Nickels M W, McIntyre J S
Strong Memorial Hospital, Rochester, New York 14642, USA.
Psychiatr Serv. 1996 May;47(5):522-6. doi: 10.1176/ps.47.5.522.
The integration of mental health care and primary medical care enhances the quality of patient care and may improve the overall cost-effectiveness of a health care system. The authors describe implementation of a program that provides mental health care at 12 locations in a network of primary care sites associated with a university-affiliated community hospital in Rochester, New York. A project of the hospital's department of psychiatry, the program has as its goals improved recognition, diagnosis, and treatment of mental health problems and education of primary care providers in these areas. Each of the program's three primary therapists provide short-term, symptom-focused individual, marital, family, and group therapies and case consultation at several primary care sites. The program director, a psychiatrist, makes diagnostic assessments and provides medication consultation to both the primary therapists and the primary care physicians. The authors discuss the advantages and disadvantages of the program model and plans for its future development.
精神卫生保健与初级医疗保健的整合提高了患者护理质量，并可能改善医疗保健系统的整体成本效益。作者描述了一个项目的实施情况，该项目在纽约罗切斯特一所大学附属社区医院所属的初级保健机构网络中的12个地点提供精神卫生保健服务。作为该医院精神科的一个项目，该计划的目标是改善对精神健康问题的识别、诊断和治疗，以及在这些领域对初级保健提供者进行教育。该项目的三名主要治疗师每人都在几个初级保健地点提供短期的、以症状为重点的个体、婚姻、家庭和团体治疗以及病例咨询。项目主任是一名精神科医生，负责进行诊断评估，并为主要治疗师和初级保健医生提供药物咨询。作者讨论了该项目模式的优缺点及其未来发展计划。
