A Case Study of Implementing Grant-Funded Integrated Care in a Community Mental Health Center.

The US government funds integrated care demonstration projects to decrease health disparities for individuals with serious mental illness. Drawing on the Exploration Preparation Implementation Sustainability (EPIS) implementation framework, this case study of a community mental health clinic describ...

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Publicado en:Journal of Behavioral Health Services & Research Vol. 47; no. 2; pp. 293 - 309
Autor principal: Aby, Martha
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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      aug:
        au: Aby, Martha
        affil: University of Washington, 4101 15th Avenue NE, 98105, Seattle, WA, USA
      sug:
        subj:
          Primary Health Care Administration
          Community Mental Health Services Administration
          Mental Disorders Therapy
          Ambulatory Care Facilities Administration
          Health Care Delivery, Integrated Administration
          Health and Welfare Planning Administration
          Health Care Delivery, Integrated Economics
          Program Development
          United States
          Human
      ab: The US government funds integrated care demonstration projects to decrease health disparities for individuals with serious mental illness. Drawing on the Exploration Preparation Implementation Sustainability (EPIS) implementation framework, this case study of a community mental health clinic describes implementation barriers and sustainability challenges with grant-funded integrated care. Findings demonstrate that integrated care practices evolve during implementation and the following factors influenced sustainability: workforce rigidity, intervention clarity, policy and funding congruence between the agency and state/federal regulations, on-going support and training in practice application, and professional institutions. Implementation strategies for primary care integration within CMHCs include creating a flexible workforce, shared definition of integrated care, policy and funding congruence, and on-going support and training.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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