The integration of a telemental health service into rural primary medical care.
Mental health care shortages in rural areas have resulted in the majority of services being offered through primary medical care settings. The authors argue that a paradigm shift must occur so that those in need of mental health care have reasonable, timely access to these services. Changes proposed include integrating mental health services into primary medical care settings, moving away from the traditional view of mental health care services (one therapist, one hour, and one client), and increasing the consultative role of psychologists and other mental health care providers in primary medical care. Characteristics of mental health providers that facilitate effective integration into primary medical care are presented. The results of a needs assessment survey and an example of a telemental health project are described. This project involved brief consultations with patients and their physicians from a shared care model using a broadband internet telecommunications link between a rural clinic and mental health service providers in an urban area.
Davis
G L
GL
Center for Rural Mental Health Studies, Department of Behavioral Sciences, University of Minnesota Medical School, Duluth 55812, USA. gdavis1@d.umn.edu
Boulger
J G
JG
Hovland
J C
JC
Hoven
N T
NT
D019033:Delivery of Health Care, Integrated; D006301:Health Services Needs and Demand; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D008910:Minnesota; D019982:Organizational Case Studies; D011320:Primary Health Care / Q000458:organization & administration*; D019035:Rural Health Services / Q000458:organization & administration* / Q000600:supply & distribution; D017216:Telemedicine / Q000458:organization & administration*