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Engineering Integrated Care Expansion and Innovation: Drawing upon Nursing Leadership.

Kathleen R Delaney1, Margaret R Emerson2, Victoria Soltis-Jarrett3

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Summary
This summary is machine-generated.

Psychiatric Mental Health Nurse Practitioners (PMHNPs) are expanding integrated behavioral health care (IBH) for underserved populations. Nurse-led models address challenges, improving access to mental health services within primary care settings.

Keywords:
collaborative care modelintegrated behavioral health carenurse-led carepsychiatric nurse practitioner

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Area of Science:

  • Healthcare Delivery
  • Mental Health Services
  • Primary Care Integration

Background:

  • Integrated behavioral health care (IBH) addresses unmet mental health needs in the US.
  • The Collaborative Care Model (CoCM) integrates physical, mental, and substance use disorder care.
  • Lack of psychiatric consultants hinders IBH development for vulnerable populations.

Purpose of the Study:

  • To discuss nurse-led IBH models.
  • To explore implementation challenges and strategies.
  • To propose future directions for PMHNP-led IBH expansion.

Main Methods:

  • Review of eight nurse-led IBH models.
  • Analysis of implementation challenges.
  • Identification of strategies to address challenges.

Main Results:

  • PMHNPs are increasingly serving as psychiatric consultants in CoCM teams.
  • Eight nurse-led IBH models demonstrate expansion for underserved populations.
  • Strategies for overcoming implementation challenges were identified.

Conclusions:

  • Nurse leaders can enhance and expand IBH, especially for underserved groups.
  • Optimal team utilization, outcome measurement, and team-based effectiveness measures are key.
  • PMHNP-led initiatives can accelerate the expansion of IBH.