TY - JOUR
KW - Community Mental Health Services/organization & administration
KW - Cooperative Behavior
KW - Health Plan Implementation
KW - Health Services Accessibility
KW - Humans
KW - Mental Disorders/therapy
KW - Patient Care Planning/organization & administration
KW - Primary Health Care/organization & administration
AU - G. Franx
AU - L. Dixon
AU - M. Wensing
AU - H. Pincus
A1 - 
AB - PURPOSE OF REVIEW: Extensive research exists that collaborative primary care-mental health models can improve care and outcomes for patients. These programs are currently being implemented throughout the United States and beyond. The purpose of this study is to review the literature and to generate an overview of strategies currently used to implement such models in daily practice. RECENT FINDINGS: Six overlapping strategies to implement collaborative primary care-mental health models were described in 18 selected studies. We identified interactive educational strategies, quality improvement change processes, technological support tools, stakeholder engagement in the design and execution of implementation plans, organizational changes in terms of expanding the task of nurses and financial strategies such as additional collaboration fees and pay for performance incentives. SUMMARY: Considering the overwhelming evidence about the effectiveness of primary care-mental health models, there is a lack of good studies focusing on their implementation strategies. In practice, these strategies are multifaceted and locally defined, as a result of intensive and required stakeholder engagement. Although many barriers still exist, the implementation of collaborative models could have a chance to succeed in the United States, where new service delivery and payment models, such as the Patient-Centered Medical Home, the Health Home and the Accountable Care Organization, are being promoted.
BT - Current opinion in psychiatry
C5 - Education & Workforce; Financing & Sustainability; HIT & Telehealth
CP - 5
CY - United States
DO - 10.1097/YCO.0b013e328363a69f
IS - 5
JF - Current opinion in psychiatry
N2 - PURPOSE OF REVIEW: Extensive research exists that collaborative primary care-mental health models can improve care and outcomes for patients. These programs are currently being implemented throughout the United States and beyond. The purpose of this study is to review the literature and to generate an overview of strategies currently used to implement such models in daily practice. RECENT FINDINGS: Six overlapping strategies to implement collaborative primary care-mental health models were described in 18 selected studies. We identified interactive educational strategies, quality improvement change processes, technological support tools, stakeholder engagement in the design and execution of implementation plans, organizational changes in terms of expanding the task of nurses and financial strategies such as additional collaboration fees and pay for performance incentives. SUMMARY: Considering the overwhelming evidence about the effectiveness of primary care-mental health models, there is a lack of good studies focusing on their implementation strategies. In practice, these strategies are multifaceted and locally defined, as a result of intensive and required stakeholder engagement. Although many barriers still exist, the implementation of collaborative models could have a chance to succeed in the United States, where new service delivery and payment models, such as the Patient-Centered Medical Home, the Health Home and the Accountable Care Organization, are being promoted.
PP - United States
PY - 2013
SN - 1473-6578; 0951-7367
SP - 502
EP - 510
EP - 
T1 - Implementation strategies for collaborative primary care-mental health models
T2 - Current opinion in psychiatry
TI - Implementation strategies for collaborative primary care-mental health models
U1 - Education & Workforce; Financing & Sustainability; HIT & Telehealth
U2 - 23880590
U3 - 10.1097/YCO.0b013e328363a69f
VL - 26
VO - 1473-6578; 0951-7367
Y1 - 2013
ER -