1) The I-CARE Physical Health Integration Pilot aims to improve both the mental and physical health outcomes of patients by integrating mental health care into primary care settings. This is done through a collaborative care model involving physicians, nurses, behavioral health specialists, and peer support specialists.
2) Qualitative interviews and focus groups with patients, staff, and physicians found mixed reactions to being transferred to integrated care initially but most grew to prefer it. Perceived benefits included convenience, lower costs, and increased availability of services and peer support.
3) The study evaluates how integrated care affects outcomes, satisfaction, access, stigma, and health literacy. Preliminary results found patients had a better understanding of physical health issues and staff
Quality is
degree to which health services for individuals and populations increase the likelihood of desired health outcomes (quality principles),are consistent with current professional knowledge (professional competency),and meet the expectations of healthcare users (the marketplace)
Self management is a recent concept in pulmonary rehabilitation. this concept uses patient's ability to manage their self with no direct interaction with their healthcare provider.
The organization provides care and services that achieve effective outcomes and ensures that the correct consumer /patient receives the correct procedure
Quality is
degree to which health services for individuals and populations increase the likelihood of desired health outcomes (quality principles),are consistent with current professional knowledge (professional competency),and meet the expectations of healthcare users (the marketplace)
Self management is a recent concept in pulmonary rehabilitation. this concept uses patient's ability to manage their self with no direct interaction with their healthcare provider.
The organization provides care and services that achieve effective outcomes and ensures that the correct consumer /patient receives the correct procedure
The Healthcare Team as the Healthcare Provider: A Different View of the Patie...guesta14581
Presentation to the Ohio State Society of Medical Assistant's annual convention about the Patient Centered Medical Home and the role of the medical assistant
Asian Integrated Medical Sdn Bhd (AIM) aims to offer integrative medicine, conventional plus complementary and alternative medicine – a holistic medicine approach designed to meet your health goals.
Creating an optimal healing environment through salutogenesis for yoga therapyK Raman Sethuraman
Optimal Healing Environment (OHE) is a post modern concept that aims to promote healing through positively influencing and supporting the four domains of OHE, viz, Personal, Interpersonal, Behavioral and External domains. Sense of coherence approach to wellbeing (Salutogenesis) fits in well with interpersonal and behavioral domains of OHE. Yoga therapy uses holistic approach to mind-body healing and can focus on promoting optimal healing as a complementary healthcare service to Evidence-based modern medicine in an integrative practice of holistic care.
Kozier and Erbs Fundamentals of Nursing 8th Edition Berman Test BankSeptemberParsons
Full download : https://alibabadownload.com/product/kozier-and-erbs-fundamentals-of-nursing-8th-edition-berman-test-bank/ , Kozier and Erbs Fundamentals of Nursing,Berman,8th Edition,Test Bank
Enhancing Mental Health Care Transitions: A Recovery-Based ModelAllina Health
Enhancing Mental Health Care Transitions: A Recovery-Based Model - Mental Health Care Navigators and Inpatient Psychiatry presented by Christina Schwartz, BA Psychology, MHP, Mental Health Navigator and Heather Sievers, RN, MSN, MA Counseling Psychology, PI Advisor
reflection on a conflict situation
critical thinker
critical care
decision maker
analyzing and reflecting on a conflict or any situation being an advocate of a patient how to protect the patients right of right and fair care.
The keynote address was delivered at the NYSAVSA Annual Conference on June 7, 2012 in Geneva, NY. The purpose of the address was 3-fold: (1) Outline what patient- and family-centered care is, its core components, and benefits; (2)Highlight some best practice volunteer programs aligned with the PFCC philosophy; (3) Provide conference participants with an assessment grid to evaluate their volunteer programming based on two PFCC standards and walk away from the presentation with concrete strategic next steps to enhance and strengthen their volunteer programming based on the PFCC model and philosophy.
The Healthcare Team as the Healthcare Provider: A Different View of the Patie...guesta14581
Presentation to the Ohio State Society of Medical Assistant's annual convention about the Patient Centered Medical Home and the role of the medical assistant
Asian Integrated Medical Sdn Bhd (AIM) aims to offer integrative medicine, conventional plus complementary and alternative medicine – a holistic medicine approach designed to meet your health goals.
