TY - JOUR
KW - Delivery of Health Care, Integrated
KW - Health Services Accessibility
KW - Health Status
KW - Humans
KW - Interviews as Topic
KW - Mental Disorders/rehabilitation
KW - Mental Health Services
KW - Nurse Practitioners
KW - Primary Health Care
AU - M. Mesidor
AU - V. Gidugu
AU - E. S. Rogers
AU - V. M. Kash-Macdonald
AU - J. B. Boardman
A1 - 
AB - OBJECTIVE: This qualitative study was conducted as part of a larger randomized trial to examine barriers and facilitators to accessing and providing comprehensive primary health care for individuals with serious mental illnesses. We examined the perspectives of administrators and providers in a behavioral health organization surrounding the use of a nurse practitioner model of delivering primary healthcare. METHODS: Ten key informant interviews were conducted and analyzed using qualitative data analysis software. Concepts and themes regarding access to and delivery of primary healthcare were inductively derived from the data. RESULTS: Results confirmed significant issues related to chronic physical health problems among individuals with psychiatric disabilities and detailed a host of barriers to receiving health care as well as the perceived benefits of the nurse practitioner intervention. Financial challenges played a significant role in the organization's ability to make primary and mental health care integration a sustainable endeavor. In addition, staff faced increased burdens on their time due to adding a focus on physical health to their existing job duties. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: A nurse practitioner stationed in a behavioral healthcare setting is viewed by administrators and providers as extremely beneficial in addressing issues of access to comprehensive and integrated primary healthcare for individuals with severe psychiatric disabilities but sustaining such a model of care is not without organizational challenges.
BT - Psychiatric rehabilitation journal
C5 - Financing & Sustainability
CP - 4
CY - United States
DO - 10.2975/34.4.2011.285.294
IS - 4
JF - Psychiatric rehabilitation journal
N2 - OBJECTIVE: This qualitative study was conducted as part of a larger randomized trial to examine barriers and facilitators to accessing and providing comprehensive primary health care for individuals with serious mental illnesses. We examined the perspectives of administrators and providers in a behavioral health organization surrounding the use of a nurse practitioner model of delivering primary healthcare. METHODS: Ten key informant interviews were conducted and analyzed using qualitative data analysis software. Concepts and themes regarding access to and delivery of primary healthcare were inductively derived from the data. RESULTS: Results confirmed significant issues related to chronic physical health problems among individuals with psychiatric disabilities and detailed a host of barriers to receiving health care as well as the perceived benefits of the nurse practitioner intervention. Financial challenges played a significant role in the organization's ability to make primary and mental health care integration a sustainable endeavor. In addition, staff faced increased burdens on their time due to adding a focus on physical health to their existing job duties. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: A nurse practitioner stationed in a behavioral healthcare setting is viewed by administrators and providers as extremely beneficial in addressing issues of access to comprehensive and integrated primary healthcare for individuals with severe psychiatric disabilities but sustaining such a model of care is not without organizational challenges.
PP - United States
PY - 2011
SN - 1095-158X; 1095-158X
SP - 285
EP - 294
EP - 
T1 - A qualitative study: Barriers and facilitators to health care access for individuals with psychiatric disabilities
T2 - Psychiatric rehabilitation journal
TI - A qualitative study: Barriers and facilitators to health care access for individuals with psychiatric disabilities
U1 - Financing & Sustainability
U2 - 21459744
U3 - 10.2975/34.4.2011.285.294
VL - 34
VO - 1095-158X; 1095-158X
Y1 - 2011
ER -