ArticleAdministration and policy in mental health2015
Organizational correlates of implementation of colocation of mental health and primary care in the Veterans Health Administration.
Article in Administration and policy in mental health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Defining and assessing context in healthcare implementation studies: a systematic review.BMC health services research · 2020Pooled it
- Integration of primary care and behavioral health services in midwestern community health centers: A mixed methods study.Families, systems & health : the journal of collaborative family healthcare · 2022Article
- FLOW: Early results from a clinical demonstration project to improve the transition of patients with mental health disorders back to primary care.Psychological services · 2021Article
- Implementing electronic substance use disorder and depression and anxiety screening and behavioral interventions in primary care clinics serving people with HIV: Protocol for the Promoting Access to Care Engagement (PACE) trial.Contemporary clinical trials · 2019Article
- User-centered design to improve clinical decision support in primary care.International journal of medical informatics · 2017Article
- The role of clinical champions in facilitating the use of evidence-based practice in drug and alcohol and mental health settings: A systematic review.Implementation research and practiceReview
- A systematic review of measures of implementation players and processes: Summarizing the dearth of psychometric evidence.Implementation research and practiceReview
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Authors and funding
5 authors.
Funding
Abstract
This study explored the role of organizational factors in the ability of Veterans Health Administration (VHA) clinics to implement colocated mental health care in primary care settings (PC-MH). The study used data from the VHA Clinical Practice Organizational Survey collected in 2007 from 225 clinic administrators across the United States. Clinic degree of implementation of PC-MH was the dependent variable, whereas independent variables included policies and procedures, organizational context, and leaders' perceptions of barriers to change. Pearson bivariate correlations and multivariable linear regression were used to test hypotheses. Results show that depression care training for primary care providers and clinics' flexibility and participation were both positively correlated with implementation of PC-MH. However, after accounting for other factors, regressions show that only training primary care providers in depression care was marginally associated with degree of implementation of PC-MH (p = 0.051). Given the importance of this topic for implementing integrated care as part of health care reform, these null findings underscore the need to improve theory and testing of more proximal measures of colocation in future work.
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