title: Using a multi-level approach to implement a primary care mental health (PCMH) program.
abstract: Successfully spreading innovation across large health care systems is a complex process requiring participation of stakeholders from a broad spectrum of professional backgrounds, skill sets, and organizational levels. We describe a process for engaging and activating stakeholders across individual, team, organization, and system levels to implement primary care-mental health integrated care programs in one regional Veterans Affairs health care network. Key stakeholders and researchers collaborated to propose and implement the program. Preliminary findings indicate that the program may reduce referrals to specialty mental health care.
authors.affiliation: South Central Mental Illness Research, Education, and Clinical Center (SCMIRECC), Central Arkansas Veterans Health Care System, North Little Rock, AR, USA.
authors.forename: JoAnn
authors.initials: J
authors.lastname: Kirchner
authors.forename: Carrie N
authors.initials: CN
authors.lastname: Edlund
authors.forename: Kathy
authors.initials: K
authors.lastname: Henderson
authors.forename: Lawrence
authors.initials: L
authors.lastname: Daily
authors.forename: Louise E
authors.initials: LE
authors.lastname: Parker
authors.forename: John C
authors.initials: JC
authors.lastname: Fortney
mesh_terms: D003299:Cooperative Behavior; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006801:Humans; D007256:Information Systems / Q000458:organization & administration; D033183:Interdisciplinary Communication; D007857:Leadership; D001523:Mental Disorders / Q000175:diagnosis / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D015279:Organizational Culture; D011320:Primary Health Care / Q000458:organization & administration*; D016730:Program Development; D011785:Quality Assurance, Health Care; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration