TY - JOUR
KW - China/ethnology
KW - Delivery of Health Care, Integrated/organization & administration/statistics & numerical data
KW - Emigration and Immigration
KW - Female
KW - Health Personnel/education
KW - Humans
KW - Male
KW - Mental Disorders/classification/diagnosis/ethnology
KW - Mental Health Services/organization & administration/statistics & numerical data
KW - Middle Aged
KW - Patient Acceptance of Health Care/ethnology/statistics & numerical data
KW - Primary Health Care
KW - Psychiatry/organization & administration
KW - Referral and Consultation
KW - Socioeconomic Factors
KW - United States
AU - A. Yeung
AU - W. W. Kung
AU - H. Chung
AU - G. Rubenstein
AU - P. Roffi
AU - D. Mischoulon
AU - M. Fava
A1 - 
AB - The objective of this study was to investigate whether integrating psychiatry and primary healthcare improves referral to and treatment acceptability of mental health services among Chinese Americans. The "Bridge Project," a program to enhance collaboration between primary care and mental health services for low-income Chinese immigrants was implemented at South Cove Community Health Center in Boston. The project consisted of conducting training seminars to primary care physicians to enhance recognition of common mental disorders, using a primary care nurse as the "bridge" to facilitate referrals to the Behavioral Health Department of the same facility, and co-locating a psychiatrist in the primary care clinic to provide onsite evaluation and treatment. The rate of mental health service referrals and successful treatment engagement before and during the project were compared. During the 12-month period of the Bridge Project, primary care physicians referred 64 (1.05% of all clinic patients) patients to mental health services, a 60% increase (chi(2)=4.97, P<.05) in the percentage of clinic patients referred in the previous 12 months. Eighty-eight percent of patients referred during the project showed up for psychiatric evaluation, compared to 53% (chi(2)=15.3, P<.001) in the previous 12 months. Integrating psychiatry and primary care is effective in improving access to mental health services and in increasing treatment engagement among low-income immigrant Chinese Americans.
BT - General hospital psychiatry
C5 - Education & Workforce
CP - 4
CY - United States
DO - 10.1016/j.genhosppsych.2004.03.008
IS - 4
JF - General hospital psychiatry
N2 - The objective of this study was to investigate whether integrating psychiatry and primary healthcare improves referral to and treatment acceptability of mental health services among Chinese Americans. The "Bridge Project," a program to enhance collaboration between primary care and mental health services for low-income Chinese immigrants was implemented at South Cove Community Health Center in Boston. The project consisted of conducting training seminars to primary care physicians to enhance recognition of common mental disorders, using a primary care nurse as the "bridge" to facilitate referrals to the Behavioral Health Department of the same facility, and co-locating a psychiatrist in the primary care clinic to provide onsite evaluation and treatment. The rate of mental health service referrals and successful treatment engagement before and during the project were compared. During the 12-month period of the Bridge Project, primary care physicians referred 64 (1.05% of all clinic patients) patients to mental health services, a 60% increase (chi(2)=4.97, P<.05) in the percentage of clinic patients referred in the previous 12 months. Eighty-eight percent of patients referred during the project showed up for psychiatric evaluation, compared to 53% (chi(2)=15.3, P<.001) in the previous 12 months. Integrating psychiatry and primary care is effective in improving access to mental health services and in increasing treatment engagement among low-income immigrant Chinese Americans.
PP - United States
PY - 2004
SN - 0163-8343; 0163-8343
SP - 256
EP - 260
EP - 
T1 - Integrating psychiatry and primary care improves acceptability to mental health services among Chinese Americans
T2 - General hospital psychiatry
TI - Integrating psychiatry and primary care improves acceptability to mental health services among Chinese Americans
U1 - Education & Workforce
U2 - 15234819
U3 - 10.1016/j.genhosppsych.2004.03.008
VL - 26
VO - 0163-8343; 0163-8343
Y1 - 2004
ER -