title: Rural models for integrating primary care and mental health services.
abstract: This paper presents findings from a study designed to identify and describe models for integrating primary care and mental health services in rural communities. Data were obtained from telephone interviews with staff at rural primary care sites around the country. Findings are based on the responses of 53 primary care organizations in 22 states. The authors identify four integration models--diversification, linkage, referral and enhancement--which appear to exist in combination, rather than as pure types. The proposed analytic framework outlines aspects of integration that are readily amenable to study.
authors.affiliation: Maine Rural Health Research Center, Edmund S. Muskie School of Public Service, University of Southern Maine, Portland 04104-9300, USA.
authors.forename: D C
authors.initials: DC
authors.lastname: Bird
authors.forename: D
authors.initials: D
authors.lastname: Lambert
authors.forename: D
authors.initials: D
authors.lastname: Hartley
authors.forename: P G
authors.initials: PG
authors.lastname: Beeson
authors.forename: A F
authors.initials: AF
authors.lastname: Coburn
mesh_terms: D001291:Attitude of Health Personnel; D003266:Continuity of Patient Care / Q000458:organization & administration; D003284:Contract Services / Q000458:organization & administration; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D017146:Models, Organizational; D011320:Primary Health Care / Q000458:organization & administration*; D012017:Referral and Consultation / Q000458:organization & administration; D019035:Rural Health Services / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D014481:United States