Administration and Policy in Mental Health and Mental Health Services Research

, Volume 25, Issue 3, pp 287–308

Rural Models for Integrating Primary Care and Mental Health Services


  • Donna C. Bird
    • Maine Rural Health Research Center
  • David Lambert
    • Maine Rural Health Research Center
  • David Hartley
    • Division of Rural HealthMaine Rural Health Research Center
  • Peter G. Beeson
    • Strategic and Financial Planning DivisionNebraska Department of Health and Human Services
  • Andrew F. Coburn
    • Edmund S. Muskie School of Public Service

DOI: 10.1023/A:1022291306283

Cite this article as:
Bird, D.C., Lambert, D., Hartley, D. et al. Adm Policy Ment Health (1998) 25: 287. doi:10.1023/A:1022291306283


This paper presents findings from a study designed to identify and describe models for integrating primary care and mental health services in rural communities. Data were obtained from telephone interviews with staff at rural primary care sites around the country. Findings are based on the responses of 53 primary care organizations in 22 states. The authors identify four integration models—diversification, linkage, referral and enhancement—which appear to exist in combination, rather than as pure types. The proposed analytic framework outlines aspects of integration that are readily amenable to study.

Copyright information

© Human Sciences Press, Inc. 1998