| An optimal healthcare system would offer individualized treatment that maximizes patient outcomes. Patients should be able to select a medical provider system that fits their needs and addresses their medical concerns. Ideally, patients would have access to both conventional and non-conventional treatments, including complementary and alternative medicine (CAM). Research shows growing interest in how integrated healthcare (IHC) can be implemented; however, a lack of understanding remains regarding IHC for mental health. This study examined individuals' experiences of IHC for depression. In-depth, in-person interviews were conducted with seven individuals who had been diagnosed with clinical depression, and who sought both conventional and CAM treatments. Participants discussed their experiences of being diagnosed and seeking treatment; their health outcomes; and their views of conventional, CAM, and IHC treatment. Thematic analysis was used to review the data and answer the research questions. IHC for depression was not well known or properly communicated to affected populations. IHC for mental healthcare did not occur for any participants. Instead, patients needed to coordinate their own conventional and CAM treatments. Further, participants in this study observed apathy, lack of communication, and hostility between conventional and CAM providers. Participants strongly favored IHC due to its superior value and limitless possibilities and considered IHC an essential factor in their recovery. A drawback of IHC is that patients typically must cover the cost of the CAM portion of their treatments themselves. Provider and patient education about IHC treatment for depression is recommended based on this study. Forming a multi-stakeholder taskforce of conventional and CAM providers that identifies and resolves obstacles to professional collaboration and explores how to incorporate IHC into the United States medical system also is advised. Suggested continuing research includes continuing this exploration using a larger, more diverse sample; conducting a survey or interview study of both CAM and conventional providers to identify the obstacles standing in the way of IHC from providers' perspectives; and conducting efficacy studies that compare the cost-benefit rations of conventional, CAM, and IHC treatment. |
