Family Physicians Are Essential for Mental Health Care Delivery

Xierali, Imam M.; Tong, Sebastian T.; Petterson, Stephen; Puffer, James C.; Phillips, Robert L.; Bazemore, Andrew

doi:10.3122/jabfm.2013.02.120219

Cited by 41 publications

(32 citation statements)

References 3 publications

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“…This study highlights the need for diverse CCM implementation strategies to address the heterogeneous needs of practices and patient populations. While the centrally coordinated CCM contracted to offsite providers may seem to go against some clinical researchers’ assertions that onsite integrated care is optimal [53], the off-site providers demonstrated that standardized evidenced treatment delivered by phone can compensate for real world implementation barriers like shortages of mental health providers and the logistical challenge of serving vast rural regions [23, 50]. …”

Section: Introductionmentioning

confidence: 99%

Mental Health Collaborative Care and its Role in Primary Care Settings

Goodrich

Kilbourne

Nord

et al. 2013

Curr Psychiatry Rep

138

116

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Collaborative care models (CCMs) provide a pragmatic strategy to deliver integrated mental health and medical care for persons with mental health conditions served in primary care settings. CCMs are team-based intervention to enact system-level redesign by improving patient care through organizational leadership support, provider decision support, and clinical information systems as well as engaging patients in their care through self-management support and linkages to community resources. The model is also a cost-efficient strategy for primary care practices to improve outcomes for a range of mental health conditions across populations and settings. CCMs can help achieve integrated care aims under healthcare reform yet organizational and financial issues may affect adoption into routine primary care. Notably, successful implementation of CCMs in routine care will require alignment of financial incentives to support systems redesign investments, reimbursements for mental health providers, and adaptation across different practice settings and infrastructure to offer all CCM components.

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Section: Introductionmentioning

confidence: 99%

Mental Health Collaborative Care and its Role in Primary Care Settings

Goodrich

Kilbourne

Nord

et al. 2013

Curr Psychiatry Rep

138

116

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show abstract

“…Xierali et al 15 report that family physicians provide a lot of mental health care-even more so in rural areas, where there are so few psychiatrists. Family physicians will do whatever they can to help their patients, including stretching their knowledge to their patients' needs in rural America.…”

Section: Wonderful Variety (Or Wonderful Family Doc Miscellany)mentioning

confidence: 99%

Successful Behavioral Interventions, International Comparisons, and a Wonderful Variety of Topics for Clinical Practice

Bowman¹,

Neale²

2013

The Journal of the American Board of Family Medicine

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“…As Xierali et al 23 highlight, there is great potential for family physicians to help fill the mental health gap in the United States. There are nearly twice as many family physicians as psychiatrists in the United States, and family physicians are more likely than psychiatrists to be situated in rural areas.…”

mentioning

confidence: 99%

“…Xierali et al 23 suggests that family physicians can help fill this need. While this is indeed an ambitious goal and, as some might argue, one that medicine as a whole has been pursuing for decades, 24 the assumption that one provider can adequately address all of a patient's needs is being increasingly replaced by the necessity of teams and team-based care.…”

mentioning

confidence: 99%