Novel Approach to Integrating Mental Health Care into a Primary Care Setting: Development, Implementation, and Outcomes

J Clin Psychol Med Settings. 2023 Mar;30(1):3-16. doi: 10.1007/s10880-022-09882-9. Epub 2022 May 11.

Abstract

It is now widely accepted that there is a growing discrepancy between demand and access to adequate treatment for behavioral or mental health conditions in the United States. This results in immense personal, societal, and economic costs. One rapidly growing method of addressing this discrepancy is to integrate mental health services into the primary care setting, which has become the de facto service provider for these conditions. In this paper, we describe the development and implementation of a novel integrated care program in a large mid-western university-based healthcare system, drawn from the collaborative care model, and describe the benefits in terms of both health care utilization and depression outcomes. Limitations and proposed future directions are discussed.

Keywords: Collaborative care; Health care utilization; Integrated primary care; Program development.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Comorbidity
  • Depression* / diagnosis
  • Depression* / psychology
  • Depression* / therapy
  • Emergency Service, Hospital
  • Female
  • Health Care Reform* / methods
  • Health Care Reform* / organization & administration
  • Health Services Accessibility
  • Health Surveys
  • Humans
  • Male
  • Mental Health Services* / organization & administration
  • Midwestern United States
  • Outpatients
  • Patient Acceptance of Health Care
  • Primary Health Care* / methods
  • Primary Health Care* / organization & administration
  • Treatment Outcome