Creating an optimal healing environment through salutogenesis for yoga therapyK Raman Sethuraman
Optimal Healing Environment (OHE) is a post modern concept that aims to promote healing through positively influencing and supporting the four domains of OHE, viz, Personal, Interpersonal, Behavioral and External domains. Sense of coherence approach to wellbeing (Salutogenesis) fits in well with interpersonal and behavioral domains of OHE. Yoga therapy uses holistic approach to mind-body healing and can focus on promoting optimal healing as a complementary healthcare service to Evidence-based modern medicine in an integrative practice of holistic care.
Kozier and Erbs Fundamentals of Nursing 8th Edition Berman Test BankSeptemberParsons
Full download : https://alibabadownload.com/product/kozier-and-erbs-fundamentals-of-nursing-8th-edition-berman-test-bank/ , Kozier and Erbs Fundamentals of Nursing,Berman,8th Edition,Test Bank
Enhancing Mental Health Care Transitions: A Recovery-Based ModelAllina Health
Enhancing Mental Health Care Transitions: A Recovery-Based Model - Mental Health Care Navigators and Inpatient Psychiatry presented by Christina Schwartz, BA Psychology, MHP, Mental Health Navigator and Heather Sievers, RN, MSN, MA Counseling Psychology, PI Advisor
reflection on a conflict situation
critical thinker
critical care
decision maker
analyzing and reflecting on a conflict or any situation being an advocate of a patient how to protect the patients right of right and fair care.
The keynote address was delivered at the NYSAVSA Annual Conference on June 7, 2012 in Geneva, NY. The purpose of the address was 3-fold: (1) Outline what patient- and family-centered care is, its core components, and benefits; (2)Highlight some best practice volunteer programs aligned with the PFCC philosophy; (3) Provide conference participants with an assessment grid to evaluate their volunteer programming based on two PFCC standards and walk away from the presentation with concrete strategic next steps to enhance and strengthen their volunteer programming based on the PFCC model and philosophy.
Your New #1 Priority: What You Need to Know About Tackling Behavioral Health ...castlightcontent
This presentation was given at a workshop for HR and benefits leaders at Castlight Health's 2015 Enterprise Healthcare Summit.
Title: Your New #1 Priority: What You Need To Know About Tackling Behavioral Health Issues
Speakers:
- Thomas Parry, Ph.D., President, Integrated Benefits Institute
- Dr. Jennifer Schneider, Chief Medical Officer, Castlight Health
The Secret to Turning Employees into Engaged Healthcare Consumers - Castlight...castlightcontent
This presentation was given at a workshop for HR and benefits leaders at Castlight Health's 2015 Enterprise Healthcare Summit.
Title:
The Secret to Turning Employees into Engaged Healthcare Consumers
Speakers:
- Scott Matthews, Vice President, User Engagement & Growth, Castlight Health
Integrating Behavioral Health into Primary Care – Thought Leaders in Populati...Epstein Becker Green
Although mental health and substance abuse (behavioral health) services have historically been segregated from traditional medical care, its impact on patients’ well-being, physical health and cost-of-care has become increasingly critical to improving clinical quality outcomes while significantly decreasing financial costs by tens of billions of dollars. Drs. Daviss and Coleman will discuss the advances in policy and practice regarding the integration of behavioral health with physical health, as well as some of the gaps in identifying, aggregating, and analyzing data critical to a more holistic and comprehensive view of the individual.
In addition, the speakers will:
* Identify the clinical, legal, social, and financial impacts of behavioral health disorders on chronic medical conditions.
* Describe the challenges involved in improving clinical and financial outcomes in patients with chronic medical conditions who also have behavioral health symptoms and/or conditions.
* Demonstrate the rewards for implementing new information technology applications and analysis for better clinical and financial outcomes for these specific populations.
