TY - JOUR
KW - Activities of Daily Living
KW - Adult
KW - Attitude of Health Personnel
KW - Delivery of Health Care, Integrated/organization & administration
KW - Depression
KW - Depressive Disorder/therapy
KW - Health Services Accessibility/standards
KW - Humans
KW - integration
KW - Interpersonal Relations
KW - Male
KW - Mental Health
KW - Mental Health Services/organization & administration
KW - Patient Care Team/organization & administration
KW - Patient Satisfaction
KW - primary care
KW - Primary Health Care/organization & administration
KW - Professional-Patient Relations
KW - standardization
KW - team care
KW - Utah
AU - B. Reiss-Brennan
A1 - 
AB - This article examines the impact of integrating mental health into primary health care. Mental Health Integration (MHI) within Intermountain Healthcare has changed the culture of primary health care by standardizing a team-based care process that includes mental health as a normal part of the routine medical encounter. Using a quantitative statistical analysis of qualitative reports (mixed methods study), the study reports on health outcomes associated with MHI for patients and staff. Researchers interviewed 59 patients and 50 staff to evaluate the impact of MHI on depression care. Patients receiving MHI reported an improved relationship with caregivers (P < .001) and improved overall functioning in their lives (P < .01). Staff providing care in MHI reported that patients experienced improved access to mental health care, improved overall patient productivity in daily functions (P < .01), and access to team care (P < .001). As MHI became routine, patients discussed complementary team interventions more frequently (P < .0001). Mental health problems rank second in chronic disease today. MHI offers promising results for improving the quality and cost of effective treatment for chronic disease. This research provides guidelines for organizing mental health care, staff productivity, and patient satisfaction, using a team approach to improve outcomes.
BT - Journal of primary care & community health
C5 - Education & Workforce
CP - 1
CY - United States
DO - 10.1177/2150131913508983
IS - 1
JF - Journal of primary care & community health
N2 - This article examines the impact of integrating mental health into primary health care. Mental Health Integration (MHI) within Intermountain Healthcare has changed the culture of primary health care by standardizing a team-based care process that includes mental health as a normal part of the routine medical encounter. Using a quantitative statistical analysis of qualitative reports (mixed methods study), the study reports on health outcomes associated with MHI for patients and staff. Researchers interviewed 59 patients and 50 staff to evaluate the impact of MHI on depression care. Patients receiving MHI reported an improved relationship with caregivers (P < .001) and improved overall functioning in their lives (P < .01). Staff providing care in MHI reported that patients experienced improved access to mental health care, improved overall patient productivity in daily functions (P < .01), and access to team care (P < .001). As MHI became routine, patients discussed complementary team interventions more frequently (P < .0001). Mental health problems rank second in chronic disease today. MHI offers promising results for improving the quality and cost of effective treatment for chronic disease. This research provides guidelines for organizing mental health care, staff productivity, and patient satisfaction, using a team approach to improve outcomes.
PP - United States
PY - 2014
SN - 2150-1327; 2150-1319
SP - 55
EP - 60
EP - 
T1 - Mental health integration: normalizing team care
T2 - Journal of primary care & community health
TI - Mental health integration: normalizing team care
U1 - Education & Workforce
U2 - 24327596
U3 - 10.1177/2150131913508983
VL - 5
VO - 2150-1327; 2150-1319
Y1 - 2014
ER -