TY - JOUR
KW - Delivery of Health Care, Integrated/organization & administration
KW - Depression/diagnosis/therapy
KW - Diffusion of Innovation
KW - Health Care Reform
KW - Humans
KW - Mental Health Services/organization & administration
KW - Nurse Practitioners
KW - Primary Health Care
KW - Professional Role
KW - Quality of Health Care
KW - Specialization
KW - United States
AU - B. Reiss-Brennan
AU - P. Briot
AU - W. Cannon
AU - B. James
A1 - 
AB - Although primary care provides the majority of mental health care, lack of time and documented economic benefit make it difficult for healthcare delivery systems to proactively implement effective treatment strategies for the growing disability of depression. Current care delivery models are inadequate and inefficient, leading to provider and consumer exhaustion, as well as significant gaps in care and poor outcomes. This publication describes a quality improvement pilot demonstration called "mental health integration" (MHI) that has been successful in realigning resources, enhancing clinical decision making, measuring the impact and building a business case to determine what actually is the value added for quality. Mental health integration (MHI) promotes the rethinking and retraining of traditional solo practitioner roles to new practitioner roles that facilitate partnership and effective communication as a means to help patients and families achieve a state of successful performance. Results describe the improvements in depression detection at a neutral or lower cost to the health plan. Recommendations are identified for building the business case for MHI quality in order to sustain improved outcomes and promote diffusion of the model outside of Intermountain Health Care (IHC) setting.
BT - Ethnicity & disease
C5 - Education & Workforce; Financing & Sustainability
CP - 2 Suppl 3
CY - United States
IS - 2 Suppl 3
JF - Ethnicity & disease
N2 - Although primary care provides the majority of mental health care, lack of time and documented economic benefit make it difficult for healthcare delivery systems to proactively implement effective treatment strategies for the growing disability of depression. Current care delivery models are inadequate and inefficient, leading to provider and consumer exhaustion, as well as significant gaps in care and poor outcomes. This publication describes a quality improvement pilot demonstration called "mental health integration" (MHI) that has been successful in realigning resources, enhancing clinical decision making, measuring the impact and building a business case to determine what actually is the value added for quality. Mental health integration (MHI) promotes the rethinking and retraining of traditional solo practitioner roles to new practitioner roles that facilitate partnership and effective communication as a means to help patients and families achieve a state of successful performance. Results describe the improvements in depression detection at a neutral or lower cost to the health plan. Recommendations are identified for building the business case for MHI quality in order to sustain improved outcomes and promote diffusion of the model outside of Intermountain Health Care (IHC) setting.
PP - United States
PY - 2006
SN - 1049-510X; 1049-510X
SP - 37
EP - 43
EP - S3+
T1 - Mental health integration: Rethinking practitioner roles in the treatment of depression: The specialist, primary care physicians, and the practice nurse
T2 - Ethnicity & disease
TI - Mental health integration: Rethinking practitioner roles in the treatment of depression: The specialist, primary care physicians, and the practice nurse
U1 - Education & Workforce; Financing & Sustainability
U2 - 16774022
VL - 16
VO - 1049-510X; 1049-510X
Y1 - 2006
ER -