{"id":"https://openalex.org/W2946690669","doi":"https://doi.org/10.1097/jhq.0000000000000206","title":"Regional Adoption of Primary Care\u2014Mental Health Integration in Veterans Health Administration Patient-Centered Medical Homes","display_name":"Regional Adoption of Primary Care\u2014Mental Health Integration in Veterans Health Administration Patient-Centered Medical Homes","publication_year":2019,"publication_date":"2019-05-25","ids":{"openalex":"https://openalex.org/W2946690669","doi":"https://doi.org/10.1097/jhq.0000000000000206","mag":"2946690669","pmid":"https://pubmed.ncbi.nlm.nih.gov/31135605"},"language":"en","primary_location":{"id":"doi:10.1097/jhq.0000000000000206","doi":"https://doi.org/10.1097/jhq.0000000000000206","is_oa":false,"landing_page_url":"https://doi.org/10.1097/jhq.0000000000000206","pdf_url":null,"source":{"id":"https://openalex.org/S158039710","display_name":"Journal for Healthcare Quality","issn_l":"1062-2551","issn":["1062-2551","1945-1474"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","medline","poland-70","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal for Healthcare Quality","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069330455","display_name":"Lucinda B. Leung","orcid":"https://orcid.org/0000-0002-8103-8611","observed_orcids":["https://orcid.org/0000-0002-8103-8611"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lucinda B. Leung","raw_affiliation_strings":["For more information on this article, contact Lucinda B. Leung at [email\u00a0protected]","These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"For more information on this article, contact Lucinda B. Leung at [email\u00a0protected]","institution_ids":[]},{"raw_affiliation_string":"These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103001355","display_name":"Danielle E. Rose","orcid":"https://orcid.org/0000-0001-6797-2611","observed_orcids":["https://orcid.org/0000-0001-6797-2611"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Danielle Rose","raw_affiliation_strings":["These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010780919","display_name":"Susan E. Stockdale","orcid":"https://orcid.org/0000-0001-8843-9808","observed_orcids":["https://orcid.org/0000-0001-8843-9808"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Susan Stockdale","raw_affiliation_strings":["These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084493297","display_name":"Michael G. McGowan","orcid":"https://orcid.org/0000-0002-1017-3285","observed_orcids":["https://orcid.org/0000-0002-1017-3285"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michael McGowan","raw_affiliation_strings":["These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025418027","display_name":"Elizabeth Martin Yano","orcid":"https://orcid.org/0000-0002-9385-0025","observed_orcids":["https://orcid.org/0000-0002-9385-0025"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Elizabeth M. Yano","raw_affiliation_strings":["These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029240334","display_name":"A. Laurie Graaff","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A. Laurie Graaff","raw_affiliation_strings":["These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056857364","display_name":"Timothy R. Dresselhaus","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Timothy R. Dresselhaus","raw_affiliation_strings":["These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5006058688","display_name":"Lisa V. Rubenstein","orcid":"https://orcid.org/0000-0002-4186-7191","observed_orcids":["https://orcid.org/0000-0002-4186-7191"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lisa V. Rubenstein","raw_affiliation_strings":["These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"These views represent the opinions of the authors and not necessarily those of the VA or the U.S. government","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.48,"has_fulltext":false,"cited_by_count":12,"citation_normalized_percentile":{"value":0.87056323,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":92,"max":96},"biblio":{"volume":"41","issue":"5","first_page":"297","last_page":"305"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.3668999969959259,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.3668999969959259,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.3472000062465668,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.12039999663829803,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/primary-care-mental-health-integration","display_name":"primary care mental health integration","score":0.8220000267028809},{"id":"https://openalex.org/keywords/patient-centered-medical-home","display_name":"patient-centered medical home","score":0.9089999794960022},{"id":"https://openalex.org/keywords/veterans-health-administration","display_name":"Veterans Health Administration","score":0.9169999957084656},{"id":"https://openalex.org/keywords/collaborative-care","display_name":"collaborative care","score":0.7620000243186951},{"id":"https://openalex.org/keywords/telemedicine","display_name":"telemedicine","score":0.6880000233650208},{"id":"https://openalex.org/keywords/care-management","display_name":"care management","score":0.8999999761581421},{"id":"https://openalex.org/keywords/warm-handoff","display_name":"warm handoff","score":0.8790000081062317},{"id":"https://openalex.org/keywords/organizational-structure","display_name":"organizational structure","score":0.5789999961853027},{"id":"https://openalex.org/keywords/practice-management","display_name":"practice management","score":0.8230000138282776}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6162700653076172},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.6066818833351135},{"id":"https://openalex.org/C2775969662","wikidata":"https://www.wikidata.org/wiki/Q7923600","display_name":"Veterans