Journal ArticleDOI
The medical home and integrated behavioral health: advancing the policy agenda.
Jeremy Ader,Christopher J. Stille,David M. Keller,Benjamin F. Miller,Michael S. Barr,James M. Perrin +5 more
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TLDR
This article presents recommendations to build demonstration projects to test existing approaches of integration, develop interdisciplinary training programs to support members of the integrated care team, implement population-based strategies to improve behavioral health, eliminate behavioral health carve-outs and test innovative payment models.Abstract:
There has been a considerable expansion of the patient-centered medical home model of primary care delivery, in an effort to reduce health care costs and to improve patient experience and population health. To attain these goals, it is essential to integrate behavioral health services into the patient-centered medical home, because behavioral health problems often first present in the primary care setting, and they significantly affect physical health. At the 2013 Patient-Centered Medical Home Research Conference, an expert workgroup convened to determine policy recommendations to promote the integration of primary care and behavioral health. In this article we present these recommendations: Build demonstration projects to test existing approaches of integration, develop interdisciplinary training programs to support members of the integrated care team, implement population-based strategies to improve behavioral health, eliminate behavioral health carve-outs and test innovative payment models, and develop population-based measures to evaluate integration.read more
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Journal ArticleDOI
Patient-Centered Medical Home Care for Adolescents in Need of Mental Health Treatment.
TL;DR: Increasing care accessibility, integrating MH services into primary care settings, and targeting socioeconomically disadvantaged subgroups could improve rates of PCMH care among adolescents with MH needs.
Journal ArticleDOI
Pediatric Refugee Health Care Delivery in the Community Setting: An Educational Workshop for Multidisciplinary Family-Centered Care During Resettlement
TL;DR: This workshop addressed common challenges in providing family-centered pediatric refugee care in community settings as well as barriers related to policy changes and equipped participants with knowledge, tools, and strategies regarding pediatric refugee health in a community setting.
Journal ArticleDOI
Do Subspecialists Ask About and Refer Families with Psychosocial Concerns? A Comparison with General Pediatricians.
Cori Green,Ruth E.K. Stein,Amy Storfer-Isser,Andrew S. Garner,Bonnie D. Kerker,Bonnie D. Kerker,Moira Szilagyi,Kimberly Hoagwood,Sarah M. Horwitz +8 more
TL;DR: Pediatricians infrequently inquire/screen and refer psychosocial concerns, with subspecialists addressing these concerns even less frequently.
Journal ArticleDOI
Disparities in Pediatric Mental and Behavioral Health Conditions.
Jennifer A. Hoffmann,Margarita Alegría,Kiara Alvarez,Amara Anosike,Priya P Shah,Kevin M. Simon,L. Lee +6 more
TL;DR: The purpose of this state-of-the-art review article is to describe inequities in mental and behavioral health care access and outcomes for children and adolescents, characterize mechanisms behind the inequities, and discuss strategies to decrease them.
Journal ArticleDOI
Patient-centered care innovations by accountable care organizations: Lessons from leaders.
Michael L. Millenson,David B. Muhlestein,Emily M. O’Donnell,Daniel A. Northam Jones,Daniel A. Northam Jones,R. Sterling Haring,R. Sterling Haring,Thomas Merrill,Joel S. Weissman +8 more
TL;DR: Seven patient- centeredness strategies emerged: transform primary care practices into patient-centered medical homes; move upstream to address social and economic issues; use both high-tech and high-touch to identify and engage high-risk patients; practice a whole-person orientation; optimize patient-reported measures; treat patients like valued customers; and incorporate patient voices into governance and operations.
References
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Journal ArticleDOI
Prevalence, Severity, and Comorbidity of 12-Month DSM-IV Disorders in the National Comorbidity Survey Replication
TL;DR: Although mental disorders are widespread, serious cases are concentrated among a relatively small proportion of cases with high comorbidity, as shown in the recently completed US National Comorbidities Survey Replication.
Journal ArticleDOI
The Triple Aim: Care, Health, And Cost
TL;DR: Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care.
Journal ArticleDOI
Collaborative Care Management of Late-Life Depression in the Primary Care Setting: A Randomized Controlled Trial
Jürgen Unützer,Wayne Katon,Christopher M. Callahan,John W Williams,Enid M. Hunkeler,Linda H. Harpole,Marc Hoffing,Richard Della Penna,Polly H. Noël,Elizabeth H. B. Lin,Patricia A. Areán,Mark T. Hegel,Lingqi Tang,Thomas R. Belin,Sabine M. Oishi,Christopher Langston +15 more
TL;DR: The IMPACT collaborative care model appears to be feasible and significantly more effective than usual care for depression in a wide range of primary care practices.
Book
Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities
TL;DR: Mental, emotional, and behavioral (MEB) disorders—which include depression, conduct disorder, and substance abuse—affect large numbers of young people.