The Readiness for Integrated Care Questionnaire (RICQ): An Instrument to Assess Readiness to Integrate Behavioral Health and Primary Care

被引:31
作者
Scott, Victoria C. [1 ]
Kenworthy, Tara [2 ]
Godly-Reynolds, Erin [1 ]
Bastien, Gilberte [3 ]
Scaccia, Jonathan [4 ]
McMickens, Courtney [5 ]
Rachel, Sharon [3 ]
Cooper, Sayon [3 ]
Wrenn, Glenda [3 ]
Wandersman, Abraham [2 ]
机构
[1] Univ North Carolina Charlotte, Dept Psychol Sci, 9201 Univ City Blvd, Charlotte, NC 28223 USA
[2] Univ South Carolina, Dept Psychol, Columbia, SC USA
[3] Morehouse Sch Med, Satcher Hlth Leadership Inst, Atlanta, GA 30310 USA
[4] Inst Healthcare Improvement, Cambridge, MA USA
[5] Yale Sch Med, Robert Wood Johnson Fdn, Clin Scholars Program, New Haven, CT USA
关键词
organizational readiness; readiness for integrated care; integrated care; behavioral health; primary care; ORGANIZATIONAL READINESS; COLLABORATIVE CARE; DEPRESSION; DISPARITIES; SERVICES; BARRIERS; MODELS; OLDER;
D O I
10.1037/ort0000270
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Integration of behavioral health and primary care services is a promising approach for reducing health disparities. The growing national emphasis on care coordination has mobilized efforts to integrate behavioral health and primary care services across the United States. These efforts align with broader health care system goals of improving health care quality, health equity, utilization efficiency, and patient outcomes. Drawing from our work on a multiyear integrated care initiative (Integrated Care Leadership Program; ICLP) and an implementation science heuristic for organizational readiness (Readiness = Motivation x General Capacity and Innovation-Specific Capacity; R = MC2), this article describes the development and implementation of a tool to assess organizational readiness for integrated care, referred to as the Readiness for Integrated Care Questionnaire (RICQ). The tool was piloted with 11 health care practices that serve vulnerable, underprivileged populations. Initial results from the RICQ revealed that participating practices were generally high in motivation, innovation-specific capacities, and general capacities at the start of ICLP. Additionally, analyses indicated that practices particularly needed support with increasing staff capacities (general knowledge and skills), improving access to and use of resources, and simplifying the steps in integrating care so the effort appears less daunting and difficult to health care team members. We discuss insights from the initial use of RICQ and practical implications of the new tool for driving integrated care efforts that can contribute to health equity.
引用
收藏
页码:520 / 530
页数:11
相关论文
共 40 条
[1]  
Abed Faghri Nahid M, 2010, Ment Health Fam Med, V7, P17
[2]  
Areán PA, 2005, MED CARE, V43, P381
[3]  
Baciu A., 2017, COMM ACT PATHW HLTH
[4]   Improving access to geriatric mental health services:: A randomized trial comparing treatment engagement with integrated versus enhanced referral care for depression, anxiety, and at-risk alcohol use [J].
Bartels, SJ ;
Coakley, EH ;
Zubritsky, C ;
Ware, JH ;
Miles, KM ;
Areán, PA ;
Chen, HT ;
Oslin, DW ;
Llorente, MD ;
Costantino, G ;
Quijano, L ;
McIntyre, JS ;
Linkins, KW ;
Oxman, TE ;
Maxwell, J ;
Levkoff, SE .
AMERICAN JOURNAL OF PSYCHIATRY, 2004, 161 (08) :1455-1462
[5]   Health Disparities and Health Equity: The Issue Is Justice [J].
Braveman, Paula A. ;
Kumanyika, Shiriki ;
Fielding, Jonathan ;
LaVeist, Thomas ;
Borrell, Luisa N. ;
Manderscheid, Ron ;
Troutman, Adewale .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2011, 101 :S149-S155
[6]   Does Integrated Behavioral Health Care Reduce Mental Health Disparities for Latinos? Initial Findings [J].
Bridges, Ana J. ;
Andrews, Arthur R., III ;
Villalobos, Bianca T. ;
Pastrana, Freddie A. ;
Cavell, Timothy A. ;
Gomez, Debbie .
JOURNAL OF LATINA-O PSYCHOLOGY, 2014, 2 (01) :37-53
[7]  
Chinman M., 2004, GETTING OUTCOMES200
[8]   Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science [J].
Damschroder, Laura J. ;
Aron, David C. ;
Keith, Rosalind E. ;
Kirsh, Susan R. ;
Alexander, Jeffery A. ;
Lowery, Julie C. .
IMPLEMENTATION SCIENCE, 2009, 4
[9]  
DeVellis RF., 2003, SCALE DEV
[10]   Ready for a Change? A Longitudinal Study of Antecedents, Consequences and Contingencies of Readiness for Change [J].
Drzensky, Frank ;
Egold, Nikolai ;
van Dick, Rolf .
JOURNAL OF CHANGE MANAGEMENT, 2012, 12 (01) :95-111