Whole Person Wellness: Integrating Care to Improve Physical Health of Persons With Serious Mental Illness

2.50
Hdl Handle:
http://hdl.handle.net/10755/621714
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Whole Person Wellness: Integrating Care to Improve Physical Health of Persons With Serious Mental Illness
Other Titles:
Promoting Mental Health in Vulnerable Populations
Author(s):
McDermott, Kathleen
Lead Author STTI Affiliation:
Beta Upsilon
Author Details:
Kathleen McDermott, DNP, RN, APRN, PMHNP-BC, Professional Experience: As a psychiatric mental health nurse practitioner actively working in the field for greater than 14 years, I have been involved with integrated care efforts for the serious mental ill in New York and California. Upon completing my doctoral degree focused on leadership and healthcare integration, I now oversee the healthcare integration efforts of a nationally known community mental health agency. Author Summary: Dr. McDermott is a board certified Psychiatric Mental Health Nurse Practitioner actively practicing for the past 14 years in New York and California. She currently works with Mental Health America Los Angeles where she serves in the role of Vice President of Healthcare Integration to oversees the healthcare integration efforts of the agency. She is currently the President Elect for the American Psychiatric Nurses Association in California.
Abstract:

Historically, treatment for serious mental illness has been separated from the rest of medicine resulting in gaps in medical care, redundant care, and increased costs. To address the healthcare needs of those with serios mental illness, primary care services are now being embedded in and connected to community mental health centers. However, numerous barriers exist including cost, program design, sustainability, and the adaptability of electronic health records. The purpose of this project was to describe and analyze the system changes that occurred in a nationally recognized community mental health center resulting from the implementation of grant-funded initiatives to promote the importance of whole health and wellness by integrating primary and behavioral healthcare into its repertoire of services for persons with serious mental illness. Grant outcomes included increasing the number of persons with serious mental illness who were connected with a primary care provider in the local community and those who have active insurance. These outcomes were successful, as nearly three-quarters of the previously uninsured members became connected with public insurance, and greater than 70% of the members were connected with a community primary care provider. Other deliverables designed to increase the level of integration at the community mental health center encountered barriers, such as staff resistance, electronic health record challenges, philosophical differences, and the need for program re-design and highlighted the lack of coordination between agencies. Recommendations have been made for other community mentla health centers who are pursing efforts to increase the level of integrated care they provide, including relevant lessons learned, effective practical approaches, strategies to overcome common barriers, areas of expansion, and methods for sustainability. This case study suggests that efforts to provide integrated care in a community mental health center may necessitate an organizational culture shift that includes the active, cohesive, and clear support of leadership. In addition, strong theoretical underpinnings are necessary to support the change. Prochaska and DiClemente’s stages of change (1982) and Roger’s Diffusion of Innovations (1962) are examples of theories that can help organizations to successfully adapt to a fully integrated care system.

Keywords:
Integration of Primary and Behavioral Health; Vulnerable Populations; Whole Person Care
Repository Posting Date:
7-Jul-2017
Date of Publication:
7-Jul-2017
Other Identifiers:
INRC17B03
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleWhole Person Wellness: Integrating Care to Improve Physical Health of Persons With Serious Mental Illnessen_US
dc.title.alternativePromoting Mental Health in Vulnerable Populationsen
dc.contributor.authorMcDermott, Kathleenen
dc.contributor.departmentBeta Upsilonen
dc.author.detailsKathleen McDermott, DNP, RN, APRN, PMHNP-BC, Professional Experience: As a psychiatric mental health nurse practitioner actively working in the field for greater than 14 years, I have been involved with integrated care efforts for the serious mental ill in New York and California. Upon completing my doctoral degree focused on leadership and healthcare integration, I now oversee the healthcare integration efforts of a nationally known community mental health agency. Author Summary: Dr. McDermott is a board certified Psychiatric Mental Health Nurse Practitioner actively practicing for the past 14 years in New York and California. She currently works with Mental Health America Los Angeles where she serves in the role of Vice President of Healthcare Integration to oversees the healthcare integration efforts of the agency. She is currently the President Elect for the American Psychiatric Nurses Association in California.en
dc.identifier.urihttp://hdl.handle.net/10755/621714-
dc.description.abstract<p><span>Historically, treatment for serious mental illness has been separated from the rest of medicine resulting in gaps in medical care, redundant care, and increased costs. To address the healthcare needs of those with serios mental illness, primary care services are now being embedded in and connected to community mental health centers. However, numerous barriers exist including cost, program design, sustainability, and the adaptability of electronic health records. The purpose of this project was to describe and analyze the system changes that occurred in a nationally recognized community mental health center resulting from the implementation of grant-funded initiatives to promote the importance of whole health and wellness by integrating primary and behavioral healthcare into its repertoire of services for persons with serious mental illness. Grant outcomes included increasing the number of persons with serious mental illness who were connected with a primary care provider in the local community and those who have active insurance. These outcomes were successful, as nearly three-quarters of the previously uninsured members became connected with public insurance, and greater than 70% of the members were connected with a community primary care provider. Other deliverables designed to increase the level of integration at the community mental health center encountered barriers, such as staff resistance, electronic health record challenges, philosophical differences, and the need for program re-design and highlighted the lack of coordination between agencies. Recommendations have been made for other community mentla health centers who are pursing efforts to increase the level of integrated care they provide, including relevant lessons learned, effective practical approaches, strategies to overcome common barriers, areas of expansion, and methods for sustainability. This case study suggests that efforts to provide integrated care in a community mental health center may necessitate an organizational culture shift that includes the active, cohesive, and clear support of leadership. In addition, strong theoretical underpinnings are necessary to support the change. Prochaska and DiClemente’s stages of change (1982) and Roger’s Diffusion of Innovations (1962) are examples of theories that can help organizations to successfully adapt to a fully integrated care system.</span></p>en
dc.subjectIntegration of Primary and Behavioral Healthen
dc.subjectVulnerable Populationsen
dc.subjectWhole Person Careen
dc.date.available2017-07-07T18:35:27Z-
dc.date.issued2017-07-07-
dc.date.accessioned2017-07-07T18:35:27Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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