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Urgent Need for Improved Mental Health Care and a More Collaborative Model of Care.

Abstract Current treatments and the dominant model of mental health care do not adequately address the complex challenges of mental illness, which accounts for roughly one-third of adult disability globally. These circumstances call for radical change in the paradigm and practices of mental health care, including improving standards of clinician training, developing new research methods, and re-envisioning current models of mental health care delivery. Because of its dominant position in the US health care marketplace and its commitment to research and innovation, Kaiser Permanente (KP) is strategically positioned to make important contributions that will shape the future of mental health care nationally and globally.This article reviews challenges facing mental health care and proposes an agenda for developing a collaborative care model in primary care settings that incorporates conventional biomedical therapies and complementary and alternative medicine approaches. By moving beyond treatment delivery via telephone and secure video and providing earlier interventions through primary care clinics, KP is shifting the paradigm of mental health care to a collaborative care model focusing on prevention. Recommendations are to expand current practices to include integrative treatment strategies incorporating evidence-based biomedical and complementary and alternative medicine modalities that can be provided to patients using a collaborative care model. Recommendations also are made for an internal research program aimed at investigating the efficacy and cost-effectiveness of promising complementary and alternative medicine and integrative treatments addressing the complex needs of patients with severe psychiatric disorders, many of whom respond poorly to treatments available in KP mental health clinics.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title the permanente journal
Publication Year Start




PMID- 28898197
OWN - NLM
STAT- In-Process
DA  - 20170912
LR  - 20170917
IS  - 1552-5775 (Electronic)
IS  - 1552-5767 (Linking)
VI  - 21
DP  - 2017
TI  - Urgent Need for Improved Mental Health Care and a More Collaborative Model of
      Care.
LID - 10.7812/TPP/17-024 [doi]
AB  - Current treatments and the dominant model of mental health care do not adequately
      address the complex challenges of mental illness, which accounts for roughly
      one-third of adult disability globally. These circumstances call for radical
      change in the paradigm and practices of mental health care, including improving
      standards of clinician training, developing new research methods, and
      re-envisioning current models of mental health care delivery. Because of its
      dominant position in the US health care marketplace and its commitment to
      research and innovation, Kaiser Permanente (KP) is strategically positioned to
      make important contributions that will shape the future of mental health care
      nationally and globally.This article reviews challenges facing mental health care
      and proposes an agenda for developing a collaborative care model in primary care 
      settings that incorporates conventional biomedical therapies and complementary
      and alternative medicine approaches. By moving beyond treatment delivery via
      telephone and secure video and providing earlier interventions through primary
      care clinics, KP is shifting the paradigm of mental health care to a
      collaborative care model focusing on prevention. Recommendations are to expand
      current practices to include integrative treatment strategies incorporating
      evidence-based biomedical and complementary and alternative medicine modalities
      that can be provided to patients using a collaborative care model.
      Recommendations also are made for an internal research program aimed at
      investigating the efficacy and cost-effectiveness of promising complementary and 
      alternative medicine and integrative treatments addressing the complex needs of
      patients with severe psychiatric disorders, many of whom respond poorly to
      treatments available in KP mental health clinics.
FAU - Lake, James
AU  - Lake J
AD  - Staff Psychiatrist at the Oakland Medical Center in CA at the time this article
      was written, and is a founding member and former Chair of the American
      Psychiatric Association Caucus on Complementary and Alternative Medicine. He is
      the author of four books on integrative mental health care.
      [email protected]
FAU - Turner, Mason Spain
AU  - Turner MS
AD  - Director of Outpatient Mental Health and Addiction Medicine for Regional Mental
      Health Services for The Permanente Medical Group, the Chief of the Department of 
      Psychiatry at the San Francisco Medical Center, and an Assistant Clinical
      Professor at the Univesity of California, San Francisco. [email protected]
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Perm J
JT  - The Permanente journal
JID - 9800474
PMC - PMC5593510
EDAT- 2017/09/13 06:00
MHDA- 2017/09/13 06:00
CRDT- 2017/09/13 06:00
AID - 17-024 [pii]
AID - 10.7812/TPP/17-024 [doi]
PST - ppublish
SO  - Perm J. 2017;21. doi: 10.7812/TPP/17-024.