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Cited by 76Psychiatric care and mental health servicesMental Health Treatment and AccessInterprofessional Education and Collaboration

The Challenge of Integrated Care for Mental Health: Leaving the 50 minute hour and Other Sacred Things

Pomerantz, Andrew S., Corson, John A., Detzer, Mark J.·2009·Journal of Clinical Psychology in Medical Settings
DOI 10.1007/s10880-009-9147-x
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Abstract

A growing body of research has demonstrated the effectiveness of integrating mental/behavioral healthcare with primary care in improving health outcomes. Despite this rich literature, such demonstration programs have proven difficult to maintain once research funding ends. Much of the discussion regarding maintenance of integrated care has been focused on lack of reimbursement. However, provider factors may be just as important, because integrated care systems require providers to adopt a very different role and operate very differently from traditional mental health practice. There is also great variability in definition and operationalization of integrated care. Provider concerns tend to focus on several factors, including a perceived loss of autonomy, discomfort with the hierarchical nature of medical care and primary care settings, and enduring beliefs about what constitutes "good" treatment. Providers may view integrated care models as delivering substandard care and passively or actively resist them. Dissemination of available data regarding effectiveness of these models is essential (e.g. timeliness of treatment, client satisfaction). Increasing exposure and training in these models, while maintaining the necessary training in traditional mental health care is a challenge for training at all levels, yet the challenge clearly opens new opportunities for psychology and psychiatry.

Integrity signals

Registry

Crossref · 10.1007/s10880-009-9147-x

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  • The results of the present scoping review are in line with publications on the challenges faced in implementation of integrated care.

    “The results of the present scoping review are in line with publications on the challenges faced in the implementation of integrated care.”

    From Barriers and facilitators in the integration of oral health into primary care: a scoping review (2017) · cites this paper as [80]

  • Common barriers such as absence of healthcare policies and supporting strategies, inadequate interdisciplinary training and workload increase seem to depend on both contextual and individual factors rather than discipline itself.

    “Common barriers such as the absence of healthcare policies and supporting strategies, inadequate interdisciplinary training and workload increase seem to depend on both contextual and individual factors rather than the discipline itself.”

    From Barriers and facilitators in the integration of oral health into primary care: a scoping review (2017) · cites this paper as [80]

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Authors
Pomerantz, A. S., Corson, J. A., & Detzer, M. J.
Affiliations
  • White River Junction VA Medical Center (US)
  • Dartmouth College (US)
Corresponding author
Pomerantz, Andrew S.
Venue
Journal of Clinical Psychology in Medical Settings
Publisher
Springer Science and Business Media LLC
Published
2009-01-31
Volume
16
Issue
1
Pages
40-46
ISSN
  • 1068-9583 (ISSN-L)
  • 1573-3572
DOI
10.1007/s10880-009-9147-x
OpenAlex
W2006635278
Cited by
76
References
51
Citations by year
2024: 2 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 19 · 2019: 2 · 2018: 4 · 2017: 4 · 2015: 8 · 2014: 6 · 2013: 7 · 2012: 4
FWCI
4.59
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Journal of Clinical Psychology in Medical Settings (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
Keywords
integrated care, mental health, primary care, provider autonomy, reimbursement, treatment effectiveness, evidence dissemination, mental health training
MeSH terms
Behavioral Medicine, Health Services Needs and Demand, Humans, Medicine, Mental Health Services, Reimbursement Mechanisms, Specialization, United States, Outcome Assessment, Health Care, Delivery of Health Care, Integrated

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