TY - JOUR
AU - H. Padwa
AU - E. G. Guerrero
AU - J. T. Braslow
AU - K. M. Fenwick
A1 - 
AB - Objective: The publication of the President's New Freedom Commission Report in 2003 led to hope and anticipation that system transformation would address barriers that have impeded the delivery of integrated services for clients with co-occurring mental health and substance use disorders. Have problems been resolved? This study analyzed providers' perspectives on serving clients with co-occurring disorders in a large mental health system that has undergone transformation. Methods: Six focus groups were conducted with providers at specialty mental health treatment organizations that received funding to transform services. Using content analysis, the authors identified major themes of the focus group discussions. Results: Participants reported several barriers within the mental health system and challenges associated with collaborating with specialty substance abuse treatment providers that impede the delivery of integrated care. Conclusions: In spite of efforts to improve co-occurring disorder service delivery in a transformed mental health system, barriers that have historically impeded integrated treatment persist.
BT - Psychiatric services (Washington, D.C.)
C5 - Healthcare Policy
DO - 10.1176/appi.ps.201400190
JF - Psychiatric services (Washington, D.C.)
N2 - Objective: The publication of the President's New Freedom Commission Report in 2003 led to hope and anticipation that system transformation would address barriers that have impeded the delivery of integrated services for clients with co-occurring mental health and substance use disorders. Have problems been resolved? This study analyzed providers' perspectives on serving clients with co-occurring disorders in a large mental health system that has undergone transformation. Methods: Six focus groups were conducted with providers at specialty mental health treatment organizations that received funding to transform services. Using content analysis, the authors identified major themes of the focus group discussions. Results: Participants reported several barriers within the mental health system and challenges associated with collaborating with specialty substance abuse treatment providers that impede the delivery of integrated care. Conclusions: In spite of efforts to improve co-occurring disorder service delivery in a transformed mental health system, barriers that have historically impeded integrated treatment persist.
PY - 2015
SN - 1557-9700; 1075-2730
T1 - Barriers to Serving Clients With Co-occurring Disorders in a Transformed Mental Health System
T2 - Psychiatric services (Washington, D.C.)
TI - Barriers to Serving Clients With Co-occurring Disorders in a Transformed Mental Health System
U1 - Healthcare Policy
U2 - 25686812
U3 - 10.1176/appi.ps.201400190
VO - 1557-9700; 1075-2730
Y1 - 2015
ER -