Skip to main content Accessibility help
×
Home

Integrated primary care: patient perceptions and the role of mental health stigma

  • Lisa R. Miller-Matero (a1) (a2) (a3), Shehryar Khan (a1), Rachel Thiem (a1), Tiffany DeHondt (a1), Hala Dubaybo (a1) and Daniel Moore (a2)...

Abstract

Some patients are more willing to see a behavioral health provider within primary care. The purpose of this study was to evaluate the patients’ perspectives of having access to a psychologist within primary care and to investigate whether mental health stigma affected preferences. In total, 36 patients completed questionnaires after seeing a psychologist in primary care. Patients were satisfied with having a primary care psychologist involved in their care. Most patients were more likely to see the psychologist in primary care and those who preferred this indicated higher levels of mental health stigma. The overarching theme for why patients saw a psychologist in primary care was convenience. Mental health stigma may also have played a role. Results suggest that providing integrated services may reach patients who may not have otherwise sought services in a behavioral health clinic. Findings from this study encourage the continued integration of behavioral health services.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Integrated primary care: patient perceptions and the role of mental health stigma
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Integrated primary care: patient perceptions and the role of mental health stigma
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Integrated primary care: patient perceptions and the role of mental health stigma
      Available formats
      ×

Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Corresponding author

Author for correspondence: Lisa R Miller-Matero, Department of Behavioral Health, Department of Internal Medicine, Center for Health Policy & Health Services Research, Henry Ford Health System, 1 Ford Place, 3A, Detroit, MI 48202, USA. E-mail: Lmatero1@hfhs.org

References

Hide All
Blount, A (2003) Integrated primary care: organizing the evidence. Families, Systems, & Health 21, 121.
Brain, C, Sameby, B, Allerby, K, Quinlan, P, Joas, E, Lindström, E, Burns, T Waern, M (2014) Stigma, discrimination and medication adherence in schizophrenia: results from the Swedish COAST study. Psychiatry Research 220, 811817.
Butler, M, Kane, RL, McAlpine, D, Kathol, RG, Fu, SS, Hagedorn, H Wilt, TJ (2008) Integration of mental health/substance abuse and primary care.
Clement, S, Schauman, O, Graham, T, Maggioni, F, Evans-Lacko, S, Bezborodovs, N, Morgan, C, Rüsch, N, Brown, J Thornicroft, G (2015) What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine 45, 1127.
Collins, C Fund, MM (2010) Evolving models of behavioral health integration in primary care. New York, NY: Milbank Memorial Fund.
Corrigan, P (2004) How stigma interferes with mental health care. American Psychologist 59, 614.
Corrigan, PW, Druss, BG Perlick, DA (2014) The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest 15, 3770.
Crowley, RA Kirschner, N (2015) The integration of care for mental health, substance abuse, and other behavioral health conditions into primary care: executive summary of an American College of Physicians Position Paper. Annals of Internal Medicine 163, 298299.
Ede, V, Okafor, M, Kinuthia, R, Belay, Z, Tewolde, T, Alema-Mensah, E Satcher, D (2015) An examination of perceptions in integrated care practice. Community Mental Health Journal 51, 949961.
Funderburk, JS, Sugarman, DE, Maisto, SA, Ouimette, P, Schohn, M, Lantinga, L, Wray, L, Batki, S, Nelson, B Coolhart, D (2010) The description and evaluation of the implementation of an integrated healthcare model. Families, Systems, & Health 28, 146.
Goodrich, DE, Kilbourne, AM, Nord, KM Bauer, MS (2013) Mental health collaborative care and its role in primary care settings. Current Psychiatry Reports 15, 383.
Jackson, GL, Powers, BJ, Chatterjee, R, Bettger, JP, Kemper, AR, Hasselblad, V, Dolor, RJ, Irvine, RJ, Heidenfelder, BL Kendrick, AS (2013) The patient-centered medical home: a systematic review. Annals of Internal Medicine 158, 169178.
Jesse, MT, Ryan, ME, Eshelman, A, Ghanem, T, Williams, AM, Miller‐Matero, LR Yaremchuk, K (2015) Integrated psychological care in head and neck cancer: views from health care providers, patients, and supports. The Laryngoscope 125, 13451351.
King, M, Dinos, S, Shaw, J, Watson, R, Stevens, S, Passetti, F, Weich, S Serfaty, M (2007) The Stigma scale: development of a standardised measure of the stigma of mental illness. The British Journal of Psychiatry 190, 248254.
McGough, PM, Bauer, AM, Collins, L Dugdale, DC (2016) Integrating behavioral health into primary care. Population Health Management 19, 8187.
Miller-Matero, LR, Dubaybo, F, Ziadni, MS, Feit, R, Kvamme, R, Eshelman, A Keimig, W (2015) Embedding a psychologist into primary care increases access to behavioral health services. Journal of Primary Care & Community Health 6, 100104.
Pomerantz, A, Cole, BH, Watts, BV Weeks, WB (2008) Improving efficiency and access to mental health care: combining integrated care and advanced access. General Hospital Psychiatry 30, 546551.
Reid, RJ, Coleman, K, Johnson, EA, Fishman, PA, Hsu, C, Soman, MP, Trescott, CE, Erikson, M Larson, EB (2010) The group health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Affairs 29, 835843.
Reiss-Brennan, B (2014) Mental health integration: normalizing team care. Journal of Primary Care & Community Health 5, 5560.
Schoen, C, Osborn, R, Squires, D, Doty, M, Pierson, R Applebaum, S (2011) New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. Health Affairs 30, 24372448.
Substance Abuse and Mental Health Services Administration (SAMHSA) (2012) Results from the 2011 National survey on drug use and health: summary of national findings, NSDUH series H-44, HHS publication no. (SMA) 12-4713. Rockville, MD: Substance Abuse and Mental Health Services Administration.

Keywords

Integrated primary care: patient perceptions and the role of mental health stigma

  • Lisa R. Miller-Matero (a1) (a2) (a3), Shehryar Khan (a1), Rachel Thiem (a1), Tiffany DeHondt (a1), Hala Dubaybo (a1) and Daniel Moore (a2)...

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.