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Integrating psychiatry and primary care improves acceptability to mental health services among Chinese Americans.
Gen Hosp Psychiatry. 2004 Jul-Aug; 26(4):256-60.GH

Abstract

The objective of this study was to investigate whether integrating psychiatry and primary healthcare improves referral to and treatment acceptability of mental health services among Chinese Americans. The "Bridge Project," a program to enhance collaboration between primary care and mental health services for low-income Chinese immigrants was implemented at South Cove Community Health Center in Boston. The project consisted of conducting training seminars to primary care physicians to enhance recognition of common mental disorders, using a primary care nurse as the "bridge" to facilitate referrals to the Behavioral Health Department of the same facility, and co-locating a psychiatrist in the primary care clinic to provide onsite evaluation and treatment. The rate of mental health service referrals and successful treatment engagement before and during the project were compared. During the 12-month period of the Bridge Project, primary care physicians referred 64 (1.05% of all clinic patients) patients to mental health services, a 60% increase (chi(2)=4.97, P<.05) in the percentage of clinic patients referred in the previous 12 months. Eighty-eight percent of patients referred during the project showed up for psychiatric evaluation, compared to 53% (chi(2)=15.3, P<.001) in the previous 12 months. Integrating psychiatry and primary care is effective in improving access to mental health services and in increasing treatment engagement among low-income immigrant Chinese Americans.

Authors+Show Affiliations

Yeung A
Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA. ayeung@partners.org
Kung WW
No affiliation info available
Chung H
No affiliation info available
Rubenstein G
No affiliation info available
Roffi P
No affiliation info available
Mischoulon D
No affiliation info available
Fava M
No affiliation info available

MeSH

ChinaDelivery of Health Care, IntegratedEmigration and ImmigrationFemaleHealth PersonnelHumansMaleMental DisordersMental Health ServicesMiddle AgedPatient Acceptance of Health CarePrimary Health CarePsychiatryReferral and ConsultationSocioeconomic FactorsUnited States

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15234819

Citation

Yeung, Albert, et al. "Integrating Psychiatry and Primary Care Improves Acceptability to Mental Health Services Among Chinese Americans." General Hospital Psychiatry, vol. 26, no. 4, 2004, pp. 256-60.
Yeung A, Kung WW, Chung H, et al. Integrating psychiatry and primary care improves acceptability to mental health services among Chinese Americans. Gen Hosp Psychiatry. 2004;26(4):256-60.
Yeung, A., Kung, W. W., Chung, H., Rubenstein, G., Roffi, P., Mischoulon, D., & Fava, M. (2004). Integrating psychiatry and primary care improves acceptability to mental health services among Chinese Americans. General Hospital Psychiatry, 26(4), 256-60.
Yeung A, et al. Integrating Psychiatry and Primary Care Improves Acceptability to Mental Health Services Among Chinese Americans. Gen Hosp Psychiatry. 2004 Jul-Aug;26(4):256-60. PubMed PMID: 15234819.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Integrating psychiatry and primary care improves acceptability to mental health services among Chinese Americans. AU - Yeung,Albert, AU - Kung,Winnie W, AU - Chung,Henry, AU - Rubenstein,Grace, AU - Roffi,Pamela, AU - Mischoulon,David, AU - Fava,Maurizio, PY - 2003/10/09/received PY - 2004/03/15/accepted PY - 2004/7/6/pubmed PY - 2004/10/30/medline PY - 2004/7/6/entrez SP - 256 EP - 60 JF - General hospital psychiatry JO - Gen Hosp Psychiatry VL - 26 IS - 4 N2 - The objective of this study was to investigate whether integrating psychiatry and primary healthcare improves referral to and treatment acceptability of mental health services among Chinese Americans. The "Bridge Project," a program to enhance collaboration between primary care and mental health services for low-income Chinese immigrants was implemented at South Cove Community Health Center in Boston. The project consisted of conducting training seminars to primary care physicians to enhance recognition of common mental disorders, using a primary care nurse as the "bridge" to facilitate referrals to the Behavioral Health Department of the same facility, and co-locating a psychiatrist in the primary care clinic to provide onsite evaluation and treatment. The rate of mental health service referrals and successful treatment engagement before and during the project were compared. During the 12-month period of the Bridge Project, primary care physicians referred 64 (1.05% of all clinic patients) patients to mental health services, a 60% increase (chi(2)=4.97, P<.05) in the percentage of clinic patients referred in the previous 12 months. Eighty-eight percent of patients referred during the project showed up for psychiatric evaluation, compared to 53% (chi(2)=15.3, P<.001) in the previous 12 months. Integrating psychiatry and primary care is effective in improving access to mental health services and in increasing treatment engagement among low-income immigrant Chinese Americans. SN - 0163-8343 UR - https://www.unboundmedicine.com/medline/citation/15234819/Integrating_psychiatry_and_primary_care_improves_acceptability_to_mental_health_services_among_Chinese_Americans_ DB - PRIME DP - Unbound Medicine ER -