Skip to main content
Log in

General and Child and Adolescent Psychiatry Resident Training in Integrated Care: a Survey of Program Directors

  • Empirical Report
  • Published:
Academic Psychiatry Aims and scope Submit manuscript

Abstract

Objective

Integrated care models are an evidence-based approach for integrating physical and behavioral health services. The American Association of Directors of Psychiatric Residency Training Integrated Care Task Force sought to describe current practices for providing training in integrated care to general and child and adolescent psychiatry residents.

Methods

Directors of US general and child and adolescent psychiatric residency training programs were anonymously surveyed to examine current practices in educating their residents in integrated care. Based on themes that emerged from the survey, the authors make recommendations for integrated care education of general and child and adolescent psychiatry residents.

Results

Fifty-two of 197 (26 %) general and 36 of 111 (32 %) child and adolescent program directors responded. Results demonstrate that a majority of responding general psychiatry (78 %) and child and adolescent psychiatry (CAP) (72 %) training programs offer integrated care rotations, many of which are electives for senior residents. The Veterans Health Administration (VA) and Federally Qualified Health Centers are common venues for such rotations. Sustainable funding of these rotations is a concern. Fewer than half of programs offer integrated care didactics.

Conclusions

This report is intended to help program directors consider options for starting or optimizing their own integrated care curricula. Future research should examine the educational value, and the overall value to health care systems, of training in the integrated care model.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Kasper J, O’Malley Watts M, Lyons B. Chronic disease and co‐morbidity among dual eligibles: implications for patterns of Medicaid and Medicare service use and spending. Kaiser Commission on Medicaid and the Uninsured. July 2010.

  2. Wang PS, Lane M, Olfson M, et al. Twelve-month use of mental health services in the United States: results from the national comorbidity survey replication. Arch Gen Psychiatry. 2005;62(6):629–40.

    Article  PubMed  Google Scholar 

  3. Druss BG, Marcus SC, Campbell J, et al. Medical services for clients in community mental health centers: results from a national survey. Psychiatr Serv. 2008;59(8):917–20.

    Article  PubMed  Google Scholar 

  4. Huffman JC, Niazi SK, Rundell JR, et al. Essential articles on collaborative care models for the treatment of psychiatric disorders in medical settings: a publication by the Academy of Psychosomatic Medicine Research and Evidence-Based Practice Committee. Psychosomatics. 2014;55(2):109–22.

    Article  PubMed  Google Scholar 

  5. Katon WJ, Unutzer J. Health reform and the affordable care act: the importance of mental health treatment in achieving the triple aim. J Psychosom Res. 2013;74(6):1–12.

    Article  Google Scholar 

  6. Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health Aff (Millwood). 2008;27:759–69.

    Article  Google Scholar 

  7. Mojtabai R. Americans’ attitudes toward mental health treatment seeking: 1990–2003. Psychiatr Serv. 2007;58(5):642–51.

    PubMed  Google Scholar 

  8. Hall CA, Reynolds-III CF. Late-life depression in the primary care setting: challenges, collaborative care, and prevention. Maturitas. May 26, 2014; doi:10.1016/j.maturitas.2014.05.026.

  9. Bartels SJ et al. Improving access to geriatric mental health services: a randomized trial comparing treatment engagement with integrated versus enhanced referral care for depression, anxiety, and at-risk alcohol use. Am J Psychiatr. 2004;161(8):1455–62.

    Article  PubMed  Google Scholar 

  10. Accreditation Council for Graduate Medical Education: The psychiatry milestone project. November 2013; Available at http://acgme.org/acgmeweb/Portals/0/PDFs/Milestones/PsychiatryMilestones.pdf. Accessed.

  11. American Medical Association: Report 7 of the Council on Medical Service (A-14). June 2014; Available at http://www.ama-assn.org/ama/pub/news/news/2014/2014-06-11-policy-coverage-reimbursement-for-telemedicine.page. Accessed 28 Jan 2015.

  12. Reardon CL, May M, Williams KS. Psychiatry resident outpatient clinic supervision: how training directors are balancing patient care, education, and reimbursement. Acad Psychiatry. 2014;38(4):476–80.

    Article  PubMed  Google Scholar 

  13. American Association of Directors of Psychiatric Residency Training Virtual Training Office: AADPRT integrated care resources. May 2014; Available at http://www.aadprt.org/pages.aspx?PageName=AADPRT_Integrated_Care_Resources[AADPRT member log-in required]. Accessed 28 Jan 2015.

  14. American Medical Association: FREIDA. July 30, 2014; Available at http://www.ama-assn.org/ama/pub/education-careers/graduate-medical-education/freida-online.page. Accessed 28 Jan 2015.

  15. Burkey MD, Kaye DL, Frosch E. Training in integrated mental health-primary care models: a national survey of child psychiatry program directors. Acad Psychiatry. 2014;38(4):485–8.

    Article  PubMed  Google Scholar 

Download references

Disclosures

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Claudia L. Reardon.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Reardon, C.L., Bentman, A., Cowley, D.S. et al. General and Child and Adolescent Psychiatry Resident Training in Integrated Care: a Survey of Program Directors. Acad Psychiatry 39, 442–447 (2015). https://doi.org/10.1007/s40596-015-0315-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40596-015-0315-z

Keywords

Navigation