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

Journal: The journal of behavioral health services & research

Volume: 45

Issue: 2

Year of Publication: 2019

Affiliated Institutions:  Rush College of Nursing, S Paulina St, Chicago, IL, , USA. Kathleen_R_Delaney@rush.edu. Substance Related Disorders Sequence, PAHO/WHO Collaborating Center for Geriatric Nursing Education, New York University College of Nursing, First Avenue Room , New York City, NY, , USA. Practice, Policy and Partnerships, Institute for Healthcare Innovation (MC ), UIC College of Nursing, Chicago, IL, -, USA. Department of Veteran's Affairs, Washington, DC, , USA. College of Health Professions, McAuley Health Center Women's and Gender Studies, University of Detroit Mercy, Detroit, MI, USA. Nurse Educator, SEED Global Health, Peace Corps, Kampala, Uganda.

Abstract summary 

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.

Authors & Co-authors:  Delaney Kathleen R KR Naegle Madeline A MA Valentine Nancy M NM Antai-Otong Deborah D Groh Carla J CJ Brennaman Laurah L

Study Outcome 

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Statistics
Citations : 
Authors :  6
Identifiers
Doi : 10.1007/s11414-017-9555-x
SSN : 1556-3308
Study Population
Male,Female
Mesh Terms
Advanced Practice Nursing
Other Terms
Advanced Practice Nurses;Integrated Health Care;Psychiatric Mental Health Nurses;Team based integrated care
Study Design
Case Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States