000003104 001__ 3104 000003104 005__ 20240503124719.0 000003104 0247_ $$2DOI$$a10.6083/8Z32TY 000003104 037__ $$aETD 000003104 245__ $$aInitiative to facilitate the development of the PMHNP role in an integrated behavioral health and primary care setting 000003104 260__ $$bOregon Health and Science University 000003104 269__ $$a2018-06-01 000003104 336__ $$aPortfolio 000003104 502__ $$bD.N.P. 000003104 520__ $$aThe purpose of this DNP quality improvement project was to facilitate the development of the role of the psychiatric mental health nurse practitioner (PMHNP ) within a rural primary health care system. A full time PMHNP had been hired by the Center for Human Development (CHD) and Greater Oregon Behavioral Health (GOBHI) to provide mental health services to adults at three primary care clinics managed by the local hospital including the Regional Medical Clinic in La Grande and two rural health clinics in Union County which has a total population of 25,700 (Union County Census, 2015). The expectations of the role and how it would be implemented was not fully developed and there was a request by administration for assistance. The project was in part directed by administrative staff at the primary care clinics and the community mental health setting. It was identified by these groups that there was a limitation in psychiatric provider time and there was often lack of coordination between providers in community mental health and primary care that ultimately has affected the availability and quality of care. 000003104 650__ $$aNurse Practitioners$$023075 000003104 650__ $$aPrimary Health Care$$024590 000003104 650__ $$aMental Health Services$$022048 000003104 650__ $$aRural Health Services$$031299 000003104 650__ $$aRural Health$$025632 000003104 650__ $$aAdult$$014319 000003104 650__ $$aMental Health$$022046 000003104 650__ $$aQuality Improvement$$039456 000003104 691__ $$aSchool of Nursing$$041370 000003104 7001_ $$aElder, Ginny$$uOregon Health and Science University$$041354 000003104 8564_ $$97469ca2a-3fdd-473e-8c04-c843d398877d$$s168722$$uhttps://digitalcollections.ohsu.edu/record/3104/files/4063_etd.pdf 000003104 905__ $$a/rest/prod/p8/41/8n/46/p8418n46q 000003104 909CO $$ooai:digitalcollections.ohsu.edu:3104$$pstudent-work 000003104 980__ $$aTheses and Dissertations