The Effective Use of Psychiatric Mental Health Nurses in Integrated Care: Policy Implications for Increasing Quality and Access to Care

  • Kathleen R. Delaney
  • Madeline A. Naegle
  • Nancy M. Valentine
  • Deborah Antai-Otong
  • Carla J. Groh
  • Laurah Brennaman


In the last ten years primary care providers have been encouraged to implement integrated models of care where individuals’ medical and mental health needs are addressed holistically. Many integrated models use Psychiatric Mental Health (PMH) nurses as case managers and select exemplars use PMH Advanced Practice Nurses (APNs) as providers. However, the potential value of PMH nurses in integrated health care remains unrealized by health care planners and payers, limiting access to services for the populations most in need of comprehensive care approaches. This current situation is partially fueled by insufficient knowledge of the roles and skill sets of PMH nurses. In this paper, the PMH RN and APN skill sets are detailed, demonstrating how effective use of these nurses can further the aims of integrated care models. Finally, outlined are barriers and enabling factors to effective use of PMH RNs and APNs and attendant policy implications.


Integrated Health Care Psychiatric Mental Health Nurses Advanced Practice Nurses Team based integrated care 


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Copyright information

© National Council for Behavioral Health 2017

Authors and Affiliations

  • Kathleen R. Delaney
    • 1
  • Madeline A. Naegle
    • 2
  • Nancy M. Valentine
    • 3
  • Deborah Antai-Otong
    • 4
  • Carla J. Groh
    • 5
  • Laurah Brennaman
    • 6
  1. 1.Rush College of NursingChicagoUSA
  2. 2.Substance Related Disorders Sequence, PAHO/WHO Collaborating Center for Geriatric Nursing EducationNew York University College of NursingNew York CityUSA
  3. 3.Practice, Policy and Partnerships, Institute for Healthcare Innovation (MC 802)UIC College of NursingChicagoUSA
  4. 4.Department of Veteran’s AffairsWashingtonUSA
  5. 5.College of Health Professions, McAuley Health Center Women’s and Gender StudiesUniversity of Detroit MercyDetroitUSA
  6. 6.Nurse Educator, SEED Global Health, Peace CorpsKampalaUganda

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