Department of Educational Psychology, University of Texas at Austin, 1912 Speedway, Stop D5000, Austin, TX, 78712, USA.
Steve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd D3500, Austin, TX, 78712, USA.
Community Ment Health J. 2019 May;55(4):569-577. doi: 10.1007/s10597-018-0330-0. Epub 2018 Aug 31.
Integrated behavioral health services have positive outcomes for patients and providers, but little is known about providers' perspectives on implementing these services. This community-based participatory research collaboration with a Federally Qualified Health Center examined provider perspectives on implementing a collaborative psychiatry consultation program in pediatric primary care. We interviewed providers (N = 14) from psychiatry, social work, primary care, and psychology regarding their experiences implementing the program, and their recommendations for its sustainability. Providers described interdisciplinary integration arising from the program, with accompanying benefits (e.g., increased access to care for patients with complex diagnostic profiles, increased learning and role satisfaction among providers), and challenges (e.g., increased burden on primary care providers, potential patient discomfort with team-based care). Our results highlight the complexities of implementing collaborative psychiatry consultation in pediatric primary care, and suggest the importance of supporting primary care providers and patients within this context.
综合性的行为健康服务对患者和提供者都有积极的效果,但对于提供者实施这些服务的观点知之甚少。这项与联邦合格医疗中心合作的基于社区的参与性研究,考察了提供者对在儿科初级保健中实施合作精神科咨询项目的观点。我们采访了来自精神病学、社会工作、初级保健和心理学领域的提供者(N=14),了解他们实施该项目的经验,以及他们对该项目可持续性的建议。提供者描述了该项目带来的跨学科整合,以及随之而来的好处(例如,增加了对具有复杂诊断特征的患者的护理机会,提高了提供者的学习和角色满意度)和挑战(例如,增加了初级保健提供者的负担,患者可能对团队护理感到不适)。我们的研究结果突出了在儿科初级保健中实施合作精神科咨询的复杂性,并表明在这种情况下支持初级保健提供者和患者的重要性。