Inclusion of Mental Health and Addictions Services in Interprofessional Primary Health Care Delivery in Northern, Rural or Remote Settings
E. Neufeld, J. Bickford, S. Lacarte, and K. Viau
The main objective of this synthesis was to assess and summarize Canadian and international literature that examined how mental health and addictions services have been successfully integrated and included in interprofessional primary healthcare delivery models. Four primary healthcare models were identified that addressed the access-related challenges to healthcare delivery experienced by northern, rural or remote (NRoR) communities in Canada. These challenges cover health human resource shortages, a lack of coordination across sectors and jurisdictions, and geographic barriers. This synthesis utilized evidence from over ninety peer-reviewed papers and grey literature to develop recommendations for NRoR communities moving to integrate mental health and addictions services in primary healthcare services.
Successful integration of mental health and addictions services in primary healthcare delivery largely depends on overcoming the access-related barriers prevalent in NRoR settings. Mental health and addictions care that is interprofessional and collaborative; supported financially; and includes appropriate infrastructure and education leads to improved patient outcomes, provider recruitment and retention, and cost reductions. Investing in a Canadian NRoR health research agenda will increase the current level of evidence on which future policy development and resource allocations can be made.
(funded by the Canadian Foundation for Healthcare Improvement (CFHI))
[Started in December 2013; Completed in July 2014]
Link to final report forthcoming from CFHI website
(Names in bold denote CRaNHR investigators and research staff.)