Primary Mental Health Integration Requires Considerable Organisational Investments

Research Paper Title

Time and Organizational Cost for Facilitating Implementation of Primary Care Mental Health Integration.

Background

Integrating mental health services into primary care settings is complex and challenging. Although facilitation strategies have successfully supported implementation of primary care mental health integration and other complex innovations, we know little about the time required or its cost.

The objective of this study was to examine the time and organisational cost of facilitating implementation of primary care mental health integration.

Methods

One expert external facilitator and two internal regional facilitators who helped healthcare system stakeholders, e.g., leaders, managers, clinicians, and non-clinical staff, implement primary care mental health integration at eight clinics.

Implementation facilitation tailored to the needs and resources of the setting and its stakeholders.

The researchers documented facilitators’ and stakeholders’ time and types of activities using a structured spreadsheet collected from facilitators on a weekly basis. We obtained travel costs and salary information. We conducted descriptive analysis of time data and estimated organisational cost.

Results

The external facilitator devoted 263 h (0.09 FTE), including travel, across all 8 clinics over 28 months. Internal facilitator time varied across networks (1792 h versus 1169 h), as well as clinics. Stakeholder participation time was similar across networks (1280.6 versus 1363.4 person hours) but the number of stakeholders varied (133 versus 199 stakeholders).

The organisational cost of providing implementation facilitation also varied across networks ($263,490 versus $258,127). Stakeholder participation accounted for 35% of the cost of facilitation activities in one network and 47% of the cost in the other.

Conclusions

Although facilitation can improve implementation of primary care mental health integration, it requires substantial organisational investments that may vary by site and implementation effort.

Furthermore, the cost of using an external expert to transfer facilitation skills and build capacity for implementation efforts appears to be minimal.

Reference

Ritchie, M.J., Kirchner, J.E., Townsend, J.C. Pitcock. J.A., Dollar, K.M. & Liu, C.F. (2019) Time and Organizational Cost for Facilitating Implementation of Primary Care Mental Health Integration. Journal of General Internal Medicine. doi: 10.1007/s11606-019-05537-y. [Epub ahead of print].

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