Integrating Mental Health Services into Primary Medical Care

Coleman, Jules V.; Patrick, Donald L.

doi:10.1097/00005650-197608000-00002

Cited by 58 publications

(18 citation statements)

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“…However, we must develop improved models of collaboration that define responsibilities more realistically. 23 Such models, if they are to be successful, must be consistent with the financial and organizational structures of medical care that will prevail. Data from health maintenance organizations (HMOs) that maintain specialty mental health services suggest that their presence allows a better demarcation of care between general and specialty services.…”

Section: Discussionmentioning

confidence: 99%

“…2 Despite efforts for several decades, only modest progress is evident. 3 In this article, I argue that researchers, in highlighting the large proportion of all persons with mental illness who receive their care exclusively in the general medical sector, have probably inadvertently encouraged a picture that seriously overestimates the amount of mental health care provided. This view also may reinforce a belief that general physicians, while providing a very different style of care, are a suitable alternative to or substitute for more specialized services for the mentally ill.…”

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confidence: 99%

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Treating Mental Illness: Generalist Versus Specialist

Mechanic¹

1990

Health Affairs

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Treating Mental Illness: Generalist Versus Specialist

Mechanic¹

1990

Health Affairs

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“…67 The collaborative care model (CCM) is one approach to managing concomitant diabetes and mental health issues in the primary care setting. First described by Coleman and Patrick, 68 collaborative care provides interventions for physical and behavioral health needs in the primary care setting, through systematic coordination and collaboration among health care providers from various disciplines. It is a healthcare philosophy that has many names, models, and definitions.…”

Section: Introduction Disparitiesmentioning

confidence: 99%

Anxiety and diabetes: Innovative approaches to management in primary care

Bickett

Tapp

2016

Exp Biol Med (Maywood)

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Type 2 diabetes mellitus is a chief concern for patients, healthcare providers, and health care systems in America, and around the globe. Individuals with type 2 diabetes mellitus exhibit clinical and subclinical symptoms of anxiety more frequently than people without diabetes. Anxiety is traditionally associated with poor metabolic outcomes and increased medical complications among those with type 2 diabetes mellitus. Collaborative care models have been utilized in the multidisciplinary treatment of mental health problems and chronic disease, and have demonstrated success in managing the pathology of depression which often accompanies diabetes. However, no specific treatment model has been published that links the treatment of anxiety to the treatment of type 2 diabetes mellitus. Given the success of collaborative care models in treating depression associated with diabetes, and anxiety unrelated to chronic disease, it is possible that the collaborative care treatment of primary care patients who suffer from both anxiety and diabetes could be met with the same success. The key issue is determining how to implement and sustain these models in practice. This review summarizes the proposed link between anxiety and diabetes, and offers an innovative and evidence-based collaborative care model for anxiety and diabetes in primary care.

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“…McDowell, Burgio, Dombrowski, Locher, and Rodriguez (1992) showed that offering behavioral interventions in an interdisciplinary continence program enabled patients to receive low-risk treatment for urinary incontinence in a single setting in which related medical, functional, and social issues could be addressed in a coordinated way by appropriate professionals. Coleman and Patrick (1976) demonstrated a team collaborative model in which mental health providers (i.e., social workers, a psychiatric nurse, and a clinical psychologist) are members of a specific primary-care team (internal medicine and pediatric physicians).…”

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confidence: 99%

Barriers and enhancements to physician-psychologist collaboration.

Kainz¹

2002

Professional Psychology: Research and Practice

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Have you ever wondered why it is so difficult to establish and maintain good relationships with physicians who could be good referral sources for you? Physicians in 2 multispecialty practices that include psychologists reveal what they want from psychologists and what most concerns them about working with psychologists. Strategies are outlined that psychologists can adopt to promote physicianpsychologist collaboration, including seeing physicians as their customers and marketing services with an eye toward customer satisfaction.

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Integrating Mental Health Services into Primary Medical Care

Cited by 58 publications

References 0 publications

Treating Mental Illness: Generalist Versus Specialist

Treating Mental Illness: Generalist Versus Specialist

Anxiety and diabetes: Innovative approaches to management in primary care

Barriers and enhancements to physician-psychologist collaboration.

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