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
Citations
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Journal ArticleDOI
Collaborative Care and Integration: Changing Roles and Changing Identity of the Child and Adolescent Psychiatrist?
Journal ArticleDOI
Comparing primary care pediatricians' perceptions of clinics with and without integrated behavioral health.
Blake M. Lancaster,Andrew Cook,Teryn Bruni,Julie Sturza,Jessica R. Sevecke,Hannah Ham,Rachel M. Knight,Kathryn W. Hoffses,Cheryl A. Wickham,Kelly A. Orringer +9 more
TL;DR: Compared to sites without an on- site BHP, sites with on-site BHPs were more satisfied with behavioral health service availability and resources, and felt they spent more time addressing medical concerns, and spent less time providing anticipatory guidance.
Journal ArticleDOI
Clinical Update: Collaborative Mental Health Care for Children and Adolescents in Pediatric Primary Care.
Abigail B. Schlesinger,Sourav K. Sengupta,Larry Marx,Robert J. Hilt,D. Richard Martini,David R. DeMaso,Negar Beheshti,Breck G. Borcherding,Aleiya Butler,Elise M. Fallucco,Katrina Fletcher,Elizabeth C. Homan,Karen Elizabeith Ka-Yee Lai,Karen F. Pierce,Aditi Sharma,Marian F. Earls,Carol M. Rockhill,Oscar G. Bukstein,A. Reese Abright,T. Becker,John Diamond,Munya Hayek,Helene Keable,Roma A. Vasa,Heather J. Walter +24 more
TL;DR: The authors in this article reviewed the principles, structures, processes, and outcomes of collaborative mental health care in the pediatric primary care setting, and provided a comprehensive review of the literature on this topic.
Journal ArticleDOI
Healthcare usage and satisfaction among young adult gay men in New York city
TL;DR: Findings indicate that participants who experienced discrimination in a healthcare setting were less likely to prefer coordinated healthcare and participants who disclosed their sexual orientation and were comfortable discussing sexual activity with their provider were more likely to agree that their healthcare needs were adequately addressed.
Journal ArticleDOI
Primary care provider utilization and satisfaction with a health system navigation program for adolescents with behavioral health needs
Yan Yang,Ellis C Dillon,Martina Li,Jinnan Li,Kimberly J. Erlich,Amy M. Heneghan,Daniel F Becker +6 more
TL;DR: The initial high referral volume reflects a need for BH navigation services, and challenges remain to maintain positive PCP assessment in the face of such demand, but there was a decrease in these evaluation indicators after 2.5 years.
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.