Development and initial feasibility of an organizational measure of behavioral health integration in medical care settings

McGovern, Mark P.; Urada, Darren; Lambert-Harris, Chantal; Sullivan, Steven; Mazade, Noel A.

doi:10.1016/j.jsat.2012.08.013

Cited by 24 publications

(9 citation statements)

References 24 publications

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“…This requires professionals to better integrate their practices, leading to significant challenges also for organizations (Sylvain & Lamothe, 2012). It is essential to focus on staff training and culture (especially to make them aware of the recovery prospect) and their motivation (Petrakis et al, 2018), while co-location does not imply service and practice integration, as well as integration per se may not guarantee favorable outcomes (McGovern et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

Dual diagnosis: A systematic review of the organization of community health services

Fantuzzi

Mezzina

2020

Int J Soc Psychiatry

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Background: Dual diagnosis (DD), as the co-occurrence of a substance use disorder and a psychiatric disorder, is underestimated, under-diagnosed and often poorly treated throughout the world, although it is highly prevalent in people suffering from a mental disorder. Aims and methods: This review analyzed 48 studies from a PubMed and PsycINFO databases search, in order to verify the state of the art regarding the organization of community health services for DD treatment. Results: Four macro-themes have been identified: service organization, critical issues, assessment tools and evidence-based interventions. An effective service recognizes the complexity of DD, promotes a common staff culture, and tailors the organization to local needs. The main critical issues in its implementation include the lack of specific staff training, the poor management of resources and the need for greater personalization of care plans, with attention to psychosocial interventions. Integrated service assessment tools can be used as a benchmark measure at the program level for implementation planning and at the national level to affect policy change. The integrated treatment model for DD should also aim to improve access to care and offer treatments based on scientific evidence. It is also evident that the integration of services can improve outcomes but it is not a guarantee for it. Conclusion: There is an urgent need to improve networking between mental health and addiction services in order to deal with DD and create new integrated intervention models, paying attention to an approach to the whole person, seen in his/her absolute uniqueness.

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Section: Resultsmentioning

confidence: 99%

Dual diagnosis: A systematic review of the organization of community health services

Fantuzzi

Mezzina

2020

Int J Soc Psychiatry

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“…Out of the 300 articles included in the study of Bautista et al [23] a total of seven articles were selected for our review [55626364656667]. From the narrative search, an additional number of four articles were retrieved.…”

Section: Resultsmentioning

confidence: 99%

An Instrument to Measure Maturity of Integrated Care: A First Validation Study

2018

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Introduction:Lessons captured from interviews with 12 European regions are represented in a new instrument, the B3-Maturity Model (B3-MM). B3-MM aims to assess maturity along 12 dimensions reflecting the various aspects that need to be managed in order to deliver integrated care. The objective of the study was to test the content validity of B3-MM as part of SCIROCCO (Scaling Integrated Care into Context), a European Union funded project.Methods:A literature review was conducted to compare B3-MM’s 12 dimensions and their measurement scales with existing measures and instruments that focus on assessing the development of integrated care. Subsequently, a three-round survey conducted through a Delphi study with international experts in the field of integrated care was performed to test the relevance of: 1) the dimensions, 2) the maturity indicators and 3) the assessment scale used in B3-MM.Results:The 11 articles included in the literature review confirmed all the dimensions described in the original version of B3-MM. The Delphi study rounds resulted in various phrasing amendments of indicators and assessment scale. Full agreement among the experts on the relevance of the 12 B3-MM dimensions, their indicators, and assessment scale was reached after the third Delphi round.Conclusion and discussion:The B3-MM dimensions, maturity indicators and assessment scale showed satisfactory content validity. While the B3-MM is a unique instrument based on existing knowledge and experiences of regions in integrated care, further testing is needed to explore other measurement properties of B3-MM.

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“…For researchers, policymakers or those involved in program development in the integration of integrated behavioral health care in routine medical settings, the counterpart to the DDCAT and DDCMHT, the Dual Diagnosis Capability in Health Care Settings (DDCHCS) index, is an emerging measure (McGovern, Urada, Lambert-Harris, Sullivan, & Mazade, 2012). In making this recommendation, we join many others calling for development of a consensus battery on measurement strategies.…”

Section: Resultsmentioning

confidence: 99%