TY - JOUR
AU - K. R. Delaney
AU - M. R. Emerson
AU - V. Soltis-Jarrett
AU - A. J. Barton
AU - M. Weber
A1 - 
AB - In the United States (US), a longstanding solution to the unmet need for mental health treatment is integrated behavioral health care (IBH). Within a primary care model, problems are identified and treatment combines care for physical, mental and substance use disorders. Treatments are delivered through the collaboration of primary and behavioral health providers. According to US federal billing guidelines, in one integrated model, the Collaborative Care Model (CoCM), the psychiatric consultant must be a medical professional trained in psychiatry and capable of prescribing medications, i.e., either a psychiatrist, Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant. The development of integrated care has been slow for particular vulnerable populations, in part due to the lack of psychiatric consultants. PMHNPs are increasingly taking on the role of psychiatric consultants on CoCM teams and creating nurse-led IBH models for underserved populations. In this paper, eight such models are discussed along with implementation challenges and the strategies used to address them. Nurse leaders have the capacity to enhance and expand integrated care, particularly for underserved populations, through the optimal utilization of care teams, expanding measured outcomes, and developing measures for team-based effectiveness. Future directions are proposed that will accelerate this PMHNP-led expansion of IBH.
AD - College of Nursing, Rush University Medical Center, Chicago, IL 60201, USA.; College of Nursing, University of Nebraska Medical Center, Omaha, NE 68588, USA.; School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.; College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
AN - 40283822
BT - Int J Environ Res Public Health
C5 - Education & Workforce
CP - 4
DA - Apr 11
DO - 10.3390/ijerph22040598
DP - NLM
ET - 20250411
IS - 4
JF - Int J Environ Res Public Health
LA - eng
N2 - In the United States (US), a longstanding solution to the unmet need for mental health treatment is integrated behavioral health care (IBH). Within a primary care model, problems are identified and treatment combines care for physical, mental and substance use disorders. Treatments are delivered through the collaboration of primary and behavioral health providers. According to US federal billing guidelines, in one integrated model, the Collaborative Care Model (CoCM), the psychiatric consultant must be a medical professional trained in psychiatry and capable of prescribing medications, i.e., either a psychiatrist, Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant. The development of integrated care has been slow for particular vulnerable populations, in part due to the lack of psychiatric consultants. PMHNPs are increasingly taking on the role of psychiatric consultants on CoCM teams and creating nurse-led IBH models for underserved populations. In this paper, eight such models are discussed along with implementation challenges and the strategies used to address them. Nurse leaders have the capacity to enhance and expand integrated care, particularly for underserved populations, through the optimal utilization of care teams, expanding measured outcomes, and developing measures for team-based effectiveness. Future directions are proposed that will accelerate this PMHNP-led expansion of IBH.
PY - 2025
SN - 1661-7827 (Print); 1660-4601
ST - Engineering Integrated Care Expansion and Innovation: Drawing upon Nursing Leadership
T1 - Engineering Integrated Care Expansion and Innovation: Drawing upon Nursing Leadership
T2 - Int J Environ Res Public Health
TI - Engineering Integrated Care Expansion and Innovation: Drawing upon Nursing Leadership
U1 - Education & Workforce
U3 - 10.3390/ijerph22040598
VL - 22
VO - 1661-7827 (Print); 1660-4601
Y1 - 2025
ER -