Evidence map›Paper›PMID 28898197›Full record

ArticleThe Permanente journal2017

Urgent Need for Improved Mental Health Care and a More Collaborative Model of Care.

James Lake, Mason Spain Turner

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Permanente journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 4 pooled it
21.2field-weighted citation impact, top 1% of its field
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

82 citing papers in PubMed, 4 syntheses or guidelines pooled it, 208 citations in OpenAlex.

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  8. Stepping Up: Predictors of 'Stepping' within an iCBT Stepped-Care Intervention for Depression.International journal of environmental research and public health · 2019
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  11. Towards Mental Health Equity: Task Shifting Strategy to Overcome Barriers in Primary Healthcare Services in India.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2025
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  14. Overview of Therapeutic Ultrasound Applications and Safety Considerations: 2024 Update.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2025
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22 more citing papers are in PubMed but not listed here.

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

2 authors at 2 institutions in 2 countries.

James LakeStaff Psychiatrist at the Oakland Medical Center in CA at the time this article was written, and is a founding member and former Chair of the American Psychiatric Association Caucus on Complementary and Alternative Medicine. He is the author of four books on integrative mental health care. jameslakemd@gmail.com.
Mason Spain TurnerDirector of Outpatient Mental Health and Addiction Medicine for Regional Mental Health Services for The Permanente Medical Group, the Chief of the Department of Psychiatry at the San Francisco Medical Center, and an Assistant Clinical Professor at the Univesity of California, San Francisco. mason.turner@kp.org.
American Medical Association · USCentre for Addiction and Mental Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current treatments and the dominant model of mental health care do not adequately address the complex challenges of mental illness, which accounts for roughly one-third of adult disability globally. These circumstances call for radical change in the paradigm and practices of mental health care, including improving standards of clinician training, developing new research methods, and re-envisioning current models of mental health care delivery. Because of its dominant position in the US health care marketplace and its commitment to research and innovation, Kaiser Permanente (KP) is strategically positioned to make important contributions that will shape the future of mental health care nationally and globally.This article reviews challenges facing mental health care and proposes an agenda for developing a collaborative care model in primary care settings that incorporates conventional biomedical therapies and complementary and alternative medicine approaches. By moving beyond treatment delivery via telephone and secure video and providing earlier interventions through primary care clinics, KP is shifting the paradigm of mental health care to a collaborative care model focusing on prevention. Recommendations are to expand current practices to include integrative treatment strategies incorporating evidence-based biomedical and complementary and alternative medicine modalities that can be provided to patients using a collaborative care model. Recommendations also are made for an internal research program aimed at investigating the efficacy and cost-effectiveness of promising complementary and alternative medicine and integrative treatments addressing the complex needs of patients with severe psychiatric disorders, many of whom respond poorly to treatments available in KP mental health clinics.

Indexed as

Cooperative BehaviorSystems IntegrationComplementary TherapiesCost-Benefit AnalysisHealth Services AccessibilityHealth Services ResearchHumansInservice TrainingMental DisordersMental Health ServicesPatient SafetyPractice Guidelines as TopicPrimary Health CareTelemedicine

Identifiers

PMID28898197
PMCPMC5593510
OpenAlexW2743504348

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.