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
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
Citations
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Journal ArticleDOI
Pediatric integrated behavioral health service delivery models: Using a federal framework to assess levels of integration.
TL;DR: It is assumed that more completely integrated care will result in higher quality care and reduced costs and future research should address potential barriers that impede the development of models with higher degrees of integration.
Journal ArticleDOI
Common and Costly Hospitalizations Among Insured Young Adults Since the Affordable Care Act
Alexander M. Bain,Charlene A. Wong,Charlene A. Wong,Charlene A. Wong,Gail B. Slap,Daniel Polsky,Raina M. Merchant,Raina M. Merchant,Yaa Akosa Antwi,David T. Rubin,Carol A. Ford +10 more
TL;DR: This study establishes a baseline for the ongoing assessment of the most common and costly hospitalizations among privately insured young adults in the United States under the Affordable Care Act.
Journal ArticleDOI
Thriving in today's health care environment: strategies for social work leadership in population health
TL;DR: An historical overview of healthcare transformation and its impact on social work practice is provided, and strategies implemented to bolster the clinical focus and organizational responsiveness of Mount Sinai Health System care management staff are described.
Trends and Disparities in Treatment for Co-occurring Major Depression and Substance Use Disorders Among US Adolescents From 2011 to 2019
TL;DR: In this article, the authors examined temporal trends and sociodemographic disparities in the treatment of co-occurring major depression and substance use disorders among US adolescents, and found that less than 12% of adolescents with major depressive and SUD received treatment for both conditions from 2011 to 2019.
Journal ArticleDOI
Ready or Not, Here I Come: Emergency Department Readiness for Pediatric Mental Health Visits.
TL;DR: Although mental health visits increased across all ED visit types, of particular concern are rising visits at low-pediatric-volume and rural hospitals, which may be less well equipped to care for children with mental health needs.
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.