Literature Collection

7281

Mental Health Integration in Geriatric Patient-Aligned Care Teams in the Department of Veterans Affairs

Type: Journal Article

Authors: J. Moye, G. Harris, E. Kube, B. Hicken, O. Adjognon, K. Shay, J. L. Sullivan

Year: 2019

Publication Place: England

Abstract: OBJECTIVES: To inform geriatric mental health policy by describing the role of behavioral healthcare providers within a geriatric patient-aligned care team (GeriPACT), a patient-centered medical home model of care within the Veterans Health Administration (VHA), serving older veterans with chronic disease, functional dependency, cognitive decline, and psychosocial challenges, and/or those who have elder abuse, risk of long-term care placement, or impending disability. METHODS: The authors used mixed methods, consisting of a national survey and site visits between July 2016 and February 2017, at VHA outpatient clinics. The participants, 101 GeriPACTs at 44 sites, completed surveys, and 24 medical providers were interviewed. A standardized survey and semi-structured interview guide were developed based on the program handbook, with input from experts in the VHA Office of Geriatrics and Extended Care Services, guided by the Consolidated Framework for Implementation Science Research. RESULTS: Of surveyed GeriPACTs, 42.6% had a mental health provider on the team-a psychiatrist (28.7%) and/or psychologist (23.8%). Of these, the mean was 0.27 full-time equivalent psychiatrists and 0.44 full-time equivalent psychologists per team (suggested panel=800 patients). In surveys, teams with behavioral health providers were more likely to manage psychosocial chi(2)=8.87, cognitive chi(2)=8.68, and depressive chi(2)=11.85 conditions in their panel than those without behavioral health providers. CONCLUSION: GeriPACT mental health integration is less than 50%. Population differences between general primary care and geriatric primary care may require different care approaches and provider competencies and need further study.

Topic(s):

,

Reference Links:

Export Citation: RIS

View details

7282

Mental health integration in primary health services after the earthquake in Nepal: A mixed-methods program evaluation

Type: Journal Article

Authors: A. Leichner, A. Akhtar, Nic A Bhaird, R. Wener, S. M. Perera, I. Weissbecker

Year: 2021

Topic(s):

,

Reference Links:

Export Citation: RIS

View details

7283

Mental health integration with primary care: Unique opportunities and responses in the face of a global pandemic

Type: Journal Article

Authors: Janet Chen, John T. Walkup

Year: 2021

Topic(s):

, ,

Reference Links:

Export Citation: RIS

View details

7284

Mental health integration: normalizing team care

Type: Journal Article

Authors: B. Reiss-Brennan

Year: 2014

Publication Place: United States

Abstract: This article examines the impact of integrating mental health into primary health care. Mental Health Integration (MHI) within Intermountain Healthcare has changed the culture of primary health care by standardizing a team-based care process that includes mental health as a normal part of the routine medical encounter. Using a quantitative statistical analysis of qualitative reports (mixed methods study), the study reports on health outcomes associated with MHI for patients and staff. Researchers interviewed 59 patients and 50 staff to evaluate the impact of MHI on depression care. Patients receiving MHI reported an improved relationship with caregivers (P < .001) and improved overall functioning in their lives (P < .01). Staff providing care in MHI reported that patients experienced improved access to mental health care, improved overall patient productivity in daily functions (P < .01), and access to team care (P < .001). As MHI became routine, patients discussed complementary team interventions more frequently (P < .0001). Mental health problems rank second in chronic disease today. MHI offers promising results for improving the quality and cost of effective treatment for chronic disease. This research provides guidelines for organizing mental health care, staff productivity, and patient satisfaction, using a team approach to improve outcomes.

Topic(s):

Reference Links:

Export Citation: RIS

View details

7285

Mental health integration: Rethinking practitioner roles in the treatment of depression: The specialist, primary care physicians, and the practice nurse

Type: Journal Article

Authors: B. Reiss-Brennan, P. Briot, W. Cannon, B. James

Year: 2006

Publication Place: United States

Abstract: Although primary care provides the majority of mental health care, lack of time and documented economic benefit make it difficult for healthcare delivery systems to proactively implement effective treatment strategies for the growing disability of depression. Current care delivery models are inadequate and inefficient, leading to provider and consumer exhaustion, as well as significant gaps in care and poor outcomes. This publication describes a quality improvement pilot demonstration called "mental health integration" (MHI) that has been successful in realigning resources, enhancing clinical decision making, measuring the impact and building a business case to determine what actually is the value added for quality. Mental health integration (MHI) promotes the rethinking and retraining of traditional solo practitioner roles to new practitioner roles that facilitate partnership and effective communication as a means to help patients and families achieve a state of successful performance. Results describe the improvements in depression detection at a neutral or lower cost to the health plan. Recommendations are identified for building the business case for MHI quality in order to sustain improved outcomes and promote diffusion of the model outside of Intermountain Health Care (IHC) setting.

