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Related Experiment Video

Updated: Jun 10, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

Using a multi-level approach to implement a primary care mental health (PCMH) program.

JoAnn Kirchner1, Carrie N Edlund, Kathy Henderson

  • 1South Central Mental Illness Research, Education, and Clinical Center (SCMIRECC), Central Arkansas Veterans Health Care System, North Little Rock, AR, USA.

Families, Systems & Health : the Journal of Collaborative Family Healthcare
|August 11, 2010
PubMed
Summary

Implementing integrated primary care and mental health services requires engaging diverse stakeholders across all levels of health care systems. This collaborative approach may successfully reduce referrals to specialty mental health care.

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Area of Science:

  • Health Services Research
  • Healthcare Management
  • Mental Health Services

Background:

  • Implementing innovations in large health care systems is challenging.
  • Stakeholder engagement is crucial for successful adoption of new programs.
  • Primary care-mental health integration requires multi-level coordination.

Purpose of the Study:

  • To describe a process for engaging stakeholders to implement integrated primary care-mental health programs.
  • To activate stakeholders across individual, team, organization, and system levels.
  • To evaluate preliminary findings of the implemented program.

Main Methods:

  • Collaborative approach involving key stakeholders and researchers.
  • Multi-level stakeholder engagement strategy (individual, team, organization, system).
  • Implementation of primary care-mental health integrated care programs within a regional Veterans Affairs health care network.

Main Results:

  • Successful engagement and activation of diverse stakeholders were achieved.
  • The integrated care program was implemented across the network.
  • Preliminary findings suggest a potential reduction in referrals to specialty mental health care.

Conclusions:

  • A structured, collaborative process can facilitate the implementation of integrated care models.
  • Engaging stakeholders at all organizational levels is key to spreading health care innovations.
  • Primary care-mental health integration shows promise in reducing the need for specialty mental health services.