TY - JOUR
KW - Community Medicine/education
KW - Community Mental Health Services/organization & administration
KW - Community Networks/organization & administration
KW - Delivery of Health Care, Integrated/organization & administration
KW - Family Practice/education/standards
KW - Humans
KW - Internship and Residency/organization & administration
KW - Medically Underserved Area
KW - Models, Educational
KW - Models, Organizational
KW - Montana
KW - Physician's Practice Patterns/standards
KW - Primary Health Care/organization & administration
KW - Rural Health Services/organization & administration
KW - Rural Population
AU - C. Oakley
AU - D. Moore
AU - D. Burford
AU - R. Fahrenwald
AU - K. Woodward
A1 - 
AB - To address the local health care needs of both patients and primary care providers in Montana, an integrated primary care and behavioral health family practice clinic was developed. In this paper we describe our experience with integrating mental health and substance abuse services into a primary care setting (a community health center) while simultaneously teaching family practice physicians to take the lead in providing these services. The Deering Community Health Center in Billings, Montana, is a Federally Qualified Health Center serving a largely low-income patient population. The medical care at the clinic is provided primarily by the faculty and residents of the Montana Family Medicine Residency. The teaching model was founded on the belief that improved care will result when physicians have increased comfort with, and are able to enjoy the challenges of, patients with mental illnesses. The enhanced longitudinal curriculum incorporates mental health across the 3 years of the family practice residency. Unique characteristics of this model include staffing and the concurrent delivery of a high volume mental health service while teaching family practice resident physicians and the faculty to integrate this competency into their primary care practices.
BT - The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
C5 - Education & Workforce; Healthcare Disparities
CP - 4
CY - United States
IS - 4
JF - The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
N2 - To address the local health care needs of both patients and primary care providers in Montana, an integrated primary care and behavioral health family practice clinic was developed. In this paper we describe our experience with integrating mental health and substance abuse services into a primary care setting (a community health center) while simultaneously teaching family practice physicians to take the lead in providing these services. The Deering Community Health Center in Billings, Montana, is a Federally Qualified Health Center serving a largely low-income patient population. The medical care at the clinic is provided primarily by the faculty and residents of the Montana Family Medicine Residency. The teaching model was founded on the belief that improved care will result when physicians have increased comfort with, and are able to enjoy the challenges of, patients with mental illnesses. The enhanced longitudinal curriculum incorporates mental health across the 3 years of the family practice residency. Unique characteristics of this model include staffing and the concurrent delivery of a high volume mental health service while teaching family practice resident physicians and the faculty to integrate this competency into their primary care practices.
PP - United States
PY - 2005
SN - 0890-765X; 0890-765X
SP - 351
EP - 354
EP - 
T1 - The Montana model: Integrated primary care and behavioral health in a family practice residency program
T2 - The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
TI - The Montana model: Integrated primary care and behavioral health in a family practice residency program
U1 - Education & Workforce; Healthcare Disparities
U2 - 16294659
VL - 21
VO - 0890-765X; 0890-765X
Y1 - 2005
ER -