Moderator
* Mark E. Lutes, Member of the Firm and Chair of Epstein Becker Green's Board of Directors
Speakers
* Charles A. Coleman, PhD, Senior Sponsor of IBM's Population Health Insights and Programs Management of IBM's Healthcare Solutions Board
* Steven R. Daviss, MD, DFAPA, Chief Medical Officer at M3 Information, LLC, a DC-based mobile mental health information technology company that developed the peer-reviewed multi-dimensional, patient-centered mental health screening tool, M3Clinician
Epstein Becker Green Webinar - Moderated by Mark E. Lutes - http://www.ebglaw.com/events/the-challenges-and-rewards-of-integrating-behavioral-health-into-primary-care-%E2%80%93-thought-leaders-in-population-health-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Primary Health Care, Objectives, Principles and Policy DirectionsHealth and Labour
Presentation by Dr.Hans Kluge e.a., director of Health Systems, WHO-Euro at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012
Improving the physical health of patients with severe mental health illness ...NHS Improving Quality
Improving the physical health of patients with severe mental health illness in primary care, by Rhiannon England, GP Clinical Lead, City and Hackney CCG
Behavioral Health Staff in Integrated Care SettingsCHC Connecticut
Webinar broadcast on Feb 27, 2019 - 3:00PM EST
Delivering behavioral health services as a part of an integrated team is crucial to providing comprehensive primary care services. Focusing on the vital role of behavioral health, experts will share the key elements that maximize the contributions of these team members through structured approaches to screening, the use of “warm hand offs” to ensure connection to primary care, and implementing a robust group of treatment programs to enhance access and improve outcomes. This session will also discuss the day-to-day operation of a behavioral health program and detail the data and clinical dashboard that supports the work of these vital team members. There has been tremendous progress from health centers across the country in the integrating behavioral health, this webinar will share how integrated behavioral health can advance the team’s capability to provide effective and high quality care to complex patient populations.
Advancing Team-Based Care: Achieving Full Integration of Behavioral Health an...CHC Connecticut
This webinar highlighted ways to fully integrate behavioral health care into primary care. The role of nurses, medical assistants, behaviorists, lay health workers, and primary care providers was discussed along with the use of clinical dashboards and warm hand-offs.
This webinar was presented May 19, 2016 3:00 p.m. Eastern Time
Running head COMPREHENSIVE ASSESSMENT PART TWO1 .docxtodd271
Running head: COMPREHENSIVE ASSESSMENT PART TWO
1
COMPREHENSIVE ASSESSMENT PART TWO 15
Comprehensive Assessment Part Two: Outcomes and Reflection
Name
Instructor
Course
Date
Comprehensive Assessment Part Two: Outcomes and Reflection
Outcome 1
In this course, I have done extensive research about several nursing and science-based theories and how these theories can be applied in solving a nursing problem. The problem that needed a solution in this course was chronic non-cancer pain. In this course, I was able to demonstrate how nursing theories can be integrated into efforts to solve chronic non-cancer pain, which happens to be an old-age problem in nursing practice. In particular, I demonstrated how the biopsychosocial model of chronic pain is applied to the management of chronic non-cancer pain. The model provided a clear framework for steps that needs to be taken to manage chronic non-cancer effectively.
Of particular importance was the application of the model in determining factors that determine the speed at which one recovers from chronic non-cancer pain. Some of the factors that I described using the model included coping strategies, distress, illness, and physical dysfunction (Kaiser et al., 2013). Given the multiple factors that determine the speed of recovery from chronic non-cancer pain, it is arguable that it is not possible to manage this problem using a single intervention. The biopsychosocial model of chronic pain came in handy in describing the “cycle of pain”, given the fact that an individual develops pain due to interaction of factors such biological, psychological, and social factors (Kaiser et al., 2013). Explaining the interaction of the aforementioned factors helped in deriving sense from the fact that people who develop chronic pain are unable to engage in social and occupational activities. It also became evident that other factors such as depression and isolation contribute immensely to the exacerbation of pain symptoms.
