The effectiveness of nurse practitioner care for patients with mental health conditions in primary care settings: A systematic review |
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| Affiliation: | 1. School of Nursing, Columbia University, New York, NY;2. Feinberg School of Medicine, Northwestern University, Chicago, IL;3. Edward J. Bloustein School of Planning and Public Policy, Rutgers University, New Brunswick, NJ;4. Mailman School of Public Health, Columbia University, New York, NY;1. Florida State University, Tallahassee, FL, USA;2. University of Florida, Gainesville, FL, USA;1. Center for Latino Adolescent and Family Health, Duke University, Durham, NC;2. School of Nursing, Duke University, Durham, NC;3. School of Medicine, Department of Family Medicine and Community Health, Department of Infectious Diseases, Duke University, Durham, NC;4. Presidential Advisory Council on HIV/AIDS, US Department of Health and Human Services, Washington, DC |
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| Abstract: | BackgroundThe nurse practitioner (NP) workforce is key to meeting the demand for mental health services in primary care settings.PurposeThe purpose of this study is to synthesize the evidence focused on the effectiveness of NP care for patients with mental health conditions in primary care settings, particularly focused on primary care NPs and psychiatric mental health NPs and patients with anxiety, depression, and substance use disorders.MethodsStudies published since 2014 in the United States studying NP care of patients with anxiety, depression, or substance use disorders in primary care settings were included.FindingsSeventeen studies were included. Four high-quality studies showed that NP evidence-based care and prescribing were comparable to that of physicians. Seven low-quality studies suggest that NP-led collaborative care is associated with reduced symptoms.DiscussionMore high-quality evidence is needed to determine the effectiveness of NP care for patients with mental health conditions in primary care settings. |
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| Keywords: | Nurse Practitioners Mental health Effectiveness Primary care |
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