Advancing Mental Health and Primary Care Collaboration in the Public Sector New Directions for Mental Health Services, Number 81

by Goetz, Rupert R.; Pollack, David A.; Cutler, David L.

• ISBN13: 9780787914288
• ISBN10: 0787914282
• Edition: 1st
• Format: Paperback
• Copyright: 1999-03-29
• Publisher: Jossey-Bass

Summary

The integration of primary care and mental health in the public sector promises both financial savings and improved care for patients, who benefit from the collaborative treatment of their physical and mental health. Yet integration quickly proves a complex task. With their different models of care, histories, and priorities, the primary care and mental health domains have trouble communicating, much less collaborating. In this issue of New Directions for Mental Health Services, mental health and primary care providers come together to discuss the opportunities and challenges posed by integration. Drawing from their experiences, the authors examine the forces both for and against integration; offer suggestions for effective cooperation between the specialties; and explore the issues of gatekeeping, authorization, and confidentialityThis is the 81st issue of quarterly journal New Directions for Mental Health Services.

Author Biography

RUPERT R. GOETZ is adjunct associate professor of psychiatry and associate director of the Public Psychiatry Training Program in the Department of Psychiatry at Oregon Health Sciences University and medical director of the Office of Mental Health Services for the state of Oregon. DAVID A. POLLACK is adjunct associate professor of psychiatry and associate director of the Public Psychiatry Training Program in the Department of Psychiatry at Oregon Health Sciences University. DAVID L. CUTLER is professor of psychiatry and director of the Public Psychiatry Training Program in the Department of Psychiatry at Oregon Health Sciences University

Table of Contents

Editors' Notes	1	(6)
Rupert R. Goetz
David A. Pollack
David L. Cutler
Part One: The Primary Care--Mental Health Interface in the Public Sector
Psychiatry and Primary Care: Two Cultures Divided by a Common Cause	7	(10)
Mack Lipkin, Jr.
The Primary Care--Mental Health Interface	17	(8)
Rupert R. Goetz
The Mental Health Provider's View	25	(8)
David A. Pollack
The primary Care Provider's View	33	(8)
Frank V. deGruy, III
The Integrated System's View	41	(12)
David A. Pollack
The Carved-Out System's View	53	(12)
Carol L. Alter
Part Two: Critical Topics at the Primary Care--Mental Health Interface
Gatekeeping and Authorization	65	(10)
Monica L. Miles
Rupert R. Goetz
Confidentiality	75	(10)
Nick Kates
Part Three: Summary
Finding Opportunities at the Interface	85	(4)
Rupert R. Goetz
Index	89