The Biopsychosocial model of chronic pain was also useful in my course because it helped me in researching deeply on treatment of chronic non-cancer pain. By applying the model, it was possible to gain a deeper understanding of the interaction among different factors that contribute to the exacerbation of chronic non-cancer pain symptoms. Fundamentally, the model was quite useful in understanding that pain has a negative impact on emotions of an individual when it persists. Patients start developing negative beliefs about the negative effects of chronic non-cancer pain (Kaiser et al., 2013). Basing on this information, it was possible to choose pain management approaches that only relieve the pain but also change the negative beliefs that patients develop about pain.
I will apply what I have learnt from this course to my DPI project by researching about .
This webinar will provide an overview of the evaluation study being done at the Durham Clinic, an integrated health home run by Cherry Street Health Services in Grand Rapids, Michigan. The study seeks to determine whether the delivery of health care through a multi-disciplinary team using the chronic care management model delivers better symptom management and reduced impact of the
illness on patients’ desired functioning.
Running Head: NURSING CAPSTONE 1
NURSING CAPSTONE 2
Student’s name:
Professor’s name:
Topic:
Institution:
Date:
Personal skills and knowledge gained as a result of course undertaking
New practice approaches that I have learned
There are three new nursing practices approach that I have been able to achieve in the nursing course. The first one is the use of economical staffing models and simple electronic applications as a way of educating primary care givers and patients on the conditions that they have. The second one is the use of psychological methodologies and techniques to help in patient care and nursing. As much as patients might have ailments the first battle that should be won to ensure that they are effectively treated is dealing with their mental state; if the mind battle is won, half the medical battle is already won (Townsend & Morgan, 2017). The third approach is the use of evidence based nursing. The approach combines personal clinical expertise and the most relevant and current research available when it comes to patient care.
Knowledge acquired on intra-professional collaboration
In almost all professions, the only way to better the profession is through intra-professional collaboration and nursing is not an exception of this. In my undertaking of this course, I have learned that we need other people to achieve more so people who are in the same profession as you are. There are people who are more knowledgeable than others in certain fields and having interactions and collaborations with such people can better those who are less knowledgeable. Intra-professional collaboration is important as it aids in the sharing of vital information. In my path to become a nurse, I have learnt to seek the advice of those superior to me as their advice always betters me. For example, by interacting with experienced RN I get to know of the best nursing practices that will ensure that I administer quality and meaningful patient care to my patients.
Knowledge acquired on clinical and Health care delivery system
Most hospitals and healthcare care centers have procedures or steps of carrying out medical treatments or healthcare delivery. The success of healthcare delivery is fully dependent on the procedures and the steps that the centers prescribe to. In my interactions with various health care and delivery systems throughout my course, I have learned that it is completely necessary to stick to the laid down procedures in healthcare centers as the procedures play a vital role in how healthcare is delivered. The systems are in place to guide medical procedures as well as patient care provision. I have also acquired the knowledge that clinical and health care delivery systems dictate the chain of commands in medical situations. For exa.
Running Head: NURSING CAPSTONE 1
NURSING CAPSTONE 2
Student’s name:
Professor’s name:
Topic:
Institution:
Date:
Personal skills and knowledge gained as a result of course undertaking
New practice approaches that I have learned
There are three new nursing practices approach that I have been able to achieve in the nursing course. The first one is the use of economical staffing models and simple electronic applications as a way of educating primary care givers and patients on the conditions that they have. The second one is the use of psychological methodologies and techniques to help in patient care and nursing. As much as patients might have ailments the first battle that should be won to ensure that they are effectively treated is dealing with their mental state; if the mind battle is won, half the medical battle is already won (Townsend & Morgan, 2017). The third approach is the use of evidence based nursing. The approach combines personal clinical expertise and the most relevant and current research available when it comes to patient care.
Knowledge acquired on intra-professional collaboration
In almost all professions, the only way to better the profession is through intra-professional collaboration and nursing is not an exception of this. In my undertaking of this course, I have learned that we need other people to achieve more so people who are in the same profession as you are. There are people who are more knowledgeable than others in certain fields and having interactions and collaborations with such people can better those who are less knowledgeable. Intra-professional collaboration is important as it aids in the sharing of vital information. In my path to become a nurse, I have learnt to seek the advice of those superior to me as their advice always betters me. For example, by interacting with experienced RN I get to know of the best nursing practices that will ensure that I administer quality and meaningful patient care to my patients.
