title: Consumer-Involved Participatory Research to Address General Medical Health and Wellness in a Community Mental Health Setting.
abstract: Barriers to sustainably implementing general medical interventions in community mental health (CMH) settings include role uncertainty, consumer engagement, workforce limitations, and sustainable reimbursement. To address these barriers, this project used a community-partnered participatory research framework to create a stakeholder-based general medical and wellness intervention in a large CMH organization, with consumers involved in all decision-making processes. Consumers faced practical barriers to participating in organizational decision making, but their narratives were critical in establishing priorities and ensuring sustainability. Addressing baseline knowledge and readiness of stakeholders and functional challenges to consumer involvement can aid stakeholder-based approaches to implementing general medical interventions in CMH settings.
authors.affiliation: Dr. Iyer is with VISN3 Mental Illness Research, Education and Clinical Center, James J. Peters VA Medical Center, Bronx, New York, and the Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York (e-mail: sharat.iyer@mssm.edu ). Ms. Pancake and Ms. Dandino are with Pacific Clinics, Pasadena, California. Dr. Wells is with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, and the RAND Corporation, Santa Monica, California. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
authors.forename: Sharat P
authors.initials: SP
authors.lastname: Iyer
authors.affiliation: Dr. Iyer is with VISN3 Mental Illness Research, Education and Clinical Center, James J. Peters VA Medical Center, Bronx, New York, and the Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York (e-mail: sharat.iyer@mssm.edu ). Ms. Pancake and Ms. Dandino are with Pacific Clinics, Pasadena, California. Dr. Wells is with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, and the RAND Corporation, Santa Monica, California. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
authors.forename: Laura S
authors.initials: LS
authors.lastname: Pancake
authors.affiliation: Dr. Iyer is with VISN3 Mental Illness Research, Education and Clinical Center, James J. Peters VA Medical Center, Bronx, New York, and the Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York (e-mail: sharat.iyer@mssm.edu ). Ms. Pancake and Ms. Dandino are with Pacific Clinics, Pasadena, California. Dr. Wells is with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, and the RAND Corporation, Santa Monica, California. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
authors.forename: Elizabeth S
authors.initials: ES
authors.lastname: Dandino
authors.affiliation: Dr. Iyer is with VISN3 Mental Illness Research, Education and Clinical Center, James J. Peters VA Medical Center, Bronx, New York, and the Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York (e-mail: sharat.iyer@mssm.edu ). Ms. Pancake and Ms. Dandino are with Pacific Clinics, Pasadena, California. Dr. Wells is with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, and the RAND Corporation, Santa Monica, California. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
authors.forename: Kenneth B
authors.initials: KB
authors.lastname: Wells
mesh_terms: D003153:Community Health Services / Q000379:methods*; D003256:Community Participation / Q000379:methods*; D055812:Community-Based Participatory Research / Q000379:methods*; D006293:Health Promotion / Q000379:methods*; D006297:Health Services Accessibility; D006304:Health Status; D006801:Humans; D015141:Los Angeles; D008603:Mental Health