TY - JOUR
AU - M. Aby
A1 - 
AB - The US government funds integrated care demonstration projects to decrease health disparities for individuals with serious mental illness. Drawing on the Exploration Preparation Implementation Sustainability (EPIS) implementation framework, this case study of a community mental health clinic describes implementation barriers and sustainability challenges with grant-funded integrated care. Findings demonstrate that integrated care practices evolve during implementation and the following factors influenced sustainability: workforce rigidity, intervention clarity, policy and funding congruence between the agency and state/federal regulations, on-going support and training in practice application, and professional institutions. Implementation strategies for primary care integration within CMHCs include creating a flexible workforce, shared definition of integrated care, policy and funding congruence, and on-going support and training.
AD - University of Washington, 4101 15th Avenue NE, Seattle, WA, 98105, USA. mjaby@uw.edu.
BT - The journal of behavioral health services & research
C5 - Education & Workforce; Financing & Sustainability; Healthcare Disparities
CP - 2
DO - 10.1007/s11414-019-09671-7
IS - 2
JF - The journal of behavioral health services & research
LA - eng
M1 - Journal Article
N2 - The US government funds integrated care demonstration projects to decrease health disparities for individuals with serious mental illness. Drawing on the Exploration Preparation Implementation Sustainability (EPIS) implementation framework, this case study of a community mental health clinic describes implementation barriers and sustainability challenges with grant-funded integrated care. Findings demonstrate that integrated care practices evolve during implementation and the following factors influenced sustainability: workforce rigidity, intervention clarity, policy and funding congruence between the agency and state/federal regulations, on-going support and training in practice application, and professional institutions. Implementation strategies for primary care integration within CMHCs include creating a flexible workforce, shared definition of integrated care, policy and funding congruence, and on-going support and training.
PY - 2020
SN - 1556-3308; 1094-3412; 1094-3412
SP - 293
EP - 308
EP - 
T1 - A Case Study of Implementing Grant-Funded Integrated Care in a Community Mental Health Center
T2 - The journal of behavioral health services & research
TI - A Case Study of Implementing Grant-Funded Integrated Care in a Community Mental Health Center
U1 - Education & Workforce; Financing & Sustainability; Healthcare Disparities
U2 - 31482468
U3 - 10.1007/s11414-019-09671-7
VL - 47
VO - 1556-3308; 1094-3412; 1094-3412
Y1 - 2020
Y2 - Apr
ER -