Knowledge acquired on clinical and Health care delivery system
Most hospitals and healthcare care centers have procedures or steps of carrying out medical treatments or healthcare delivery. The success of healthcare delivery is fully dependent on the procedures and the steps that the centers prescribe to. In my interactions with various health care and delivery systems throughout my course, I have learned that it is completely necessary to stick to the laid down procedures in healthcare centers as the procedures play a vital role in how healthcare is delivered. The systems are in place to guide medical procedures as well as patient care provision. I have also acquired the knowledge that clinical and health care delivery systems dictate the chain of commands in medical situations. For exa.
71719, 1124 PMEvidence–Based Health Evaluation and Applicat.docxblondellchancy
7/17/19, 11'24 PMEvidence–Based Health Evaluation and Application Transcript
Page 1 of 3http://media.capella.edu/CourseMedia/MSN6011/evidenceBasedHealthEvaluation/transcript.html
Evidence–Based Health Evaluation and Application
Introduction
Public health improvement initiatives (PHII) provide invaluable data for patient–centered care, but their research is often conducted in a context
different from the needs of any individual patient. Providers must make a conscious effort to apply their findings to specific patients' care.
In this activity, you will learn about a PHII, and explore its application to a particular patient's care plan.
Overview
You continue in your role as a nurse at the Uptown Wellness Clinic. You receive an email from the charge nurse, Janie Poole. Click the button to read
it.
Good morning!
At last week's conference I spoke with Alicia Balewa, Director of Safe Headspace. They're a relatively new nonprofit working on improving outcomes
for TBI patients, and I immediately thought of Mr. Nowak. At his last biannual cholesterol screening he mentioned having trouble with his balance. This
may be related to his hypertension, but he believes it's related to the time he was hospitalized many years ago after falling out of a tree, and
expressed distress that this might be the beginning of a rapid decline.
Ms. Balewa will be on premises next week, and I'd like to set aside some time for you to talk.
— Janie
Alicia Balewa
Director of Safe Headspace
Overview
Interview Alicia Balewa to find out more about a public health improvement initiative that might apply to Mr. Nowak's care.
Interview:
I have a patient who might benefit from some of the interventions for TBI and PTSD
you recently studied. What populations did your public health improvement initiative
study?
7/17/19, 11'24 PMEvidence–Based Health Evaluation and Application Transcript
Page 2 of 3http://media.capella.edu/CourseMedia/MSN6011/evidenceBasedHealthEvaluation/transcript.html
My father came home from Vietnam with a kaleidoscope of mental health problems. That was the 1970s, when treatment options for things like PTSD,
TBI, and even depression were very different. Since then there has been a lot of investment in treatment and recovery for combat veterans. That's
excellent news for veterans in treatment now, but they're not looking at my dad, and how his TBI and PTSD have affected him through mid–life and
now as a senior. That's why I started Safe Headspace: to focus on older patients who are years or decades past their trauma, and find ways to help
them.
Which treatments showed the strongest improvement?
Exercise. We were able to persuade about half of our participants — that's around 400 people, mostly men ages 45–80 — to follow the CDC's
recommendations for moderate aerobic exercise. Almost everyone showed improvement in mood, memory, and muscle control after four weeks. After
that a lot of participants dropped out, which is disappointing. But of t ...
Behavioral Health Staff in Integrated Care Settings | The Vital Role of Colla...CHC Connecticut
NCA Clinical Workforce Development, Team-Based Care 2019 Webinar Series
Webinar broadcast on: May 06, 2019 | 3 p.m. EST
Experts in psychology, psychiatry and nursing will share ways in which they effectively utilize their roles at the top of their license to monitor and support high-risk patients. By examining these various roles, experts will address how you can effectively support integration at your health center to improve outcomes.
