Tags

Type your tag names separated by a space and hit enter

St. Louis Initiative for Integrated Care Excellence (SLI(2)CE): integrated-collaborative care on a large scale model.
Fam Syst Health. 2010 Jun; 28(2):175-87.FS

Abstract

The primary care health setting is in crisis. Increasing demand for services, with dwindling numbers of providers, has resulted in decreased access and decreased satisfaction for both patients and providers. Moreover, the overwhelming majority of primary care visits are for behavioral and mental health concerns rather than issues of a purely medical etiology. Integrated-collaborative models of health care delivery offer possible solutions to this crisis. The purpose of this article is to review the existing data available after 2 years of the St. Louis Initiative for Integrated Care Excellence; an example of integrated-collaborative care on a large scale model within a regional Veterans Affairs Health Care System. There is clear evidence that the SLI(2)CE initiative rather dramatically increased access to health care, and modified primary care practitioners' willingness to address mental health issues within the primary care setting. In addition, data suggests strong fidelity to a model of integrated-collaborative care which has been successful in the past. Integrated-collaborative care offers unique advantages to the traditional view and practice of medical care. Through careful implementation and practice, success is possible on a large scale model.

Links

Publisher Full Text
Aggregator Full Text

Authors+Show Affiliations

Brawer PA
Department of Mental Health, St. Louis VA Medical Center, St Louis, MO, USA. peter.brawer@va.gov
Martielli R
No affiliation info available
Pye PL
No affiliation info available
Manwaring J
No affiliation info available
Tierney A
No affiliation info available

MeSH

Cooperative BehaviorDelivery of Health Care, IntegratedHumansInservice TrainingMental DisordersMental Health ServicesMissouriPrimary Health CareSex FactorsSocioeconomic FactorsUnited StatesUnited States Department of Veterans Affairs

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20695674

Citation

Brawer, Peter A., et al. "St. Louis Initiative for Integrated Care Excellence (SLI(2)CE): Integrated-collaborative Care On a Large Scale Model." Families, Systems & Health : the Journal of Collaborative Family Healthcare, vol. 28, no. 2, 2010, pp. 175-87.
Brawer PA, Martielli R, Pye PL, et al. St. Louis Initiative for Integrated Care Excellence (SLI(2)CE): integrated-collaborative care on a large scale model. Fam Syst Health. 2010;28(2):175-87.
Brawer, P. A., Martielli, R., Pye, P. L., Manwaring, J., & Tierney, A. (2010). St. Louis Initiative for Integrated Care Excellence (SLI(2)CE): integrated-collaborative care on a large scale model. Families, Systems & Health : the Journal of Collaborative Family Healthcare, 28(2), 175-87. https://doi.org/10.1037/a0020342
Brawer PA, et al. St. Louis Initiative for Integrated Care Excellence (SLI(2)CE): Integrated-collaborative Care On a Large Scale Model. Fam Syst Health. 2010;28(2):175-87. PubMed PMID: 20695674.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - St. Louis Initiative for Integrated Care Excellence (SLI(2)CE): integrated-collaborative care on a large scale model. AU - Brawer,Peter A, AU - Martielli,Richard, AU - Pye,Patrice L, AU - Manwaring,Jamie, AU - Tierney,Anna, PY - 2010/8/11/entrez PY - 2010/8/11/pubmed PY - 2010/10/13/medline SP - 175 EP - 87 JF - Families, systems & health : the journal of collaborative family healthcare JO - Fam Syst Health VL - 28 IS - 2 N2 - The primary care health setting is in crisis. Increasing demand for services, with dwindling numbers of providers, has resulted in decreased access and decreased satisfaction for both patients and providers. Moreover, the overwhelming majority of primary care visits are for behavioral and mental health concerns rather than issues of a purely medical etiology. Integrated-collaborative models of health care delivery offer possible solutions to this crisis. The purpose of this article is to review the existing data available after 2 years of the St. Louis Initiative for Integrated Care Excellence; an example of integrated-collaborative care on a large scale model within a regional Veterans Affairs Health Care System. There is clear evidence that the SLI(2)CE initiative rather dramatically increased access to health care, and modified primary care practitioners' willingness to address mental health issues within the primary care setting. In addition, data suggests strong fidelity to a model of integrated-collaborative care which has been successful in the past. Integrated-collaborative care offers unique advantages to the traditional view and practice of medical care. Through careful implementation and practice, success is possible on a large scale model. SN - 1091-7527 UR - https://www.unboundmedicine.com/medline/citation/20695674/St__Louis_Initiative_for_Integrated_Care_Excellence__SLI_2_CE_:_integrated_collaborative_care_on_a_large_scale_model_ L2 - http://content.apa.org/journals/fsh/28/2/175 DB - PRIME DP - Unbound Medicine ER -