Development and Implementation of a Collaborative Mental Health Care Program in a Primary Care Setting: The Ottawa Share Program

Robert, S.; AubryTim,; GillisKatharine,; MacpheeColleen,; BusingNicholas,; KatesNick,; PantinSarah,; RunnelsVivien,

doi:10.7870/cjcmh-2008-0019

Cited by 9 publications

(15 citation statements)

References 20 publications

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“…Yet, many Canadians do not have access to psychotherapy due to the lack of support in the Canadian Medicare system and the high cost to access it in private practice settings (Hunsley, 2002;MHCC, 2012a;Myer & Payne, 2006;Vasiliadis, Tempier, Lesage, & Kates, 2009). One promising mental health care delivery method is interdisciplinary family health teams (FHTs), which may improve access to psychological services, while at the same time reduce costs (Mulvale, Danner, & Pasic, 2008;Swenson et al, 2008). St. Michael's Hospital and Ryerson University in Toronto developed a novel approach to provide marginalized populations with access to psychotherapy at no direct cost (Rouse, McShane, & Monson, 2012).…”

Section: Introductionmentioning

confidence: 99%

“…And although there is research on collaboration between primary care physicians and mental health care providers (e.g. Kates, Crustolo, Farrar, & Nikolaou, 2002;Kates, 2008;Swenson et al, 2008), there is limited research on the provision of psychotherapy by clinical psychologists in a FHT setting save for a few (e.g. Chomienne at al., 2011;Cordeiro, Foroughe, & Mastorakos, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Examining interprofessional collaboration, patient care, student training, and the effectiveness of individual cognitive behavioural therapy provided at an urban family health team

Rouse¹

2021

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Mental illness is highly prevalent in Canada and costs the Canadian economy and health care system billions each year. Yet, Canadians generally do not have access to evidence-based psychotherapy that is considered a frontline treatment in countries such as the United Kingdom and Australia. Family health teams (FHTs) have been proposed as a way to improve access to mental health treatment. Yet, limited research has been conducted on the inclusion of Psychology into FHTs or the training of graduate students in this emerging field. To address this research gap, the novel treatment delivery and student training model at the Ryerson University Psychology Training Clinic (PTC) and St. Michael’s Hospital’s FHTs was examined in two studies. First, a pilot study examined the effectiveness of individual CBT provided by graduate students to patients with a primary anxiety or depressive disorder. Eighty percent of participants either no longer met diagnostic criteria for their primary mental disorder or were in partial remission. They experienced a significant reduction in symptoms of overall mental health, depression, and anxiety. As well, participants expressed a high level of satisfaction with the services received and reported having a positive working alliance with their student psychotherapist. Results indicate that student-delivered psychotherapy in a FHT setting is an effective treatment delivery model. Second, a two-part mixed methods study was conducted evaluating perspectives on patient care, interprofessionalism, and student training through an online study and individual interviews with health care providers, clinical supervisors, graduate students, and patients. Results from this study indicate that the PTC was a positive addition to the FHTs that improved access and provided patients with high quality mental health services. Generally, high levels of interprofessionalism were reported, though some drawbacks and individual differences were noted. The PTC was described as a valuable training experience. The importance of supervision and specific interprofessional and FHT training was highlighted. Findings from these studies represent a worthwhile contribution to the FHT and primary care psychology literature. Furthermore, the inclusion of Psychology and student trainees into a FHT appears to be a successful, viable option to improve access to effective mental health services.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Examining interprofessional collaboration, patient care, student training, and the effectiveness of individual cognitive behavioural therapy provided at an urban family health team

Rouse¹

2021

Preprint

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“…This focus on restructuring arguably comes as a response to an increase in patient demand coupled with long wait times or inability to access psychiatric services. 1 These circumstances place increased responsibilities on family physicians to treat complex mental health conditions. 2 A lack of support for primary care providers to adequately and effectively treat mental health disorders sparked a shift toward collaborative models of care delivery.…”

Section: Introductionmentioning

confidence: 99%

Collaborative care models for integrating mental health and primary care

Maskell¹,

Rudkovska²,

Kfrerer³

et al. 2017

UWOMJ

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Background: Mental health service demands in Ontario often result in long wait times and a lack of access to specialized services. As a result, primary care providers are frequently required to provide mental health care for patients with complex diagnoses despite a lack of support or sufficient training. To address these issues, a shift toward collaborative models of mental health care delivery is occurring. Objective: This paper aims to assess whether evidence-based policy recommendations to improve collaborative mental health care are addressed in the recent Patients First documents. Methods: To achieve this, a qualitative analysis was conducted using NVivo10©. Results: While many of the evidence-based policy recommendations were mirrored in the Patients First documents, very few addressed collaborative mental health care directly. Implications: More research is required to fully understand the effects of the implementation of Patients First on mental health systems and services.

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“…Prescribing medication is an important aspect of evidence-based treatment for depression and anxiety [ 12 ]. However, FPs report moderate levels of comfort prescribing medications for these patients [ 13 ]. For example, Craven and Bland [ 14 ] who conducted a comprehensive literature review reported that PCPs are comfortable treating individuals with mental illness who are responsive to medication that the provider is familiar with prescribing.…”

Section: Introductionmentioning

confidence: 99%

Collaborating in the context of co-location: a grounded theory study

Wener¹,

Woodgate²

2016

BMC Fam Pract

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Background: Most individuals with mental health concerns seek care from their primary care provider, who may lack comfort, knowledge, and time to provide care. Interprofessional collaboration between providers improves access to primary mental health services and increases primary care providers' comfort offering these services. Building and sustaining interprofessional relationships is foundational to collaborative practice in primary care settings. However, little is known about the relationship building process within these collaborative relationships. The purpose of this grounded theory study was to gain a theoretical understanding of the interprofessional collaborative relationship-building process to guide health care providers and leaders as they integrate mental health services into primary care settings. Methods: Forty primary and mental health care providers completed a demographic questionnaire and participated in either an individual or group interview. Interviews were audio-recorded and transcribed verbatim. Transcripts were reviewed several times and then individually coded. Codes were reviewed and similar codes were collapsed to form categories using using constant comparison. All codes and categories were discussed amongst the researchers and the final categories and core category was agreed upon using constant comparison and consensus. Results: A four-stage developmental interprofessional collaborative relationship-building model explained the emergent core category of Collaboration in the Context of Co-location. The four stages included 1) Looking for Help, 2) Initiating Co-location, 3) Fitting-in, and 4) Growing Reciprocity. A patient-focus and communication strategies were essential processes throughout the interprofessional collaborative relationship-building process. Conclusions: Building interprofessional collaborative relationships amongst health care providers are essential to delivering mental health services in primary care settings. This developmental model describes the process of how these relationships are co-created and supported by the health care region. Furthermore, the model emphasizes that all providers must develop and sustain a patient-focus and communication strategies that are flexible. Applying this model, health care providers can guide the creation and sustainability of primary care interprofessional collaborative relationships. Moreover, this model may guide health care leaders and policy makers as they initiate interprofessional collaborative practice in other health care settings.

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Development and Implementation of a Collaborative Mental Health Care Program in a Primary Care Setting: The Ottawa Share Program

Cited by 9 publications

References 20 publications

Examining interprofessional collaboration, patient care, student training, and the effectiveness of individual cognitive behavioural therapy provided at an urban family health team

Examining interprofessional collaboration, patient care, student training, and the effectiveness of individual cognitive behavioural therapy provided at an urban family health team

Collaborative care models for integrating mental health and primary care

Collaborating in the context of co-location: a grounded theory study

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