alexa Mental Healthcare in Rural and Underserved Primary Care Settings: Benefits of Telemental Health, Integrated Care, Stepped Care and Interdisciplinary Team Models | Abstract
ISSN: 2167-1168

Journal of Nursing & Care
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Review Article

Mental Healthcare in Rural and Underserved Primary Care Settings: Benefits of Telemental Health, Integrated Care, Stepped Care and Interdisciplinary Team Models

Donald M Hilty1* Jennifer Green1, Sarah E Nasatir-Hilty1, Barb Johnston2 and James A Bourgeois3
1Department of Psychiatry & Behavioral Sciences and LAC+USC Medical Center, Keck School of Medicine of USC, Los Angeles, CA
2Health Link Now, Sacramento, CA, USA
3Department of Psychiatry/Langley Porter Psychiatric Institute, UCSF, Los Angeles, CA
Corresponding Author : Donald M. Hilty
Professor and Vice-Chair of Education
Director of Consultation-Liaison Psychiatry
Department of Psychiatry & Behavioral Sciences and LAC+USC Medical Center
Keck School of Medicine of USC, Los Angeles, CA, USA
Tel: 323-442-4003
E-mail: [email protected]
Received January 25, 2015; Accepted March 09, 2015; Published March 16, 2015
Citation: Hilty DM, Green J, Hilty SEN, Johnston B, Bourgeois JA (2015) Mental Healthcare in Rural and Underserved Primary Care Settings: Benefits of Telemental Health, Integrated Care, Stepped Care and Interdisciplinary Team Models. J Nurs Care 4:237. doi:10.4172/2167-1168-1000237
Copyright: © 2015 Hilty DM. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Contemporary healthcare has a patient-centered approach, integrates health/mental health care, emphasizes interdisciplinary teamwork, and adopts innovations such as communications technology. Telemedicine (including telepsychiatry) adds versatility to service delivery by improving access to care, leveraging expertise of key disciplines to the point-of-service, and tele-education. Key disciplines in integrated care, wherein psychiatric and other mental health services are provided in a primary care platform, are the psychiatrist, other mental health professionals (i.e., psychologists, social workers, marriage and family therapists), mid-level professionals, and nurses. These clinicians provide clinical, administrative, and care coordination expertise or oversight. Overall, telemedicine, cross-training, stepped care roles, and use of clinically “versatile” clinicians help to fill “holes” in services for patients. Evidence-based treatment becomes more accessible, better disseminated, and in “real-time” with use of technology.

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