Affairs","level":2,"score":0.5938381552696228},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.5733462572097778},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5602829456329346},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4740200638771057},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4472726285457611},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.40424585342407227},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.1410098373889923},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007400","descriptor_name":"Interprofessional Relations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008605","descriptor_name":"Mental Health Services","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D010348","descriptor_name":"Patient Care Team","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014493","descriptor_name":"United States Department of Veterans Affairs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018802","descriptor_name":"Patient-Centered Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D055317","descriptor_name":"Evidence-Based Practice","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D058014","descriptor_name":"Veterans Health","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/jhq.0000000000000206","doi":"https://doi.org/10.1097/jhq.0000000000000206","is_oa":false,"landing_page_url":"https://doi.org/10.1097/jhq.0000000000000206","pdf_url":null,"source":{"id":"https://openalex.org/S158039710","display_name":"Journal for Healthcare Quality","issn_l":"1062-2551","issn":["1062-2551","1945-1474"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","medline","poland-70","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal for Healthcare Quality","raw_type":"journal-article"},{"id":"pmid:31135605","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31135605","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal for healthcare quality : official publication of the National Association for Healthcare Quality","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G6891003225","display_name":null,"funder_award_id":"IK6 HX002836","funder_id":"https://openalex.org/F4320306127","funder_display_name":"U.S. Department of Veterans Affairs"}],"funders":[{"id":"https://openalex.org/F4320306127","display_name":"U.S. Department of Veterans Affairs","ror":"https://ror.org/05rsv9s98"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W195566353","https://openalex.org/W1603154299","https://openalex.org/W1984466033","https://openalex.org/W1998272819","https://openalex.org/W2012841084","https://openalex.org/W2078880305","https://openalex.org/W2087292709","https://openalex.org/W2094245915","https://openalex.org/W2124518166","https://openalex.org/W2140322236","https://openalex.org/W2147960414","https://openalex.org/W2151953961","https://openalex.org/W2187253811","https://openalex.org/W2324300369","https://openalex.org/W2333351673","https://openalex.org/W2564916194","https://openalex.org/W2758085796","https://openalex.org/W2764007462","https://openalex.org/W2766420066","https://openalex.org/W2772905637","https://openalex.org/W2783100652","https://openalex.org/W2794121394","https://openalex.org/W2802721624"],"related_works":["https://openalex.org/W2794121394","https://openalex.org/W2901342893","https://openalex.org/W1979664694","https://openalex.org/W2971966937","https://openalex.org/W2075094338","https://openalex.org/W2340002393","https://openalex.org/W4296662687","https://openalex.org/W7154656996","https://openalex.org/W2966203950","https://openalex.org/W2030594905"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Behavioral":[1],"health":[2],"integration":[3],"is":[4],"important,":[5],"yet":[6],"difficult":[7],"to":[8,83,92,116,128],"implement,":[9],"in":[10,30,50,69],"patient-centered":[11,182],"medical":[12,183],"homes.":[13],"The":[14,131],"Veterans":[15],"Health":[16,27],"Administration":[17],"(VA)":[18],"mandated":[19],"evidence-based":[20],"collaborative":[21],"care":[22,142],"models":[23],"through":[24],"Primary":[25],"Care-Mental":[26],"Integration":[28],"(PC-MHI)":[29],"large":[31],"PC":[32,41,67,88,193],"clinics.":[33],"This":[34],"study":[35],"characterized":[36],"PC-MHI":[37,64,119,175,198],"programs":[38],"among":[39,65,180],"all":[40],"clinics,":[42],"including":[43,178],"small":[44],"sites":[45],"exempt":[46],"from":[47,81,105,167],"program":[48],"implementation,":[49],"one":[51],"VA":[52,66,169,181],"region.":[53],"METHODS:":[54],"Researchers":[55,86,102],"administered":[56],"a":[57],"cross-sectional":[58],"key":[59],"informant":[60],"organizational":[61,96],"survey":[62],"on":[63,162],"clinics":[68,107,124,194],"Southern":[70],"California,":[71],"Arizona,":[72],"and":[73,98,141,150,165],"New":[74],"Mexico":[75],"(n":[76],"=":[77],"69":[78],"distinct":[79],"sites)":[80],"February":[82],"May":[84],"2018.":[85],"analyzed":[87],"clinic":[89,163],"leaders'":[90],"responses":[91],"five":[93],"items":[94],"about":[95],"structure":[97],"practice":[99],"management.":[100],"RESULTS:":[101],"received":[103],"surveys":[104],"65":[106],"(94%":[108],"response":[109],"rate).":[110],"Although":[111],"only":[112],"38%":[113],"were":[114,154],"required":[115],"implement":[117],"on-site":[118],"programs,":[120],"95%":[121],"of":[122,174,186],"participating":[123],"reported":[125,133],"providing":[126],"access":[127],"such":[129],"services.":[130],"majority":[132],"having":[134],"integrated,":[135],"colocated,":[136],"or":[137],"tele-MH":[138],"providers":[139],"(94%)":[140],"management":[143],"(77%).":[144],"Most":[145],"stated":[146],"same-day":[147],"services":[148,199],"(59%)":[149],"\"warm\"":[151],"handoffs":[152],"(56%)":[153],"always":[155],"available,":[156],"the":[157],"former":[158],"varying":[159],"significantly":[160],"based":[161],"size":[164],"distance":[166],"affiliated":[168],"hospitals.":[170],"CONCLUSIONS:":[171],"Regional":[172],"adoption":[173],"was":[176,189],"high,":[177],"telemedicine,":[179],"homes,":[184],"regardless":[185],"whether":[187],"implementation":[188],"required.":[190],"Small,":[191],"remote":[192],"that":[195],"voluntarily":[196],"provide":[197],"may":[200],"need":[201],"more":[202],"support.":[203]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-05-29T00:00:00"}