TY - JOUR
KW - Cooperative Behavior
KW - Delivery of Health Care/methods
KW - Efficiency, Organizational
KW - Financing, Government
KW - Health Care Surveys
KW - Humans
KW - Medicaid
KW - Medically Uninsured
KW - Mental Health Services/organization & administration
KW - Primary Health Care/organization & administration
KW - Texas
KW - United States
AU - K. Sanchez
AU - S. Thompson
AU - L. Alexander
A1 - 
AB - OBJECTIVE: This study aimed to assess the extent to which publicly funded behavioral health and primary care providers in Texas have integrated physical and mental health care, the strategies used in implementation efforts and barriers encountered in integration. METHOD: A survey of behavioral health and primary care providers in Texas was conducted to examine providers' perceptions of efforts to integrate physical and mental health care in their organizations. Integration strategies utilized, health conditions targeted and barriers to implementation were evaluated. Descriptive analyses were conducted to determine organizations' current integration strategies and perceived clinical, organizational and financial barriers to integration. RESULTS: Out of 382 surveys initially distributed, a final subsample of 84 organizations with complete data was examined, a response rate of 22%. Among this sample of behavioral health and primary care providers, many shared integration practice strategies and endorsed similar barriers to integration. CONCLUSION: The findings from this study suggest that publicly funded organizations in Texas attempting to integrate physical and mental health care were aware of and employing practice strategies considered essential to the successful treatment of mental health issues in primary care settings. Attention to barriers that still exist, especially regarding workforce and funding issues, will be critical for organizations considering and attempting integration.
BT - General hospital psychiatry
C5 - Education & Workforce; Financing & Sustainability; Healthcare Policy
CP - 1
CY - United States
DO - 10.1016/j.genhosppsych.2009.10.007
IS - 1
JF - General hospital psychiatry
N2 - OBJECTIVE: This study aimed to assess the extent to which publicly funded behavioral health and primary care providers in Texas have integrated physical and mental health care, the strategies used in implementation efforts and barriers encountered in integration. METHOD: A survey of behavioral health and primary care providers in Texas was conducted to examine providers' perceptions of efforts to integrate physical and mental health care in their organizations. Integration strategies utilized, health conditions targeted and barriers to implementation were evaluated. Descriptive analyses were conducted to determine organizations' current integration strategies and perceived clinical, organizational and financial barriers to integration. RESULTS: Out of 382 surveys initially distributed, a final subsample of 84 organizations with complete data was examined, a response rate of 22%. Among this sample of behavioral health and primary care providers, many shared integration practice strategies and endorsed similar barriers to integration. CONCLUSION: The findings from this study suggest that publicly funded organizations in Texas attempting to integrate physical and mental health care were aware of and employing practice strategies considered essential to the successful treatment of mental health issues in primary care settings. Attention to barriers that still exist, especially regarding workforce and funding issues, will be critical for organizations considering and attempting integration.
PB - Elsevier Inc
PP - United States
PY - 2010
SN - 1873-7714; 0163-8343
SP - 26
EP - 32
EP - 
T1 - Current strategies and barriers in integrated health care: A survey of publicly funded providers in Texas
T2 - General hospital psychiatry
TI - Current strategies and barriers in integrated health care: A survey of publicly funded providers in Texas
U1 - Education & Workforce; Financing & Sustainability; Healthcare Policy
U2 - 20114125
U3 - 10.1016/j.genhosppsych.2009.10.007
VL - 32
VO - 1873-7714; 0163-8343
Y1 - 2010
ER -