Evidence map›Paper›PMID 27380923›Full record

SynthesisJournal of primary care & community health2016

Overcoming Barriers to Integrating Behavioral Health and Primary Care Services.

Kyle L Grazier, Mary L Smiley, Kirsten S Bondalapati

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of primary care & community health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  9. Engineering Integrated Care Expansion and Innovation: Drawing upon Nursing Leadership.International journal of environmental research and public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kyle L GrazierSchool of Public Health, Ann Arbor, MI, USA kgrazier@umich.edu.
Mary L SmileyCenter for Healthcare Research & Transformation (CHRT), Ann Arbor MI, USA.
Kirsten S BondalapatiCenter for Healthcare Research & Transformation (CHRT), Ann Arbor MI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDespite barriers, organizations with varying characteristics have achieved full integration of primary care services with providers and services that identify, treat, and manage those with mental health and substance use disorders. What are the key factors and common themes in stories of this success?

methodsA systematic literature review and snowball sampling technique was used to identify organizations. Site visits and key informant interviews were conducted with 6 organizations that had over time integrated behavioral health and primary care services. Case studies of each organization were independently coded to identify traits common to multiple organizations.

resultsCommon characteristics include prioritized vulnerable populations, extensive community collaboration, team approaches that included the patient and family, diversified funding streams, and data-driven approaches and practices.

conclusionsWhile significant barriers to integrating behavioral health and primary care services exist, case studies of organizations that have successfully overcome these barriers share certain common factors.

Indexed as

Community Mental Health ServicesDecision MakingDelivery of Health Care, IntegratedHumansMental DisordersPolicy MakingPrimary Health Caredelivery organizationsintegrating mental health and primary careintegrationinterviewsqualitative analysisvulnerable populations

Identifiers

PMID27380923
PMCPMC5932707

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.