Mental Health Integration: Normalizing Team Care
Open accessAbstract
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.
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Effective team-based care and higher quality teamwork are associated with improvements in care access and quality, patient safety, patient satisfaction, clinical outcomes, and costs.
“Effective team-based care and higher quality teamwork are associated with improvements in care access and quality, patient safety, patient satisfaction, clinical outcomes, and costs [2, 4–9].”
From Teamwork and implementation of innovations in healthcare and human service settings: a systematic review (2024) · cites this paper as [8]
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- Authors
- Reiss-Brennan, B.
- Affiliations
- Intermountain Healthcare (US)
- Corresponding author
- Reiss-Brennan, Brenda
- Venue
- Journal of Primary Care & Community Health
- Publisher
- SAGE Publications
- Published
- 2013-11-07
- Volume
- 5
- Issue
- 1
- Pages
- 55-60
- ISSN
- 2150-1319 (ISSN-L)
- 2150-1327
- OpenAlex
- W2100970062
- Cited by
- 33
- References
- 11
- Citations by year
- 2026: 1 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 5 · 2017: 3 · 2016: 3 · 2015: 4 · 2014: 4
- FWCI
- 5.49
- Type
- journal article
- Language
- en
- Open access
- green
- doaj.org
- Locations
- Journal of Primary Care & Community Health (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- mental health integration, primary care, depression care, team-based care, Intermountain Healthcare, caregiver-patient relationship, access to mental health care, labor productivity, patient satisfaction, chronic disease, health outcomes
- MeSH terms
- Activities of Daily Living, Adult, Attitude of Health Personnel, Depressive Disorder, Health Services Accessibility, Humans, Interpersonal Relations, Male, Mental Health Services, Patient Care Team, Primary Health Care, Professional-Patient Relations, Utah, Patient Satisfaction, Delivery of Health Care, Integrated
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