TY - JOUR
KW - assertive community treatment
KW - community psychiatry
KW - primary care
KW - integrated care
AU - J. Tse
AU - J. E. Cheng
AU - E. Tabasky
AU - E. Kingman
AU - D. LaStella
AU - G. Quitangon
AU - D. Woodlock
A1 - 
AB - OBJECTIVE: This program evaluation examined integration of primary care nurse practitioners into assertive community treatment (ACT). METHODS: From January to June 2019, primary care nurse practitioners in a postgraduate fellowship program were assigned to five ACT teams (N=305 participants). Focus groups explored staff members' and participants' experiences. Screening rates for hemoglobin A1c and cholesterol for ACT participants were compared over time. RESULTS: Staff and participants in ACT described improved engagement in primary care, citing benefit from colocation and consultation. Field visits were not found to be an efficient use of the primary care nurse practitioners' time to serve most ACT participants. A significant increase in screening was observed after 6 months for the ACT teams with integrated primary care. CONCLUSIONS: An integrated primary care nurse practitioner readily available for participant engagement and consultation with the ACT team, using a cardiometabolic registry to guide care, may offer a sustainable model of integration.
AD - Institute for Community Living, New York City (Tse, Tabasky, Kingman, LaStella, Woodlock); Department of Psychiatry, New York University School of Medicine, New York City (Tse); Department of Psychiatry and Behavioral Sciences, Meharry Medical College, Nashville, Tennessee (Cheng); Department of Veterans Affairs New York Harbor, New York City (Quitangon).; Institute for Community Living, New York City (Tse, Tabasky, Kingman, LaStella, Woodlock); Department of Psychiatry, New York University School of Medicine, New York City (Tse); Department of Psychiatry and Behavioral Sciences, Meharry Medical College, Nashville, Tennessee (Cheng); Department of Veterans Affairs New York Harbor, New York City (Quitangon).; Institute for Community Living, New York City (Tse, Tabasky, Kingman, LaStella, Woodlock); Department of Psychiatry, New York University School of Medicine, New York City (Tse); Department of Psychiatry and Behavioral Sciences, Meharry Medical College, Nashville, Tennessee (Cheng); Department of Veterans Affairs New York Harbor, New York City (Quitangon).; Institute for Community Living, New York City (Tse, Tabasky, Kingman, LaStella, Woodlock); Department of Psychiatry, New York University School of Medicine, New York City (Tse); Department of Psychiatry and Behavioral Sciences, Meharry Medical College, Nashville, Tennessee (Cheng); Department of Veterans Affairs New York Harbor, New York City (Quitangon).; Institute for Community Living, New York City (Tse, Tabasky, Kingman, LaStella, Woodlock); Department of Psychiatry, New York University School of Medicine, New York City (Tse); Department of Psychiatry and Behavioral Sciences, Meharry Medical College, Nashville, Tennessee (Cheng); Department of Veterans Affairs New York Harbor, New York City (Quitangon).; Institute for Community Living, New York City (Tse, Tabasky, Kingman, LaStella, Woodlock); Department of Psychiatry, New York University School of Medicine, New York City (Tse); Department of Ps(TRUNCATED)
BT - Psychiatric services (Washington, D.C.)
C5 - Education & Workforce
CP - 5
DO - 10.1176/appi.ps.202100069
IS - 5
JF - Psychiatric services (Washington, D.C.)
LA - eng
M1 - Journal Article
N2 - OBJECTIVE: This program evaluation examined integration of primary care nurse practitioners into assertive community treatment (ACT). METHODS: From January to June 2019, primary care nurse practitioners in a postgraduate fellowship program were assigned to five ACT teams (N=305 participants). Focus groups explored staff members' and participants' experiences. Screening rates for hemoglobin A1c and cholesterol for ACT participants were compared over time. RESULTS: Staff and participants in ACT described improved engagement in primary care, citing benefit from colocation and consultation. Field visits were not found to be an efficient use of the primary care nurse practitioners' time to serve most ACT participants. A significant increase in screening was observed after 6 months for the ACT teams with integrated primary care. CONCLUSIONS: An integrated primary care nurse practitioner readily available for participant engagement and consultation with the ACT team, using a cardiometabolic registry to guide care, may offer a sustainable model of integration.
PY - 2022
SN - 1557-9700; 1075-2730
SP - 565
EP - 569+
T1 - Integrating Primary Care Into Assertive Community Treatment
T2 - Psychiatric services (Washington, D.C.)
TI - Integrating Primary Care Into Assertive Community Treatment
U1 - Education & Workforce
U2 - 34496631
U3 - 10.1176/appi.ps.202100069
VL - 73
VO - 1557-9700; 1075-2730
Y1 - 2022
Y2 - Sep 9
ER -