding of the critical components associated with implementing integrated mental health care services in rural VA community-based outpatient clinics (CBOCs). In-person semi-structured interviews were conducted with 20 health care providers and staff within a year after placing a trained advanced practice nurse (APN) to provide mental health/substance abuse (MH/SA) care at 2 rural CBOCs in the southeastern United States. Four raters independently evaluated interview transcripts and conducted content analysis to summarize the interview results. The results indicate that key contextual factors related to leadership, staff attitudes and beliefs, and unique organizational factors of the clinic and the community can affect the success of such clinical innovations. In addition to providing descriptive information about the attitudes, beliefs, and experiences of CBOC personnel regarding implementation of integrated MH/SA services using APNs, the study findings suggest several domains that could be explored in future studies of integrated mental health service delivery to rural veterans through primary care.
BT - The journal of behavioral health services & research
C5 - Education & Workforce; Financing & Sustainability
CP - 1
CY - United States
IS - 1
JF - The journal of behavioral health services & research
N2 - The purpose of this study was to gain a better understanding of the critical components associated with implementing integrated mental health care services in rural VA community-based outpatient clinics (CBOCs). In-person semi-structured interviews were conducted with 20 health care providers and staff within a year after placing a trained advanced practice nurse (APN) to provide mental health/substance abuse (MH/SA) care at 2 rural CBOCs in the southeastern United States. Four raters independently evaluated interview transcripts and conducted content analysis to summarize the interview results. The results indicate that key contextual factors related to leadership, staff attitudes and beliefs, and unique organizational factors of the clinic and the community can affect the success of such clinical innovations. In addition to providing descriptive information about the attitudes, beliefs, and experiences of CBOC personnel regarding implementation of integrated MH/SA services using APNs, the study findings suggest several domains that could be explored in future studies of integrated mental health service delivery to rural veterans through primary care.
PP - United States
PY - 2004
SN - 1094-3412
SP - 13
EP - 25
EP - 
T1 - Identifying factors critical to implementation of integrated mental health services in rural VA community-based outpatient clinics
T2 - The journal of behavioral health services & research
TI - Identifying factors critical to implementation of integrated mental health services in rural VA community-based outpatient clinics
U1 - Education & Workforce; Financing & Sustainability
U2 - 14722477
VL - 31
VO - 1094-3412
Y1 - 2004
ER -