Rural Models for Integrating Primary Care and Mental Health Services.

Document Type


Publication Date



Attitude of Health Personnel, Continuity of Patient Care, Contract Services, Delivery of Health Care, Integrated, Humans, Mental Health Services, Models, Organizational, Primary Health Care, Referral and Consultation, Rural Health Services, Surveys and Questionnaires, United States

Publication Title

Administration and policy in mental health


This paper presents findings from a study designed to identify and describe models for integrating primary care and mental health services in rural communities. Data were obtained from telephone interviews with staff at rural primary care sites around the country. Findings are based on the responses of 53 primary care organizations in 22 states. The authors identify four integration models--diversification, linkage, referral and enhancement--which appear to exist in combination, rather than as pure types. The proposed analytic framework outlines aspects of integration that are readily amenable to study.

This document is currently not available here.