Background: Behavioral health conditions are prevalent among patients in inpatient medical settings and when not adequately treated contribute to diminished treatment outcomes and quality of life. Substantial evidence has demonstrated the effectiveness of psychological interventions in addressing behavioral health conditions in a range of settings but, to a lesser extent with psychologically-based interventions delivered in inpatient medical settings. Purpose: The purpose of this paper is to increase attention on psychological interventions being delivered to patients across a broad spectrum of medical specialties in inpatient medical settings to support the implementation of interventions to address increasing patient needs. Methods: This selected, brief review of the literature sought to describe published psychologically-based interventions delivered in inpatient medical settings. A search for studies catalogued on PubMed from 2007 to 2016 was examined and studies were included in the review if they were delivered within inpatient medical settings. Two reviewers independently assessed relevant studies for criteria. Results: A total of ten articles met the inclusion criteria with interventions targeting outcomes across four primary domains: 1) pain and fatigue; 2) cognition; 3) affective/emotional and; 4) self-harm. Several articles support interventions grounded in Cognitive-Behavioral Therapy and brief psychological interventions. Most studies reported favorable outcomes for the interventions relative to controls. Conclusions: Psychologically-based interventions, especially those that integrate components of cognitive-behavioral therapy and a multidisciplinary approach, can be implemented in inpatient medical settings and may promote improved patient outcomes. However, the quality of this evidence requires formal assessment, requiring more comprehensive reviews are needed to replicate findings and clarify effectiveness of interventions.
Improving the Health Outcomes of Both Patients AND PopulationsCHC Connecticut
NCA Clinical Workforce Development, Team-Based Care 2019 Webinar Series
Webinar broadcast on: May 23, 2019 | 2 p.m. EST
In this webinar experts will share their journey in planning, preparing and launching a population health initiative. With the goals of impacting population health outcomes while ensuring cost effectiveness, our experts designed interventions to eliminate gaps in care, particularly among special populations.
1. Integration of Mental Health Care into Primary Care: A Qualitative Analysis
Tammy Lo, B.A.
University of California, San Diego, Health Services Research Center
Introduction
The mental health population is underrepresented in all aspects of public health,
especially health literacy. An already vulnerable group, the lack of health literacy
creates a double burden and further prevents this population from increasing their
health outcomes (1). Stigma associated with mental illness may also hinder those
who want to seek help (2).
The I-CARE Physical Health Integration Pilot aims to create greater health literacy
among the mental health population while improving mental health and physical
health outcomes, stigma and access to health care services.
and mental health providers (3). This model has been found to be effective for
treating mental health disorders and increasing health literacy.
thus encouraging individuals to pursue greater health literacy (4).
The I-CARE Physical Health Integration Pilot was implemented in 5 federally
qualified health centers in March 2011 in San Diego County. Collaborative care
includes a physician, nurse, behavioral health consultant, drug and alcohol
counselor and peer support specialist (PSS).
Acknowledgements: Jennifer Leich, M.A.
Results contd.
“That’s comforting to have a primary [doctor] cause I haven’t had a doctor in 5 years.”
– I-CARE patient
“He’s really good, he gave me information about school, and about a place where I
can take free classes for stress exercises… It helps me.” – I-CARE patient
Staff expressed how integrated care increased their mental health literacy:
“Amongst those [staff] who are doing I-CARE my sense is people have enjoyed it,
have found it educational…The opportunity to do the webinars and the opportunity to
expand their skill set and also to be able to see these patients holistically” – I-CARE
staff
And patients expressed better understanding of their physical health:
“She gave me print outs of the symptoms and they all match what I was experiencing.
She prescribed the medications, I took them, and it was gone” – I-CARE patient
Purpose
1. Program evaluation will answer the following questions:
a) How does moving stable mental health patients into a medical home within
the Integrated Primary Care setting affect both mental health and physical
health outcomes?
b) How does integrating stable mental health patients into a primary care
setting affect the satisfaction of mental health individuals and clinic staff?
c) Does the integrated setting expand access to physical and mental health
services?
d) Does integrated setting reduce mental health stigma?
e) Does integrated setting increase health literacy?
