Integrating primary health care and mental health services--a successful rural linkage. 1983

G M Prindaville, and L H Sidwell, and D E Milner

The local delivery of human services is currently receiving national emphasis. The expectation is that community-based services shall be provided with a minimum of duplication and with maximum efficiency, achieved partly by interdisciplinary and interorganizational cooperation. This emphasis was appropriately facilitated in the mid-1970s through the availability of the Mental Health Initiative grants. The grants, initiated by the Bureau of Community Health Services in conjunction with the National Institute of Mental Health, Public Health Service, promoted the increased availability of mental health services through formal linkages between community mental health centers and primary health care programs. One such successful linkage was between a small primary health care center and a nonfederally funded, multicounty, mental health center in northwest Illinois. Initiated in September 1980, the services of the linkage project included direct clinical mental health services delivered at the primary health care center site, consultation and education activities, and the coordination of interagency services. The project patients differed from the general clients of the mental health center in demographic characteristics, source of referral, and diagnoses. The key elements in successful linkages and the achievement of goals are analyzed. The experience of the linkage project is relevant to the 1980s. The project was prematurely ended after 14 months. Reduction in Federal funds severely cut support for the primary health care center, and the depressed local economy could not match the withdrawn Federal funds.

UI MeSH Term Description Entries
D007087 Illinois State bounded on the north by Wisconsin, on the east by Lake Michigan, Indiana, and Kentucky, on the west by Missouri and Iowa, and on the south by Kentucky.
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D008297 Male Males
D008605 Mental Health Services Organized services to provide mental health care. Mental Hygiene Services,Health Services, Mental,Services, Mental Health,Services, Mental Hygiene,Health Service, Mental,Hygiene Service, Mental,Hygiene Services, Mental,Mental Health Service,Mental Hygiene Service,Service, Mental Health,Service, Mental Hygiene
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011320 Primary Health Care Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192) Primary Care,Primary Healthcare,Care, Primary,Care, Primary Health,Health Care, Primary,Healthcare, Primary
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003153 Community Health Services Diagnostic, therapeutic and preventive health services provided for individuals in the community. Community Health Care,Community Healthcare,Health Services, Community,Services, Community Health,Community Health Service,Health Care, Community,Health Service, Community,Healthcare, Community,Service, Community Health

Related Publications

G M Prindaville, and L H Sidwell, and D E Milner
January 1998, Administration and policy in mental health,
G M Prindaville, and L H Sidwell, and D E Milner
November 2017, Journal of general internal medicine,
G M Prindaville, and L H Sidwell, and D E Milner
January 1980, Public health reports (Washington, D.C. : 1974),
G M Prindaville, and L H Sidwell, and D E Milner
August 1976, Medical care,
G M Prindaville, and L H Sidwell, and D E Milner
March 2004, Substance abuse,
G M Prindaville, and L H Sidwell, and D E Milner
September 1997, General hospital psychiatry,
G M Prindaville, and L H Sidwell, and D E Milner
December 2002, Canadian family physician Medecin de famille canadien,
G M Prindaville, and L H Sidwell, and D E Milner
January 2019, International journal of mental health systems,
G M Prindaville, and L H Sidwell, and D E Milner
January 2009, North Carolina medical journal,
G M Prindaville, and L H Sidwell, and D E Milner
September 2007, Primary care,
Copied contents to your clipboard!