Mental health integration: rethinking practitioner roles in the treatment of depression: the specialist, primary care physicians, and the practice nurse.

摘要: Although primary care provides the majorityof mental health care, lack of time anddocumented economic benefit make it diffi-cult for healthcare delivery systems to proac-tively implement effective treatment strategiesfor growing disability depression.Current models are inadequateand inefficient, leading provider and con-sumer exhaustion, as well significant gaps incare poor outcomes. This publicationdescribes a quality improvement pilot demon-stration called ‘‘mental integration’’(MHI) that has been successful in realigningresources, enhancing clinical decision making,measuring impact building businesscase determine what actually is valueadded quality. Mental integration(MHI) promotes rethinking retrainingof traditional solo practitioner roles newpractitioner facilitate partnership andeffective communication means helppatients families achieve state ofsuccessful performance. Results describe theimprovements depression detection ata neutral or lower cost plan.Recommendations identified buildingthe business case MHI order tosustain improved outcomes promotediffusion model outside Intermoun-tain Health Care (IHC) setting. (Ethn Dis.2006;16[suppl 3]:S3-37–S3-43)Key Words: Depression, In-tegration, Primary Care, Quality Improvement,Team Roles