@article{ETD, school = {D.N.P.}, author = {Elder, Ginny}, url = {http://digitalcollections.ohsu.edu/record/3104}, title = {Initiative to facilitate the development of the PMHNP role in an integrated behavioral health and primary care setting}, publisher = {Oregon Health and Science University}, abstract = {The purpose of this DNP quality improvement project was to facilitate the development of the role of the psychiatric mental health nurse practitioner (PMHNP ) within a rural primary health care system. A full time PMHNP had been hired by the Center for Human Development (CHD) and Greater Oregon Behavioral Health (GOBHI) to provide mental health services to adults at three primary care clinics managed by the local hospital including the Regional Medical Clinic in La Grande and two rural health clinics in Union County which has a total population of 25,700 (Union County Census, 2015). The expectations of the role and how it would be implemented was not fully developed and there was a request by administration for assistance. The project was in part directed by administrative staff at the primary care clinics and the community mental health setting. It was identified by these groups that there was a limitation in psychiatric provider time and there was often lack of coordination between providers in community mental health and primary care that ultimately has affected the availability and quality of care.}, number = {ETD}, doi = {https://doi.org/10.6083/8Z32TY}, recid = {3104}, address = {2018-06-01}, }