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The Journal of Behavioral Health Services & Research
Published in: The Journal of Behavioral Health Services & Research 1/2016

01-01-2016

Barriers and Enablers to Integrating Mental Health into Primary Care: A Policy Analysis

Authors: Anna Durbin, MPH, PhD candidate, Janet Durbin, PhD, Jennifer M. Hensel, MD, MSc, Raisa Deber, PhD

Published in: The Journal of Behavioral Health Services & Research | Issue 1/2016

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Abstract

Integrating care for physical health and behavioural health (mental health and addictions) has been a longstanding challenge, although research supports the clinical and cost effectiveness of integrated care for many clients. In one such model, primary care (PC) physicians work with specialist physicians and non-physician providers (NPPs) to provide mental health and addictions care in PC settings. This Ontario, Canada-focused policy analysis draws on research evidence to examine potential barriers and enablers to this model of integrated care, focusing on mental health. Funding challenges pertain to incentivizing PC physicians to select patients with mental illness, include NPPs on the treatment team, and collaborate with specialist providers. Legal/regulatory challenges pertain to NPP scopes of practice for prescribing and counselling. Integrated care also requires revising the role of the physician and distribution of functions among the team. Policy support to integrate addictions treatment in PC may face similar challenges but requires further exploration.
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Metadata
Title
Barriers and Enablers to Integrating Mental Health into Primary Care: A Policy Analysis
Authors
Anna Durbin, MPH, PhD candidate
Janet Durbin, PhD
Jennifer M. Hensel, MD, MSc
Raisa Deber, PhD
Publication date
01-01-2016
Publisher
Springer US
Published in
The Journal of Behavioral Health Services & Research / Issue 1/2016
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-013-9359-6

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