Methods contd.
Recruitment: Participants were recruited from 5 federally qualified
health centers. Recruitment flyers was distributed at each center.
Participants received a $15 Target gift card as compensation for their
time.
In-depth Interviews: Interviews were conducted with patients, staff,
and physicians to gather their perceptions and experiences with the
integrated health system and PCMH. Interviews were generally 30-60
minutes long.
Exploratory Focus Groups: Patient focus groups consisted of 4-6
patients and covered patients’ experiences with integrated
healthcare, including concerns, expectations, perceived benefits and
drawbacks, and impact on mental and physical health recovery.
Staff/Physician focus groups were conducted with I-CARE staff and
will cover any concerns about providing care to mental health
patients, readiness to deliver care, mental health stigma,
expectations, perceived benefits and drawbacks, and impact on
patients’ mental and physical health recovery.
Results
Based on the qualitative data from interviews and focus groups,
there were mixed feelings about the transfer into integrated care.
Some individuals expressed positive feelings:
“When they told me that I was graduating, I was so happy because I
knew I was stable” – I-CARE patient
“I thought it was a good idea first of all… Like the idea of doctor and
therapy working together so it’s like, you know, mind body place.”
– I-CARE patient
Others expressed feelings of concern and anxiety over the transfer:
“I took it kind of like I was getting kicked out kind of thing but they’re
saying it was a good thing for me because…coming here now I get
medical treatment.” – I-CARE patient
The majority of I-CARE clients liked the convenience of having
mental and physical health services available to them in one location.
“Everything is under one roof. ..You have the therapist, you have a
doctor, you have – it’s like a team working together on your plan. They
do it with care and concern and they don’t judge you and they
have that patience with you.” – I-CARE patient
Other perceived benefits of ICARE include cost and availability of
physicians and PSSs.
“They [I-CARE] don’t turn me away. They don’t say that I’m not
qualified for this because I make too much” – I-CARE patient
References
1. Jorm, A.F. (2000) Mental health literacy: Public knowledge and beliefs about mental health
disorders. The British Journal of Psychiatry, 177, 396-401.
2. Corrigan, P. (2004) How Stigma Interferes With Mental Health Care. American
Psychologist, 59.7, 614-615.
3. Rosenthal, T.C. (2008) The Medical Home: Growing Evidence to Support A New Approach
to Primary Care. Journal of the American Board of Family Medicine, 21.5, 427-440.
4. Thielk, S., Vannoy S., and Unutzer, J. (2007) Integrating Mental Health and Primary Care.
Primary Care: Clinics in Office Practice, 34.3, 571-592.
Discussion
Although some individuals were hesitant to transfer to I-CARE, over time, many
adjusted quickly to their new clinics and expressed preference for their I-CARE
clinic over their previous clinic. Other re-occurring themes from interviews and
focus groups were positive PSS experiences, low cost of I-CARE and the
availability of doctors. Patients appreciated the availability of a PSS and reported
their role enabled them to better adjust to I-CARE and encouraged them to be
more proactive of their health.
Suggested improvements for I-CARE included availability of social groups and
clubs, more information for patients during the transfer, and a less abrupt
transition from previous clinic to I-CARE. Overall, patients were pleased with the
physical health care included in I-CARE and physicians and staff admitted
increasing their health literacy in mental health.
The PCMH and integrated care system was used on the mental health population
in this study, but it can be applied to other populations to improve health literacy
and health outcomes.
Methods
A mixed methods approach that incorporates both quantitative and qualitative
methods was used for evaluation but only qualitative methods will be discussed.
Evaluation of the PCMH model has demonstrated that
patients in this setting have better health outcomes due to
greater care management, increased contact with providers
and more easily accessible services. In addition, the PCMH
carries less stigma than traditional mental health settings,
It will follow the person-centered medical home (PCMH)
model introduced by the American Academy of Pediatrics in
1967. The PCMH is an integrated health model in which the
primary care physician directs the clients’ healthcare and
treatment is delivered in collaboration with specialists