Mental health and primary care in an HMO

Lucy Rose Fischer, Richard L. Heinrich, Thomson F. Davis, C. J. Peek, Steven F. Lucas

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

The first phase of a multi-year project to integrate primary care and mental health in a staff-model HMO included a qualitative baseline evaluation. Two components of the mental health delivery system were evaluated: 1) the traditional separate system and 2) a health psychology pilot program. Focus groups were conducted with: health psychologists; physicians from clinics with health psychologists; physicians from clinics without health psychologists; and other front-line clinic staff (RNs, LPNs, receptionists). In the traditional, separate system, there is a communication gap between primary care and mental health, physicians perceive an access problem, and there is little collaboration. Physicians who work on teams with health psychologists describe advantages in terms of communication, access, and collaboration. However, because the health psychology pilot program operated in only a portion of a very large care system, it has thus far had only a minimal effect on the way care is delivered in the overall system.

Original languageEnglish (US)
Pages (from-to)379-391
Number of pages13
JournalFamilies, Systems and Health
Volume15
Issue number4
DOIs
StatePublished - Jan 1 1997

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Health Maintenance Organizations
Primary Health Care
Mental Health
Psychology
Behavioral Medicine
Delivery of Health Care
Physicians
Health
Communication
Focus Groups

Cite this

Fischer, L. R., Heinrich, R. L., Davis, T. F., Peek, C. J., & Lucas, S. F. (1997). Mental health and primary care in an HMO. Families, Systems and Health, 15(4), 379-391. https://doi.org/10.1037/h0089835

Mental health and primary care in an HMO. / Fischer, Lucy Rose; Heinrich, Richard L.; Davis, Thomson F.; Peek, C. J.; Lucas, Steven F.

In: Families, Systems and Health, Vol. 15, No. 4, 01.01.1997, p. 379-391.

Research output: Contribution to journalReview article

Fischer, LR, Heinrich, RL, Davis, TF, Peek, CJ & Lucas, SF 1997, 'Mental health and primary care in an HMO', Families, Systems and Health, vol. 15, no. 4, pp. 379-391. https://doi.org/10.1037/h0089835
Fischer LR, Heinrich RL, Davis TF, Peek CJ, Lucas SF. Mental health and primary care in an HMO. Families, Systems and Health. 1997 Jan 1;15(4):379-391. https://doi.org/10.1037/h0089835
Fischer, Lucy Rose ; Heinrich, Richard L. ; Davis, Thomson F. ; Peek, C. J. ; Lucas, Steven F. / Mental health and primary care in an HMO. In: Families, Systems and Health. 1997 ; Vol. 15, No. 4. pp. 379-391.
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