Abstract
Lack of access to primary and behavioral healthcare is prevalent in communities experiencing systematically greater obstacles to healthcare. This study describes the implementation of the Coordinated Care Model in a nurse-led primary care clinic and identifies the essential factors for sustained integration. A mixed-methods explanatory sequential study design was used to collect and analyze quantitative and qualitative data. Participants reported an overall statistically significant mean increase (M = 2.47, SD ± 2.01, p < 0.001) in the level of integration pre-and post-integration. Qualitative results indicated that the optimization and accentuation of team strengths, the Lundeen model of holistic care, and addressing physical and psychological barriers lead to sustained level of integration. Integrated practices are essential in assessing and supporting the holistic needs of individuals, families, and communities. Future studies should examine facilitators or impediments to integrated practice in other healthcare settings, long-term health outcomes of clients in integrated care, and the cost-effectiveness of integration.
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Acknowledgements
The authors acknowledge the Silver Spring Community Nursing Center team, whose relentless commitment to collaboration, health care quality, social justice, patient experience, and respect for human dignity led to this project's success. We thank the community members for sharing their wisdom with us.
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This work was supported by funding from the Health Resource and Services Administration (#UD7HP30930).
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Jeana M. Holt, Jennifer Kibicho, and Jean Bell-Calvin. The first draft of the manuscript was written by Jeana M. Holt and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Holt, J.M., Kibicho, J. & Bell-Calvin, J. Factors that Sustained the Integration of Behavioral Health into Nurse-Led Primary Care. Community Ment Health J 58, 1605–1612 (2022). https://doi.org/10.1007/s10597-022-00976-0
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DOI: https://doi.org/10.1007/s10597-022-00976-0