International perspective on integrated care models in child and adult mental health.

Journal: International review of psychiatry (Abingdon, England)

Volume: 34

Issue: 2

Year of Publication: 2022

Affiliated Institutions:  Boston Children's Hospital/Harvard Medical School, USA. Norwegian University of Science and Technology, Trondheim, Norway. Institut de Recerca en Atencio Primaria Jordi Gol​, Spain. Sidra Medicine/Weill Cornell Medicine, USA. Central Michigan University, USA. Philadelphia College of Osteopathic Medicine, USA. Cambridge Health Alliance/Harvard Medical School, USA. Facultad de Medicina, Universidad de la República, Uruguay. Universidade Federal do Tocantins, Brazil. University of Hawaii John A Burns School of Medicine, USA. Brown University Warren Alpert Medical School, USA. American Psychiatric Association Foundation, USA. Texas Tech University Health Science Center El Paso, Texas, USA. Universidade do Estado do Rio de Janeiro, Brazil. Makerere University College of Health Sciences, Uganda. Sidra Medicine, Qatar. Institute of Mental Health, Singapore. Department of Psychiatry, The University of Melbourne, Australia. University of British Columbia, BC Children's Hospital, Canada. Cambridgeshire and Peterborough NHS Foundation Trust, UK. The University of Texas System, Texas, USA. The University of Texas Health Science Center at Tyler, Texas, USA. University of Chicago, USA.

Abstract summary 

The dearth of child and adolescent mental health services (CAMHS) is a global problem. Integrating CAMHS in primary care has been offered as a solution. We sampled integrated care perspectives from colleagues around the world. Our findings include various models of integrated care namely: the stepped care model in Australia; shared care in the United Kingdom (UK) and Spain; school-based collaborative care in Qatar, Singapore and the state of Texas in the US; collaborative care in Canada, Brazil, US, and Uruguay; coordinated care in the US; and, developing collaborative care models in low-resource settings, like Kenya and Micronesia. These findings provide insights into training initiatives necessary to build CAMHS workforce capacity using integrated care models, each with the ultimate goal of improving access to care. Despite variations and progress in implementing integrated care models internationally, common challenges exist: funding within complex healthcare systems, limited training mechanisms, and geopolitical/policy issues. Supportive healthcare policy, robust training initiatives, ongoing quality improvement and measurement of outcomes across programs would provide data-driven support for the expansion of integrated care and ensure its sustainability.

Authors & Co-authors:  Shaligram Skokauskas Aragones Azeem Bala Bernstein Cama Canessa Silva Engelhard Garrido Guerrero Hunt Jadhav Martin Miliauskas Nalugya Nazeer Ong Robertson Sassi Seker Watkins Leventhal

Study Outcome 

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Statistics
Citations : 
Authors :  25
Identifiers
Doi : 10.1080/09540261.2022.2059346
SSN : 1369-1627
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Child and adolescent mental health;access to care;collaborative care;global mental health;integrated care
Study Design
Study Approach
Country of Study
Kenya
Publication Country
England