title: The Times They Are a Changin': Neuropsychology and Integrated Care Teams.
abstract: OBJECTIVE
  To gather illustrative data from clinical neuropsychologists who are working in integrated care settings in order to provide an initial blueprint for moving forward in this new era of health care.
  
  
  METHODS
  A survey was designed to illustrate the ways in which neuropsychologists are participating in integrated care teams and distributed on major neuropsychology listservs. The survey evaluated the settings, roles, services provided, practice issues, remuneration, and impact of neuropsychologists' participation in integrated care teams with respect to patient care and health outcomes. Frequencies were used to summarize the findings as well as qualitative coding of narrative responses.
  
  
  RESULTS
  There were 412 respondents to the survey and 261 of those indicated that they worked in at least one integrated care setting. Neuropsychologists work in a variety of integrated care settings and provide diverse services which contribute to improved patient care and outcomes.
  
  
  CONCLUSIONS
  Three primary themes emerge from the findings with regard to the engagement and teams: advocacy, collaboration, and communication. We argue for the need for more easily accessible outcome studies illustrating the clinical benefits and cost-savings associated with inclusion of neuropsychologists in integrated care teams. In addition, educational and training initiatives are needed to better equip current and future clinical neuropsychologists to function effectively in integrated care settings.
authors.affiliation: a Department of Psychiatry and Psychology , Center for Neurological Restoration , Cleveland , OH , USA.
authors.forename: Cynthia S
authors.initials: CS
authors.lastname: Kubu
authors.affiliation: b Psychological and Brain Sciences , University of Massachusetts , Amherst , MA , USA.
authors.forename: Rebecca E
authors.initials: RE
authors.lastname: Ready
authors.affiliation: c Department of Neurology , Icahn School of Medicine at Mount Sinai , New York , NY , USA.
authors.forename: Joanne R
authors.initials: JR
authors.lastname: Festa
authors.affiliation: d Psychology Section Affairs Medical Center , Memphis , TN , USA.|e University of Tennessee College of Medicine , Memphis , TN , USA.
authors.forename: Brad L
authors.initials: BL
authors.lastname: Roper
authors.affiliation: f Department of Psychiatry , University of Illinois , Chicago , IL , USA.
authors.forename: Neil H
authors.initials: NH
authors.lastname: Pliskin
mesh_terms: D003299:Cooperative Behavior; D006801:Humans; D033183:Interdisciplinary Communication; D009484:Neuropsychology; D010348:Patient Care Team / Q000458:organization & administration*; D010819:Physician's Role / Q000523:psychology; D011795:Surveys and Questionnaires
keywords: Health care Teams.; Integrated Care; Neuropsychology; Professional Issues