Evidence map›Paper›PMID 31736677›Full record

ArticleInternational journal of integrated care2019

Integrating Primary Care Into Community Mental Health Centres in Texas, USA: Results of a Case Study Investigation.

Rebecca Wells, Ellen D Breckenridge, Sasha Ajaz, Aman Narayan, Daniel Brossart, James H Zahniser, Jolene Rasmussen

Abstract readCase Reports
In one paragraph

Article in International journal of integrated care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
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

7 authors.

Rebecca WellsThe University of Texas School of Public Health, Department of Management, Policy, and Community Health, Houston, TX, US.ORCID 0000-0002-1526-3263
Ellen D BreckenridgeThe University of Texas School of Public Health, Department of Management, Policy, and Community Health, Houston, TX, US.
Sasha AjazUT Southwestern Medical School, Dallas, TX, US.
Aman NarayanUT Southwestern Medical School, Dallas, TX, US.
Daniel BrossartCounseling Psychology Program, Department of Educational Psychology, Texas A&M University, TX, US.
James H ZahniserMeadows Mental Health Policy Institute, Dallas, TX, US.
Jolene RasmussenAdult Behavioral Health, Texas Council of Community Centers, Austin, TX, US.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite evidence that people with serious mental illness benefit from receiving primary care within mental health care settings, there is little research on this type of integration. The objective of this study was to characterize how providers and patients experienced implementation of primary care into specialty mental health services.

methodsDuring site visits, study team members interviewed staff and conducted focus groups with patients at 10 United States community mental health centres then beginning to integrate primary into their practices. One year later, follow up phone interviews with key centre staff informants validated and updated findings. Data analysis included thematic coding of results from staff interviews and patient focus groups.

resultsFindings included the importance of the scope of primary care services provided on site, given limited alternatives available to patients; rapid scale-up; overcoming challenges in provider recruitment and retention; and adaptations to engage patients as well as to improve communication between mental health and primary care providers.

conclusionProviders and patients perceived improvements through integrated care. However, the majority of patients were uninsured, and the funding was short term. The long-term viability of integrated care for community mental health centre patients may hinge on adequate, predictable public funding.

Indexed as

colocationintegrationmental healthprimary carereverse integration

Identifiers

PMID31736677
PMCPMC6823772

What OpenQuestion holds

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LicenceCC BY
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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.