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A system of care perspective on prevention
1Department of Mental Hygiene, Johns Hopkins School of Public Health, Baltimore, MD 21205, USA.
Clinical Psychology Review
|August 3, 1999
Summary
Linking preventive and clinical interventions requires greater clinician involvement. Policy changes offer opportunities to integrate these services for better mental health care.
Area of Science:
- Public Health
- Health Services Research
- Mental Health Services
Background:
- Preventive interventions are increasingly focused on individuals not yet exhibiting disorders.
- This focus may inadvertently isolate preventive efforts from clinical treatment providers.
- A gap exists between preventive and remedial mental health care.
Purpose of the Study:
- To explore the need for greater clinician participation in linking preventive and remedial interventions.
- To examine how policy changes can facilitate the integration of preventive and clinical mental health services.
- To discuss opportunities for expanding preventive interventions through better integration.
Main Methods:
- Review of recent policy changes in healthcare organization and financing.
- Analysis of the implications of these changes for linking preventive and clinical care.
- Discussion of strategies to enhance clinician involvement in preventive interventions.
Main Results:
- Current healthcare policies may create barriers between preventive and clinical care.
- Policy shifts present opportunities to bridge this gap.
- Increased clinician engagement is crucial for effective integration.
Conclusions:
- Relinking preventive and remedial interventions is essential for comprehensive mental health care.
- Leveraging policy changes and encouraging clinician participation can expand preventive services.
- Integrated care models promise improved outcomes for individuals at risk and those with disorders.