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Interagency Coordination to Manage Co-Occurring Intellectual and Developmental Disabilities and Mental Health Conditions.
Stone, Elizabeth M; Jopson, Andrew D; German, Danielle; McCourt, Alexander D; McGinty, Emma E.
Afiliación
  • Stone EM; Rutgers Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, and Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey (Stone); Departments of Health Policy and Management (Jopson, McCourt) and Health, Behavior, and So
  • Jopson AD; Rutgers Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, and Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey (Stone); Departments of Health Policy and Management (Jopson, McCourt) and Health, Behavior, and So
  • German D; Rutgers Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, and Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey (Stone); Departments of Health Policy and Management (Jopson, McCourt) and Health, Behavior, and So
  • McCourt AD; Rutgers Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, and Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey (Stone); Departments of Health Policy and Management (Jopson, McCourt) and Health, Behavior, and So
  • McGinty EE; Rutgers Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, and Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey (Stone); Departments of Health Policy and Management (Jopson, McCourt) and Health, Behavior, and So
Psychiatr Serv ; 75(8): 770-777, 2024 Aug 01.
Article en En | MEDLINE | ID: mdl-38769909
ABSTRACT

OBJECTIVE:

The authors aimed to identify barriers to and strategies for supporting coordination between state agencies for intellectual and developmental disability (IDD) or mental health to meet the mental health needs of people with co-occurring IDD and mental health conditions.

METHODS:

Forty-nine employees of state agencies as well as advocacy and service delivery organizations across 11 U.S. states with separate IDD and mental health agencies were interviewed between April 2022 and April 2023. Data were analyzed with a thematic analysis approach.

RESULTS:

Interviewees reported that relationships between the IDD and mental health agencies have elements of both competition and coordination and that coordination primarily takes place in response to crisis events. Barriers to interagency coordination included a narrow focus on the populations targeted by each agency, within-state variation in agency structures, and a lack of knowledge about co-occurring IDD and mental health conditions. Interviewees also described both administrative (e.g., memorandums of understanding) and agency culture (e.g., focusing on whole-person care) strategies that are or could be used to improve coordination to provide mental health services for people with both IDD and a mental health condition.

CONCLUSIONS:

Strategies that support state agencies in moving away from crisis response toward a focus on whole-person care should be prioritized to support coordination of mental health services for individuals with co-occurring IDD and mental health conditions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Discapacidades del Desarrollo / Trastornos Mentales / Servicios de Salud Mental / Discapacidad Intelectual Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Psychiatr Serv Asunto de la revista: PSIQUIATRIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Discapacidades del Desarrollo / Trastornos Mentales / Servicios de Salud Mental / Discapacidad Intelectual Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Psychiatr Serv Asunto de la revista: PSIQUIATRIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos