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Mental health integration: rethinking practitioner roles in the treatment of depression: the specialist, primary care physicians, and the practice nurse.
Ethn Dis. 2006 Spring; 16(2 Suppl 3):S3-37-43.ED

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.

Authors+Show Affiliations

Reiss-Brennan B
Mental Health Integration Leader; Intermountain Health Care, Physician Division, 36 South State Street, Suite 2100, Salt Lake City, UT 84111, USA. cobreiss@ihc.com
Briot P
No affiliation info available
Cannon W
No affiliation info available
James B
No affiliation info available

MeSH

Delivery of Health Care, IntegratedDepressionDiffusion of InnovationHealth Care ReformHumansMental Health ServicesNurse PractitionersPrimary Health CareProfessional RoleQuality of Health CareSpecializationUnited States

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16774022

Citation

Reiss-Brennan, Brenda, et al. "Mental Health Integration: Rethinking Practitioner Roles in the Treatment of Depression: the Specialist, Primary Care Physicians, and the Practice Nurse." Ethnicity & Disease, vol. 16, no. 2 Suppl 3, 2006, pp. S3-37-43.
Reiss-Brennan B, Briot P, Cannon W, et al. Mental health integration: rethinking practitioner roles in the treatment of depression: the specialist, primary care physicians, and the practice nurse. Ethn Dis. 2006;16(2 Suppl 3):S3-37-43.
Reiss-Brennan, B., Briot, P., Cannon, W., & James, B. (2006). Mental health integration: rethinking practitioner roles in the treatment of depression: the specialist, primary care physicians, and the practice nurse. Ethnicity & Disease, 16(2 Suppl 3), S3-37-43.
Reiss-Brennan B, et al. Mental Health Integration: Rethinking Practitioner Roles in the Treatment of Depression: the Specialist, Primary Care Physicians, and the Practice Nurse. Ethn Dis. 2006;16(2 Suppl 3):S3-37-43. PubMed PMID: 16774022.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mental health integration: rethinking practitioner roles in the treatment of depression: the specialist, primary care physicians, and the practice nurse. AU - Reiss-Brennan,Brenda, AU - Briot,Pascal, AU - Cannon,Wayne, AU - James,Brent, PY - 2006/6/16/pubmed PY - 2006/11/11/medline PY - 2006/6/16/entrez SP - S3-37-43 JF - Ethnicity & disease JO - Ethn Dis VL - 16 IS - 2 Suppl 3 N2 - 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. SN - 1049-510X UR - https://www.unboundmedicine.com/medline/citation/16774022/Mental_health_integration:_rethinking_practitioner_roles_in_the_treatment_of_depression:_the_specialist_primary_care_physicians_and_the_practice_nurse_ DB - PRIME DP - Unbound Medicine ER -