Topic(s):

,

Reference Links:

Export Citation: RIS

View details

7286

Mental health issues in primary care: implementing policies in practice

Type: Journal Article

Authors: T. J. Currid, A. Turner, N. Bellefontaine, M. M. Spada

Year: 2012

Publication Place: England

Abstract: Recent health policies highlight the important role that mental health contributes to our general wellbeing, and call for parity of esteem between physical and mental health. The bidirectional relationship between physical and mental health culminates in high prevalence rates of mental disorders in primary care settings. Despite these prevalence findings being known for some time, evidence would suggest that at times mental disorders are being overlooked. This article, set in context to policy, patient prevalence, practice and professional development, outlines a range of factors that can impede mental health delivery and proposes ways in which primary care nurses can strengthen their activity and involvement at various levels.

Topic(s):

Reference Links:

Export Citation: RIS

View details

7287

Mental Health Leadership Perspectives on the Value of a National Virtual Contingency Staffing Program in the Veterans Health Administration

Type: Journal Article

Authors: M. McGowan, D. Rose, A. Bonilla, N. Chawla, S. Stockdale

Year: 2026

Abstract:

Temporary mental health (MH) staffing gaps are common and may compound access challenges due to increasing demand for MH care combined with a shrinking MH workforce. In 2019, the Veterans Health Administration (VA) implemented a system of 18 regionally based Clinical Resource Hubs (CRHs) staffed with remote providers delivering virtual MH care. While the program demonstrated promise during early implementation for effectively addressing some access challenges, its sustainment may depend partly on leaders' perceptions of its ability to meet and adapt to access-related priorities. Our aim was to explore and describe how VA regional MH leadership identified and weighed values of the CRH during early implementation, and how it might have functioned beyond filling temporary staffing gaps. We conducted semi-structured interviews with CRH MH leaders (n = 36) across all 18 VA administrative regions. We analyzed data using a rapid qualitative approach that included templated summaries and matrix analysis. Three key perceived values of the CRH were identified: (1) its potential to offer a more integrated care experience than community (VA-purchased) care in some cases, (2) its ability to provide specialized MH services (e.g., suicide prevention) to rural areas and, (3) its capacity to improve MH provider recruitment and satisfaction. Virtual care delivered through the CRH can be a flexible option for maintaining access to MH services during staffing shortages. MH leaders' perspectives suggest the CRH program is not only a contingency staffing solution to access problems, but provides additional values that could be leveraged to improve MH care services more generally.

Topic(s):

,

Reference Links:

Export Citation: RIS

View details

7288

Mental health measurement among women veterans receiving co-located, collaborative care services

Type: Journal Article

Authors: K. R. Lilienthal, L. J. Buchholz, P. R. King, C. L. Vair, J. S. Funderburk, G. P. Beehler

Year: 2017

Publication Place: England

Abstract: Routine use of measurement to identify patient concerns and track treatment progress is critical to high quality patient care. This is particularly relevant to the Primary Care Behavioral Health model, where rapid symptom assessment and effective referral management are critical to sustaining population-based care. However, research suggests that women who receive treatment in co-located collaborative care settings utilizing the PCBH model are less likely to be assessed with standard measures than men in these settings. The current study utilized regional retrospective data obtained from the Veterans Health Administration's electronic medical record system to: (1) explore rates of mental health measurement for women receiving co-located collaborative care services (N = 1008); and (2) to identify predictors of mental health measurement in women veterans in these settings. Overall, only 8% of women had documentation of standard mental health measures. Measurement was predicted by diagnosis, facility size, length of care episode and care setting. Specifically, women diagnosed with depression were less likely than those with anxiety disorders to have standard mental health measurement documented. Several suggestions are offered to increase the quality of mental health care for women through regular use of measurement in integrated care settings.

Topic(s):

,

Reference Links:

Export Citation: RIS

View details

7289

Mental health mobile app use: Considerations for serving underserved patients in integrated primary care settings

Type: Journal Article

Authors: M. R. Emerson, Harsh Caspari, M. Notice, S. Watanabe-Galloway, D. Dinkel, J. Kabayundo

Year: 2021

Topic(s):

,

Reference Links:

Export Citation: RIS

View details

7290

Mental Health Month Action Guide 2025

Type: Report

Authors: Mental Health America

Year: 2025

Publication Place: Alexandria, VA

Topic(s):

Disclaimer:

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.

