TY - JOUR
T1 - Integrated primary care and social work
T2 - A systematic review
AU - Fraser, Mark W.
AU - Lombardi, Brianna M.
AU - Wu, Shiyou
AU - Zerden, Lisa de Saxe
AU - Richman, Erica L.
AU - Fraher, Erin P.
N1 - Publisher Copyright:
© 2018 by the Society for Social Work and Research. All rights reserved.
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Objective: Behavioral and physical health services are increasingly being integrated, with care provided by interprofessional teams of physicians, nurses, social workers, and other professionals. The objective of this study was to describe the functions of social workers on interprofessional teams in primary care and to assess the impact of interprofessional teams that include social workers in integrated care settings. Method: We undertook a systematic review of randomized controlled trials (RCTs) of routine vs. integrated primary care where social workers served on interprofessional teams. A 5-phase search process to identify RCTs from 9 electronic databases and the gray literature published between 2000 and 2016 was used. We calculated effect sizes across identified studies and conducted 2 subsample meta-analyses for behavioral health outcomes. Results: The searches recovered 502 citations. After screening, 107 reports were retained for a full-text review, and 32 of those (from 26 RCTs) met study criteria. In the 26 RCTs, social workers engaged in 3 patient-centered activities: behavioral health treatment, care management, and referral for social services. Conclusion: Although mixed, the findings suggest that, compared to routine services, integrated primary care provided by interprofessional teams that include social workers significantly improves the behavioral health and care of patients.
AB - Objective: Behavioral and physical health services are increasingly being integrated, with care provided by interprofessional teams of physicians, nurses, social workers, and other professionals. The objective of this study was to describe the functions of social workers on interprofessional teams in primary care and to assess the impact of interprofessional teams that include social workers in integrated care settings. Method: We undertook a systematic review of randomized controlled trials (RCTs) of routine vs. integrated primary care where social workers served on interprofessional teams. A 5-phase search process to identify RCTs from 9 electronic databases and the gray literature published between 2000 and 2016 was used. We calculated effect sizes across identified studies and conducted 2 subsample meta-analyses for behavioral health outcomes. Results: The searches recovered 502 citations. After screening, 107 reports were retained for a full-text review, and 32 of those (from 26 RCTs) met study criteria. In the 26 RCTs, social workers engaged in 3 patient-centered activities: behavioral health treatment, care management, and referral for social services. Conclusion: Although mixed, the findings suggest that, compared to routine services, integrated primary care provided by interprofessional teams that include social workers significantly improves the behavioral health and care of patients.
KW - Integrated behavioral health
KW - Integrated care
KW - Integrated primary care
KW - Social work
KW - Social worker
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U2 - 10.1086/697567
DO - 10.1086/697567
M3 - Review article
AN - SCOPUS:85046023827
SN - 2334-2315
VL - 9
SP - 175
EP - 215
JO - Journal of the Society for Social Work and Research
JF - Journal of the Society for Social Work and Research
IS - 2
ER -