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Community Ment Health J. 2018 Nov;54(8):1116-1126. doi: 10.1007/s10597-018-0251-y. Epub 2018 Feb 27.

Integrating Behavioral Health and Primary Care Services for People with Serious Mental Illness: A Qualitative Systems Analysis of Integration in New York.

Author information

1
London Spinal Cord Injury Centre, Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, UK. p.ramanuj@doctors.org.uk.
2
New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA. p.ramanuj@doctors.org.uk.
3
New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA.
4
RAND Corporation, 4570 Fifth Avenue #600, Pittsburgh, PA, 15213, USA.
5
Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY, 10032, USA.

Abstract

People with co-occurring behavioral and physical conditions receive poorer care through traditional health care services. One solution has been to integrate behavioral and physical care services. This study assesses efforts to integrate behavioral health and primary care services in New York. Semi-structured interviews were conducted with 52 professionals in either group or individual settings. We aimed to identify factors which facilitate or hinder integration for people with serious mental illness and how these factors inter-relate. Content analysis identified structural, process, organizational ("internal") and contextual ("external") themes that were relevant to integration of care. Network analysis delineated the interactions between these. We show that effective integration does not advance along a single continuum from minimally to fully integrated care but along several, parallel pathways reliant upon consequential factors that aid or hinder one another.

KEYWORDS:

Integration of care; Primary care; Qualitative analysis; Service delivery

PMID:
29488052
PMCID:
PMC6110986
[Available on 2019-11-01]
DOI:
10.1007/s10597-018-0251-y
[Indexed for MEDLINE]

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