Hogg Foundation for Mental Health Awards $2.6 Million to Promote Effective Mental Health Treatment in Primary Care Clinics
April 10, 2006
AUSTIN-The Hogg Foundation for Mental Health has awarded more than $2.6 million over three years to Texas primary care and pediatric clinics to promote effective identification and treatment of mental health problems in primary care settings.
The five organizations funded through this initiative will adopt the collaborative care model, an integrated health care approach in which primary care and mental health providers partner to manage the treatment of mental health problems in the primary care or pediatric setting, and address barriers to implementation they encounter. Two decades of research have demonstrated that the collaborative care model improves primary care patients' mental health outcomes with a minimal investment of resources.
"These grants represent the first step in the Hogg Foundation's initiative to improve the quality of mental health care provided in Texas primary care clinics," said King E. Davis, Ph.D., Executive Director of the Hogg Foundation for Mental Health. "Most people experiencing mental health problems go to their primary care physician for help, but most primary care physicians lack the time or training to identify, treat, and monitor these issues effectively."
The collaborative care model addresses this dilemma by integrating a mental health care manager and a consulting psychiatrist into the primary care or pediatric setting. As trained mental health professionals or paraprofessionals, care managers are responsible for educating patients about their mental health problems and monitoring their response to treatment. The consulting psychiatrist reviews patients who are not responding to treatment and provides treatment recommendations to the care manager, treating physician, and patient.
"The collaborative care model provides simple, cost-effective solutions for two key problems physicians' lack of time and expertise in treating mental health problems and patients' tendency to discontinue treatment," said Davis. "With a minimal time investment, primary care physicians receive the expert consultation they need to treat mental health problems effectively, increasing their capacity to manage such problems without assistance over time. Through mental health care managers' routine monitoring of patients between physician visits, patients with identified mental health needs are less likely to 'slip through the cracks' in the primary care setting."
The Hogg Foundation selected the five grantee organizations through a competitive review process in which Foundation staff and a national panel of collaborative care experts evaluated applicants' proposals for implementing the collaborative care model and addressing barriers they encounter in the process.
Based in Harlingen, Valley Primary Care Network received a grant of $1,138,184 over three years to bring the collaborative care model to its four community health centers the Brownsville Community Health Center, Community Action Council of South Texas, Nuestra Clinica del Valle, and Su Clinica Familiar. These clinics will partner with Tropical Texas Center for Mental Health and Mental Retardation to treat a range of mental health problems in children and adults.
Parkland Hospital and Health System in Dallas received a grant of $576,634 over three years to implement the collaborative care model in two of its Community Oriented Primary Care clinics Bluitt-Flowers Health Center and East Dallas Health Center. The clinics will use these funds to provide treatment to adults with depression.
A grant of $275,255 over three years was awarded to People's Community Clinic in Austin to treat adults with various mental health problems in partnership with Austin Travis County Mental Health Mental Retardation Center.
Project Vida Health Center received a grant of $373,104 over three years to treat mental health problems in adults and children in its three El Paso clinics. This faith-based Federally Qualified Health Center will partner with Family Services of El Paso and El Paso Mental Health Retardation for the initiative.
Through a partnership with Texas Children's Hospital, Texas Children's Pediatric Associates will use its grant of $306,570 over three years to treat children with attention-deficit hyperactivity disorder in its Ripley clinic, located in Houston's East End.
"We are honored to partner with these outstanding organizations," said Davis. "With their leadership, we look forward to using the lessons learned from this initiative to promote effective mental health treatment in primary care and pediatric practices around the state."
The Hogg Foundation for Mental Health is an administrative unit of The University of Texas at Austin. For over 65 years, the Hogg Foundation has accomplished its mandate through grantmaking to mental health services, research, policy, and public education projects in the state of Texas.