TY - JOUR KW - Delivery of Health Care, Integrated KW - Health Services Needs and Demand KW - Humans KW - Mental Health Services/organization & administration KW - Minnesota KW - Organizational Case Studies KW - Primary Health Care/organization & administration KW - Rural Health Services/organization & administration/supply & distribution KW - Telemedicine/organization & administration AU - G. L. Davis AU - J. G. Boulger AU - J. C. Hovland AU - N. T. Hoven A1 - AB - Mental health care shortages in rural areas have resulted in the majority of services being offered through primary medical care settings. The authors argue that a paradigm shift must occur so that those in need of mental health care have reasonable, timely access to these services. Changes proposed include integrating mental health services into primary medical care settings, moving away from the traditional view of mental health care services (one therapist, one hour, and one client), and increasing the consultative role of psychologists and other mental health care providers in primary medical care. Characteristics of mental health providers that facilitate effective integration into primary medical care are presented. The results of a needs assessment survey and an example of a telemental health project are described. This project involved brief consultations with patients and their physicians from a shared care model using a broadband internet telecommunications link between a rural clinic and mental health service providers in an urban area. BT - Journal of Agricultural Safety and Health C5 - HIT & Telehealth CP - 3 CY - United States IS - 3 JF - Journal of Agricultural Safety and Health N2 - Mental health care shortages in rural areas have resulted in the majority of services being offered through primary medical care settings. The authors argue that a paradigm shift must occur so that those in need of mental health care have reasonable, timely access to these services. Changes proposed include integrating mental health services into primary medical care settings, moving away from the traditional view of mental health care services (one therapist, one hour, and one client), and increasing the consultative role of psychologists and other mental health care providers in primary medical care. Characteristics of mental health providers that facilitate effective integration into primary medical care are presented. The results of a needs assessment survey and an example of a telemental health project are described. This project involved brief consultations with patients and their physicians from a shared care model using a broadband internet telecommunications link between a rural clinic and mental health service providers in an urban area. PP - United States PY - 2007 SN - 1074-7583; 1074-7583 SP - 237 EP - 246 EP - T1 - The integration of a telemental health service into rural primary medical care T2 - Journal of Agricultural Safety and Health TI - The integration of a telemental health service into rural primary medical care U1 - HIT & Telehealth U2 - 17892067 VL - 13 VO - 1074-7583; 1074-7583 Y1 - 2007 ER -