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06.09.2024 | Original Paper

Understanding and Navigating the Unique Barriers Rural Primary Care Settings Face when Implementing Collaborative Care for Mental Health

verfasst von: Elizabeth J. Austin, Elsa S. Briggs, Angel Cheung, Erin LePoire, Brittany E. Blanchard, Amy M. Bauer, Morhaf Al Achkar, Diane M. Powers

Erschienen in: Community Mental Health Journal

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Abstract

Rural primary care (RPC) clinics may face unique barriers to implementing the Collaborative Care Model (CoCM). We used mixed methods to explore RPC staff and practice facilitator (PF) perspectives on CoCM implementation. PFs reported on barriers and facilitators experienced after each monthly meeting with clinics (n = 459 surveys across 23 clinics). Data were analyzed descriptively and informed qualitative interviews with a purposive sample (n = 11) of clinic staff and PFs. Interviews were analyzed using Rapid Assessment Process and triangulated with quantitative data. The most prominent barriers experienced were: (1) the COVID-19 pandemic, (2) limited availability of site staff to participate in implementation activities, and (3) hiring of new CoCM staff. Qualitative data further characterized the ways these barriers uniquely influenced RPC settings and promising implementation strategies. RPC settings face unique challenges to CoCM implementation, but several promising implementation strategies – when tailored to RPC contexts - may help.

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Titel: Understanding and Navigating the Unique Barriers Rural Primary Care Settings Face when Implementing Collaborative Care for Mental Health
verfasst von: Elizabeth J. Austin
Elsa S. Briggs
Angel Cheung
Erin LePoire
Brittany E. Blanchard
Amy M. Bauer
Morhaf Al Achkar
Diane M. Powers
Publikationsdatum: 06.09.2024
Verlag: Springer US
Erschienen in: Community Mental Health Journal
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-024-01348-6

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