Background
Increasing recognition of the complex interplay of biopsychosocial factors influencing health and of the inefficiencies in the delivery of mental health services in primary care emphasize the need for different health professions to work together and enhance patient-centred care.
Methods
Two psychologists were integrated into two family medicine practices in Eastern Ontario, Canada, for 12 months. Researchers observed the development of collaboration but did not facilitate it.
Findings
The type and level of collaboration that developed fits the definition of basic collaboration of on-site or co-located care models. Although physicians and psychologists had differing perspectives about collaboration, both identified two-way communication, access to and comfort in working with each other, confidence in each other’s competence and mutual respect as essential for collaboration. Development of collaboration requires supportive structures and continuous facilitation.
Conclusions
The physicians and psychologists identified referral/informal consultation as an optimal model of collaboration between mental health professionals and physicians in primary care settings.