"chronic care model"
Integrated primary and mental health care services: An evolving partnership model.
The authors describe how two organizations have partnered together to provide integrated primary and mental health services through two Integrated Health Care (IHC) clinics. This project brings IHC into community settings by using nurse practitioner house calls, group primary care visits and tele-monitoring. Tele-monitoring enhances both the efficiency and effectiveness of physical health care specifically targeted at improving adherence to medication regimes and lifestyle changes and monitoring clinical parameters of physically unstable members with diabetes, obesity, and/or hypertension. These services target high-risk Thresholds clients who are not regularly accessing primary care. This report concludes that primary care outreach has not only helped to connect with hard to reach clients, but it has also further improved the integration of mental health and primary care.
Keywords: behavioral health care chronic care model integrated primary mental health services primary care serious mental illness tele-monitoring module 4
Davis, K., Brigell, E., Christiansen, K., Snyder, M., McDevitt, J., Forman, J., Lloyd Storfjell, J., & Wilkniss, S. (2011). Integrated primary and mental health care services: An evolving partnership model. Psychiatric Rehabilitation Journal, 34(4), 317-320.