|Source||Agency for Healthcare Research and Quality, Volume AHRQ Publication No.11-0067 (2011)|
|Year of Publication||2011|
|Authors||Miller, B. F.; R. Kessler; C. J. Peek, and G. A. Kallenberg|
|Selection||Grey literature; Healthcare policy; Healthcare policy; Grey literature|
The ongoing crisis in health care continues to be driven by the twin concerns of cost and quality. Recent healthcare policy changes promote significant system reorganization (e.g., patient centered medical homes and accountable care organizations) aimed at increasing coordination and comprehensiveness of care as a way to both contain cost and increase quality. Improvements in the coordination between mental health and primary care offer a prominent example of an area of healthcare reorganization that can contribute to both better quality and lower costs. The phenomena and practice of mental health and primary care have been linked inextricably, and a body of research highlights the benefits of integrating mental health into primary care and addresses mental health and physical health simultaneously. However, despite significant positive outcome data on integration, most research on mental health in primary care has been disease specific, using targeted interventions not always indicative of standard clinical practice. Systematic reviews on integrating mental health and primary care have concluded that despite the benefits of integration or the benefits of increased attention to mental health problems in primary care, more research is needed to understand the effects of specific strategies, levels of integration, care processes, or financial models on outcomes. Taking into account these gaps in evidence along with what is already known, this paper reports a research agenda for mental health in primary care created at the Collaborative Care Research Network Research Development Conference in Denver. This manuscript will propose two sets of research questions for the field of integrated mental health and primary care.
|Additional||More about this reference (PDF - 0.68 MB)|
|Note||This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.|