With the advent of major reform in health care delivery systems, team-based approaches to primary care are becoming standard, inviting expansion of the role of the psychiatrist as part of those teams. Teams of interdisciplinary professionals expand access to primary care and the connection to specialty care for those who need the most support. This chapter describes the typical roles in integrated primary care teams, including those filled by a psychiatrist. The authors discuss the differences between traditional mental health and primary care cultures and adapting to the needs of primary care through transdisciplinary collaboration. An overview of the potential levels of collaboration is provided. The authors describe their own long-term experience with integrated primary care in the Department of Family Medicine at the University of Rochester. The chapter concludes with a discussion about the future of psychiatric care within primary care teams as well as population management for those with comorbid illness.
Integrated Primary Care Teams (IPCT) pilot project in Quebec: a protocol paper
