Integrated care in rural health: Seeking sustainability.

Peterson, Mary A.; Turgesen, Jeri N.; Fisk, Laura; McCarthy, Seamus

doi:10.1037/fsh0000267

Cited by 8 publications

(5 citation statements)

References 10 publications

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“…All team members were provided background readings on the research topic. In order to find a common language for discussing rural integrated care, an article from Peterson, Turgesen, Fisk, and McCarthy (2017) titled “Integrated Care in Rural Health: Seeking Sustainability” was shared. Selected readings from Hill et al (2005) on domains, coding, and cross-analysis were also shared to deepen the team’s understanding of the consensual process.…”

Section: Methodsmentioning

confidence: 99%

On the frontier: Exploring rural psychologist practice in integrated behavioral health care.

Allen¹,

Grier‐Reed²,

Maples³

2020

Journal of Rural Mental Health

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Research on psychologists in integrated behavioral health care (IBHC) remains sparse (McDaniel et al., 2014) and appears non-existent for rurally located psychologists. A study of doctoral-level licensed psychologists practicing in rurally located IBHC settings was conducted. The study had three main objectives: to understand the nature of the work of rural psychologists in IBHC, to explore what impacts the rural and IBHC setting have on psychologists, and to identify the characteristics that psychologists perceive as important for working effectively in rurally located IBHC settings. Eight participants completed in-person semi-structured interviews. A qualitative methodological approach using Consensual Qualitative Research (CQR) (Hill et al., 2005) focused on accumulating information-rich data that may be relevant (Packer, 2010)

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Section: Methodsmentioning

confidence: 99%

On the frontier: Exploring rural psychologist practice in integrated behavioral health care.

Allen¹,

Grier‐Reed²,

Maples³

2020

Journal of Rural Mental Health

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“…To combat these disparities within rural and underserved communities, integration of behavioral-health services within primary care settings is often the preferred service model. [17][18][19] In fact, the National Committee for Quality Assurance for improving the quality of healthcare established a national initiative to employ a model of patient-centered medical homes that has been previously shown to reduce fragmentation of services, lower health care costs, improve patient-centered access, and better manage chronic conditions. [20][21][22][23][24] In recent work, we embedded psychologist-lead ASD consultation and support clinics within our metropolitan medical center's primary care clinics.…”

Section: Introductionmentioning

confidence: 99%

Increasing Access to Autism Spectrum Disorder Diagnostic Consultation in Rural and Underserved Communities: Streamlined Evaluation Within Primary Care

Hine

Allin

Allman

et al. 2020

J Dev Behav Pediatr

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“…Patients receiving BH services in IPC clinics are more satisfied with their care as usual and have improved BH outcomes (Burt, Garbacz, Kupzyk, Frerichs, & Gathje, 2014), physicians report more satisfaction (Cooper et al, 2006), and families are able to access these BH services quickly and efficiently within the primary care provider’s office (Kelleher, Campo, & Gardner, 2006). Although rural IPC practices demonstrate increased up-front costs due to limited resources compared to urban primary care settings, there is potential for cost savings over time by reducing need for more intensive specialty BH services and preventing patients from utilizing the emergency room as a first line for BH care (Peterson, Turgesen, Fisk, & McCarthy, 2017).…”

mentioning

confidence: 99%

Small town living: Unique ethical challenges of rural pediatric integrated primary care.

Jaques-Leonard¹,

Winnick²,

Chancey³

et al. 2021

Clinical Practice in Pediatric Psychology

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The objective of this paper is to address ethical and training considerations with behavioral health (BH) services practicing within rural, integrated primary care (IPC) sites through the conceptual framework of an ethical acculturation model. Method: Relevant articles are presented along with a description of how the acculturation model can be implemented to address ethical dilemmas. Results: Recommendations are provided regarding practice considerations when using the acculturation model and the utility of the model for both established BH practitioners and trainees. Conclusions: Psychologists integrated into rural IPC teams may be able to enhance their ethical practice and improve outcomes for patients and families through the use of the acculturation model. Psychologists serving as supervisors can utilize the acculturation model to provide valuable experiences to trainees in addressing ethical dilemmas when competing ethical principles are present. Implications for Impact StatementBy addressing ethical dilemmas through an acculturation model, psychologists may prevent themselves from drifting away from American Psychological Association ethical principles within the context of a multidisciplinary team while simultaneously providing valuable learning opportunities for trainees. This focus is particularly important in rural settings where access to specialty care and other resources are limited, and a psychologist may be the only licensed behavioral health provider on a multidisciplinary team.

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Integrated care in rural health: Seeking sustainability.

Abstract: Patients receiving behavioral health services within the integrated care model may decrease utilization of medical services following treatment, resulting in cost offset. Potential reasons for variability between clinics are discussed. (PsycINFO Database Record

Cited by 8 publications

References 10 publications

On the frontier: Exploring rural psychologist practice in integrated behavioral health care.

On the frontier: Exploring rural psychologist practice in integrated behavioral health care.

Increasing Access to Autism Spectrum Disorder Diagnostic Consultation in Rural and Underserved Communities: Streamlined Evaluation Within Primary Care

Small town living: Unique ethical challenges of rural pediatric integrated primary care.

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