221778 PRICARe model and its implementation process

Tuesday, November 9, 2010 : 2:45 PM - 3:00 PM

Jean Demmler, PhD , Heartland Network for Social Research, Denver, CO
Christa Smith, PhD , Touchstone Health and Wellness, LLC, Denver, CO
Robert Bremer, PhD , Access Behavioral Health, Colorado ACCESS, Aurora, CO
In November 2008 the Colorado Health Foundation funded the establishment of a new integrated primary care and mental health services project in Denver, CO. The project, Promoting Resources for Integrated Care and Recovery (PRICARe), would be implemented within the Mental Health Center of Denver (MHCD), a large public mental health agency and would employ a primary care physician who is on the faculty of the Dept. of Family Medicine of the University of Colorado. The population to be served by the project would be seriously mentally ill persons who have health insurance under the auspices of Colorado ACCESS, a Behavioral Health Organization which has a Medicaid contract to provide both health and mental health services to many MHCD clients This presentation reports the results of the process evaluation of the implementation of this collaborative project.

The process evaluation collected interview data from key informants that included PRICARe management and staff and observations of most management meetings. These data were supplemented with documents generated during the implementation process. These documents included meeting minutes and email notes among management and between PRICAREe medical staff and MHCD mental health staff.

Evaluation findings indicated that while this innovative project was successfully implemented, the process of integrating three systems took longer than anticipated and presented substantial challenges. The numerous steps toward PRICARe' establishment and significant challenges will be reported. The presentation will conclude with a description of the project's structure and extent of integration at the end of the initial implementation period.

Learning Areas:
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Identify challenges to the implementation of establishing integrated primary care within public mental health services 2. Identify features of successful integration of primary care within public mental health services

Keywords: Health Care Delivery, Mental Health Services

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the external evaluator of the PRICARe project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.