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
Advocacy Opportunities for Pediatricians and Emergency Physicians to Prevent Youth Suicide
TL;DR: In this paper, the authors review strategies for pediatricians and emergency physicians to prevent youth suicide at the level of the individual patient, practice, health care system, and nation, and highlight the need to integrate behavioral health care into the medical home and suicide screening in the emergency department setting.
Journal ArticleDOI
Will Health and Education Agencies Help Each Other
Lloyd J. Kolbe,Sallie Rixey +1 more
TL;DR: A CPSTF review of the extent to which out-of-school-time academic interventions for at-risk students, most of whom are from low-income and racial/ethnic minority families, can improve reading, mathematics, and other academic achievement outcomes reports that most of the 32 school interventions assessed by theCPSTF were designed to improve student health as a means that also might improve education.
Journal ArticleDOI
Training pediatric residents in behavioral health collaboration: Roles, evaluation, and advocacy for pediatric psychologists.
Journal ArticleDOI
Screening for Behavioral Health Issues in Primary Care
TL;DR: It is recommended that pediatricians develop a process to implement general BH screening, as well as targeted screening for specific disorders, according to the guidelines.
Book ChapterDOI
Funding, Financing, and Investing in Integrated Early Childhood Mental Health Services in Primary Care Settings
TL;DR: This chapter details procedures for service delivery and billing that comply with healthcare regulations and allow continued growth and program innovation and characterizes the unique elements within the practice of integrated early childhood mental health services including a focus on prevention, health promotion, and universal access to high-quality care.
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.