Document Detail

St. Louis Initiative for Integrated Care Excellence (SLI(2)CE): integrated-collaborative care on a large scale model.
MedLine Citation:
PMID:  20695674     Owner:  NLM     Status:  MEDLINE    
The primary care health setting is in crisis. Increasing demand for services, with dwindling numbers of providers, has resulted in decreased access and decreased satisfaction for both patients and providers. Moreover, the overwhelming majority of primary care visits are for behavioral and mental health concerns rather than issues of a purely medical etiology. Integrated-collaborative models of health care delivery offer possible solutions to this crisis. The purpose of this article is to review the existing data available after 2 years of the St. Louis Initiative for Integrated Care Excellence; an example of integrated-collaborative care on a large scale model within a regional Veterans Affairs Health Care System. There is clear evidence that the SLI(2)CE initiative rather dramatically increased access to health care, and modified primary care practitioners' willingness to address mental health issues within the primary care setting. In addition, data suggests strong fidelity to a model of integrated-collaborative care which has been successful in the past. Integrated-collaborative care offers unique advantages to the traditional view and practice of medical care. Through careful implementation and practice, success is possible on a large scale model.
Peter A Brawer; Richard Martielli; Patrice L Pye; Jamie Manwaring; Anna Tierney
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Families, systems & health : the journal of collaborative family healthcare     Volume:  28     ISSN:  1091-7527     ISO Abbreviation:  Fam Syst Health     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-08-10     Completed Date:  2010-10-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610836     Medline TA:  Fam Syst Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  175-87     Citation Subset:  IM    
Copyright Information:
PsycINFO Database Record (c) 2010 APA, all rights reserved.
Department of Mental Health, St. Louis VA Medical Center, St Louis, MO, USA.
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MeSH Terms
Cooperative Behavior*
Delivery of Health Care, Integrated / organization & administration*
Inservice Training / organization & administration
Mental Disorders / diagnosis,  therapy*
Mental Health Services / organization & administration*
Primary Health Care / organization & administration*
Sex Factors
Socioeconomic Factors
United States
United States Department of Veterans Affairs / organization & administration

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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