The Evolving Practice of Psychiatry in the Era of Integrated Care

Joseph, Robert; Kester, Rachel; O'Brien, Colleen; Huang, Hsiang

doi:10.1016/j.psym.2017.04.003

Cited by 15 publications

(9 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, the psychiatry department stood out in binary regression analysis in the prediction of flat hierarchies as IPC enabler. In fact, internationally, there are several examples of integrated care approaches in psychiatric caremainly to care for mental illnesses with high lifetime prevalence (Bröcheler et al, 2009;Joseph et al, 2017;Meades, 1989). Interface problems among sectors were reduced by "using evidence-based diagnostic and treatment guidelines and implementing a higher level of evidence-based standards in diagnosis and therapy" (Bröcheler et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Determinants of interprofessional collaboration in complementary medicine to develop an educational module “complementary and integrative medicine” for undergraduate students: A mixed-methods study

Prill

Steinhäuser

Herchenröder

et al. 2021

Journal of Interprofessional Care

View full text Add to dashboard Cite

As use of complementary medicine (CM) is increasing, health professionals may require proper training in CM to offer evidence-based advice to their patients. The aim of this study was to explore interprofessional collaboration (IPC) in CM in order to gain a comprehensive overview of determinants and to facilitate the definition of objectives for an undergraduate interprofessional educational module. Pursuant to a sequential mixed-methods approach, focus groups and individual interviews with health professionals, who actively use CM in patient care, were conducted. All hospital employees at the University Hospital Lübeck, Germany, were asked to complete an online questionnaire that was based on the previously obtained qualitative results. The interviews with 20 participants revealed four main themes: professionspecific aspects, communication, health care system-associated factors, and the influence of CM on interprofessional dynamics. An analysis of the 157 responses in the online questionnaire showed that team meetings (n = 124, 79%) were most frequently stated as promoting IPC. In binary regression analyses, nursing ) and medical professions ) predicted evidence-based care as enabler for IPC. Hence, teaching professional competencies and an equal understanding of evidence-based medicine seems necessary to promote IPC within CM.

show abstract

Section: Discussionmentioning

confidence: 99%

Determinants of interprofessional collaboration in complementary medicine to develop an educational module “complementary and integrative medicine” for undergraduate students: A mixed-methods study

Prill

Steinhäuser

Herchenröder

et al. 2021

Journal of Interprofessional Care

View full text Add to dashboard Cite

show abstract

“…"Integrated care," a term that applies to models of delivering behavioral health services through ambulatory medical settings other than a dedicated behavioral health clinic (of which primary care is the most common), can facilitate improved behavioral health outcomes for patients even when they do not have the opportunity to meet regularly with a psychiatrist. [17][18][19] Integrated care approaches typically apply multidisciplinary teams to address the medical and nonmedical issues that patients with common behavioral health conditions face in a variety of ways. 20 When a face-to-face visit with a psychiatrist is indicated, however, most integrated care models still require a patient to schedule this appointment in advance and keep it.…”

mentioning

confidence: 99%

A Successful Walk-In Psychiatric Model for Integrated Care

et al. 2019

View full text Add to dashboard Cite

Accommodating walk-in psychiatry visits in primary care can improve access to psychiatric care for patients from historically underserved groups. We sought to determine whether a walk-in psychiatry model embedded within an integrated care practice could be sustained over time, and to characterize the patients who accessed care through it. Methods: We reviewed electronic health records linked to 811 psychiatry encounters in an integrated care practice between October 1, 2015 and September 30, 2017. Primary outcomes were the initial and return psychiatry encounters per month. Secondary outcomes were the demographics and diagnoses of patients who accessed their initial visits through walk-in sessions and scheduled appointments. Results: 490 initial psychiatry evaluations and 321 return encounters took place over the 2-year study period. The volume of initial psychiatry evaluations per month did not significantly change, but the volume of psychiatry follow-up encounters significantly increased after the walk-in session expanded. Medicaid recipients (OR, 1.9; 95% CI, 1.2 to 3.0); individuals without a college degree (OR, 1.7; 95% CI, 1.1 to 2.5); individuals who were single, divorced, or separated (OR, 1.7; 95% CI, 1.1 to 2.5); and individuals who identified as Black or Hispanic (OR, 2.5; 95% CI, 1.7 to 3.6) were more likely to access an initial psychiatry evaluation through a walk-in session as opposed to a scheduled appointment. Conclusions: Providing psychiatric care on a walk-in basis in integrated care is sustainable. Patients from historically underserved groups may access psychiatric care disproportionately through a walk-in option when it is available.

show abstract

“…PMH-APRNs participated as team members in several of these studies, mainly as raters, screeners, case managers and/or implementing the brief psychotherapy interventions that were applied along with the antidepressant medications being prescribed. A reckoning of how this evidenced packed model (IMPACT) was going to be standardized led many to go back to specialty psychiatric care because of the focus on brief treatment and the need to limit the time that a provider spent with individuals in primary care ( Joseph, 2017 ). The birth of the concept describing a Patient-Centered Medical Home ( Agency for Healthcare Research and Quality, 2019 ; Schottenfeld L, 2016 ; Croghan TW, 2010 ) corresponded with the first IOM report called “ The Future of Nursing: Leading Change, Advancing Health ” ( Institute of Medicine, 2011 ).…”

Section: Nursing's Role In Bhi: the Impact Of The Decade Of The Brainmentioning

confidence: 99%

Integrating behavioral health and substance use models for advanced PMHN practice in primary care: Progress made in the 21st century

Soltis‐Jarrett¹

2020

Archives of Psychiatric Nursing

View full text Add to dashboard Cite

The integration of behavioral health and substance use assessment and treatment has advanced in primary care settings in the 21st century yet the roles and practice of nursing remain unclear. This paper focuses on the Institute of Medicine (2011) Report on the “The Future of Nursing: Leading Change, Advancing Health”, and to what degree specialty of Psychiatric-Mental Health Nursing has advanced as it pertains to behavioral health integration. Each of the four domains (practice, education, leadership and policy) in the Report will be highlighted with recommendations for how Psychiatric-Mental Health Advanced Practice Nurses can lead the way in 2020 and beyond.

show abstract

The Evolving Practice of Psychiatry in the Era of Integrated Care

Cited by 15 publications

References 24 publications

Determinants of interprofessional collaboration in complementary medicine to develop an educational module “complementary and integrative medicine” for undergraduate students: A mixed-methods study

Determinants of interprofessional collaboration in complementary medicine to develop an educational module “complementary and integrative medicine” for undergraduate students: A mixed-methods study

A Successful Walk-In Psychiatric Model for Integrated Care

Integrating behavioral health and substance use models for advanced PMHN practice in primary care: Progress made in the 21st century

Contact Info

Product

Resources

About