TY - JOUR
AU - A. Durbin
AU - J. Durbin
AU - J. M. Hensel
AU - R. Deber
A1 - 
AB - Integrating care for physical health and behavioural health (mental health and addictions) has been a longstanding challenge, although research supports the clinical and cost effectiveness of integrated care for many clients. In one such model, primary care (PC) physicians work with specialist physicians and non-physician providers (NPPs) to provide mental health and addictions care in PC settings. This Ontario, Canada-focused policy analysis draws on research evidence to examine potential barriers and enablers to this model of integrated care, focusing on mental health. Funding challenges pertain to incentivizing PC physicians to select patients with mental illness, include NPPs on the treatment team, and collaborate with specialist providers. Legal/regulatory challenges pertain to NPP scopes of practice for prescribing and counselling. Integrated care also requires revising the role of the physician and distribution of functions among the team. Policy support to integrate addictions treatment in PC may face similar challenges but requires further exploration.
BT - The journal of behavioral health services & research
C5 - Financing & Sustainability; Healthcare Policy
DO - 10.1007/s11414-013-9359-6
JF - The journal of behavioral health services & research
N2 - Integrating care for physical health and behavioural health (mental health and addictions) has been a longstanding challenge, although research supports the clinical and cost effectiveness of integrated care for many clients. In one such model, primary care (PC) physicians work with specialist physicians and non-physician providers (NPPs) to provide mental health and addictions care in PC settings. This Ontario, Canada-focused policy analysis draws on research evidence to examine potential barriers and enablers to this model of integrated care, focusing on mental health. Funding challenges pertain to incentivizing PC physicians to select patients with mental illness, include NPPs on the treatment team, and collaborate with specialist providers. Legal/regulatory challenges pertain to NPP scopes of practice for prescribing and counselling. Integrated care also requires revising the role of the physician and distribution of functions among the team. Policy support to integrate addictions treatment in PC may face similar challenges but requires further exploration.
PY - 2016
SN - 1556-3308
SP - 127
EP - 139
EP - 
T1 - Barriers and Enablers to Integrating Mental Health into Primary Care: A Policy Analysis
T2 - The journal of behavioral health services & research
TI - Barriers and Enablers to Integrating Mental Health into Primary Care: A Policy Analysis
U1 - Financing & Sustainability; Healthcare Policy
U2 - 24026235
U3 - 10.1007/s11414-013-9359-6
VO - 1556-3308
Y1 - 2016
ER -