Access Resource

Reference Links: Access Resource

Export Citation: RIS

View details

7291

Mental Health Needs in the U.S. Compared to Nine Other Countries

Type: Report

Authors: Munira Z. Gunja, Evan D. Gumas, Reginald D. Williams II

Year: 2024

Publication Place: New York, NY

Topic(s):

,

Disclaimer:

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.

Access Resource

Reference Links: Access Resource

Export Citation: RIS

View details

7292

Mental Health Nurse Incentive Program: facilitating physical health care for people with mental illness?

Type: Journal Article

Authors: B. Happell, C. Platania-Phung, D. Scott

Year: 2013

Publication Place: Australia

Topic(s):

Reference Links:

Export Citation: RIS

View details

7293

Mental health nurses in primary care: Qualitative outcomes of the Mental Health Nurse Incentive Program

Type: Journal Article

Authors: R. Lakeman

Year: 2013

Topic(s):

Reference Links:

Export Citation: RIS

View details

7294

Mental health nurses in primary care: quantitative outcomes of the Mental Health Nurse Incentive Program

Type: Journal Article

Authors: R. Lakeman, J. Bradbury

Year: 2014

Publication Place: England

Topic(s):

,

Reference Links:

Export Citation: RIS

View details

7295

Mental health nurses supporting the routine assessment of anxiety of older people in primary care settings: Insights from an australian study

Type: Journal Article

Authors: Danny Hills, Sharon Hills, Tracy Robinson, Catherine Hungerford

Year: 2019

Topic(s):

, ,

Reference Links:

Export Citation: RIS

View details

7296

Mental health nurses working in primary care: Perceptions of general practitioners

Type: Journal Article

Authors: T. Meehan, S. Robertson

Year: 2012

Topic(s):

Reference Links:

Export Citation: RIS

View details

7297

Mental health of transgender youth in care at an adolescent urban community health center: A matched retrospective cohort study

Type: Journal Article

Authors: S. L. Reisner, R. Vetters, M. Leclerc, S. Zaslow, S. Wolfrum, D. Shumer, M. J. Mimiaga

Year: 2015

Publication Place: United States

Topic(s):

Reference Links:

Export Citation: RIS

View details

7298

Mental health policy and future developments

Type: Book Chapter

Authors: Peter Spurgeon, Steve Field

Year: 2002

Publication Place: Cheltenham, United Kingdom

Topic(s):

,

Disclaimer:

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.

Export Citation: RIS

View details

7299

Mental health problems of undocumented migrants (UMs) in The Netherlands: a qualitative exploration of help-seeking behaviour and experiences with primary care

Type: Journal Article

Authors: E. Teunissen, J. Sherally, M. van den Muijsenbergh, C. Dowrick, E. van Weel-Baumgarten, C. van Weel

Year: 2014

Publication Place: England

Abstract: OBJECTIVE: To explore health-seeking behaviour and experiences of undocumented migrants (UMs) in general practice in relation to mental health problems. DESIGN: Qualitative study using semistructured interviews and thematic analysis. PARTICIPANTS: 15 UMs in The Netherlands, varying in age, gender, country of origin and education; inclusion until theoretical saturation was reached. SETTING: 4 cities in The Netherlands. RESULTS: UMs consider mental health problems to be directly related to their precarious living conditions. For support, they refer to friends and religion first, the general practitioner (GP) is their last resort. Barriers for seeking help include taboo on mental health problems, lack of knowledge of and trust in GPs competencies regarding mental health and general barriers in accessing healthcare as an UM (lack of knowledge of the right to access healthcare, fear of prosecution, financial constraints and practical difficulties). Once access has been gained, satisfaction with care is high. This is primarily due to the attitude of the GPs and the effectiveness of the treatment. Reasons for dissatisfaction with GP care are an experienced lack of time, lack of personal attention and absence of physical examination. Expectations of the GP vary, medication for mental health problems is not necessarily seen as a good practice. CONCLUSIONS: UMs often see their precarious living conditions as an important determinant of their mental health; they do not easily seek help for mental health problems and various barriers hamper access to healthcare for them. Rather than for medication, UMs are looking for encouragement and support from their GP. We recommend that barriers experienced in seeking professional care are tackled at an institutional level as well as at the level of GP.

Topic(s):

Reference Links:

Export Citation: RIS

View details

7300

Mental Health Provider Knowledge and Attitudes Toward Diagnosing Anxiety Disorders in the Veterans Health Administration

Type: Journal Article

Authors: M. Plasencia, P. V. Chen, N. E. Hundt, M. E. Kunik, T. D. Giardina, I. C. Christie, S. Sansgiry, T. L. Fletcher

Year: 2025

Topic(s):

Reference Links:

Export Citation: RIS

View details