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Integrated model of primary and mental healthcare for the refugee population served by an academic medical centre

Family Medicine and Community Health 2023年第2期11卷 25-31页

作者： Katharine E Daniel Sarah r Blackstone Joseph S Tan richard L Merkel fern r hauck Claudia W Allen Department of Psychology University of VirginiaCharlottesvilleVirginiaUSA Department of Family Medicine University of Virginia Health SystemCharlottesvilleVirginiaUSA Department of Psychiatry University of Virginia Health SystemCharlottesvilleVirginiaUSA

refugees are at increased risk for developing mental health concerns due to high rates of trauma exposure and postmigration ***,barriers to accessing mental health services result in ongoing suffering within this *** care-which combines primary healthcare and mental healthcare into one cohesive,collaborative setting-may improve refugees’access to comprehensive physical and mental health services to ultimately better support this uniquely vulnerable *** integrated care models can increase access to care by colocating multidisciplinary services,establishing an effective integrated care model brings unique logistic(eg,managing office space,delineating roles between multiple providers,establishing open communication practices between specialty roles)and financial(eg,coordinating across department-specific billing procedures)*** therefore describe the model of integrated primary and mental healthcare used in the International Family Medicine Clinic at the University of Virginia,which includes family medicine providers,behavioural health specialists and ***,based on our 20-year history of providing these integrated services to refugees within an academic medical centre,we offer potential solutions for addressing common challenges(eg,granting specialty providers necessary privileges to access visit notes entered by other specialty providers,creating a culture where communication between providers is the norm,establishing a standard that all providers ought to be CC’ed on most visit notes).We hope that our model and the lessons we have learned along the way can help other institutions that are interested in developing similar integrated care systems to support refugees’mental and physical health.

关键词： services establishing centre

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Using an interprofessional team to provide refugee healthcare in an academic medical centre

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Family Medicine and Community Health 2019年第3期7卷 22-29页

作者： Catherine E Elmore Jeffrey M Tingen Kelly Fredgren Sarah N Dalrymple rebekah M Compton Elizabeth L Carpenter Claudia W Allen fern r hauck Department of Family Medicine University of Virginia Health SystemCharlottesvilleVirginiaUSA Department of Pharmacy Services University of Virginia Health SystemCharlottesvilleVirginiaUSA Department of Social Work University of Virginia Health SystemCharlottesvilleVirginiaUSA Department of Public Health Sciences University of Virginia Health SystemCharlottesvilleVirginiaUSA

Introduction The International Family Medicine Clinic(IFMC)was established in 2002 by the University of Virginia Department of Family Medicine to provide comprehensive,timely,culturally sensitive and high-quality healthcare to the growing refugee and special immigrant population in Central Virginia,*** The purpose of this paper is to describe the IFMC,with a specific focus on interprofessional roles,interprofessional collaboration,community partnerships and the services and resources available to IFMC *** The clinic has served over 3100 refugees from 60 countries in its 16-year *** 2019,the clinic staff now includes 4 attending physicians,2 nurse practitioners and 14 residents who have dedicated clinic time to see refugees;a registered nurse care coordinator and a social worker dedicated to the IFMC refugee population;2 clinical psychologists and doctoral students in clinical psychology;and a clinical *** IFMC also provides onsite psychiatric care.A process flow map depicts the interconnectivity of interprofessional team members working together with other specialty care providers within the medical centre and with community partners on behalf of refugee patients through the resettlement *** Individuals who arrive in the USA as refugees are a particularly vulnerable patient group and often require an interprofessional team *** IFMC may serve as a model for other institutions interested in starting a similar interprofessional,refugee-centred medical home.

关键词： centre nurse professional

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