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The Effective Use of Psychiatric Mental Health Nurses in Integrated Care: Policy Implications for Increasing Quality and Access to Care

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Abstract

In the last ten years primary care providers have been encouraged to implement integrated models of care where individuals’ medical and mental health needs are addressed holistically. Many integrated models use Psychiatric Mental Health (PMH) nurses as case managers and select exemplars use PMH Advanced Practice Nurses (APNs) as providers. However, the potential value of PMH nurses in integrated health care remains unrealized by health care planners and payers, limiting access to services for the populations most in need of comprehensive care approaches. This current situation is partially fueled by insufficient knowledge of the roles and skill sets of PMH nurses. In this paper, the PMH RN and APN skill sets are detailed, demonstrating how effective use of these nurses can further the aims of integrated care models. Finally, outlined are barriers and enabling factors to effective use of PMH RNs and APNs and attendant policy implications.

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Authors and Affiliations

  1. Rush College of Nursing, 600 S Paulina St, Chicago, IL, 60612, USA

    Kathleen R. Delaney PhD, PMHNP, FAAN

  2. Substance Related Disorders Sequence, PAHO/WHO Collaborating Center for Geriatric Nursing Education, New York University College of Nursing, 433 First Avenue Room 602, New York City, NY, 10010, USA

    Madeline A. Naegle PhD, CNS-PMH, BC, FAAN

  3. Practice, Policy and Partnerships, Institute for Healthcare Innovation (MC 802), UIC College of Nursing, Chicago, IL, 60612-7350, USA

    Nancy M. Valentine RN, PhD, MPH, FAAN, FNAP

  4. Department of Veteran’s Affairs, Washington, DC, 20420, USA

    Deborah Antai-Otong MS, APRN, PMHCNS-BC, FAAN

  5. College of Health Professions, McAuley Health Center Women’s and Gender Studies, University of Detroit Mercy, Detroit, MI, USA

    Carla J. Groh PhD, PMHNP-BC, FAAN

  6. Nurse Educator, SEED Global Health, Peace Corps, Kampala, Uganda

    Laurah Brennaman PhD, RN, CEN

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  1. Kathleen R. Delaney PhD, PMHNP, FAAN
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  2. Madeline A. Naegle PhD, CNS-PMH, BC, FAAN
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  3. Nancy M. Valentine RN, PhD, MPH, FAAN, FNAP
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  4. Deborah Antai-Otong MS, APRN, PMHCNS-BC, FAAN
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Correspondence to Kathleen R. Delaney PhD, PMHNP, FAAN.

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Delaney, K.R., Naegle, M.A., Valentine, N.M. et al. The Effective Use of Psychiatric Mental Health Nurses in Integrated Care: Policy Implications for Increasing Quality and Access to Care. J Behav Health Serv Res 45, 300–309 (2018). https://doi.org/10.1007/s11414-017-9555-x

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