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
More filters
Journal ArticleDOI
Evolving Federal and State Health Care Policy: Toward a More Integrated and Comprehensive Care-Delivery System for Children With Medical Complexity.
TL;DR: Alternative payment models hold the potential to promote care-delivery systems that address the unique needs of children with medical complexity, including nonmedical needs and the social determinants of health.
Journal ArticleDOI
Do On-Site Mental Health Professionals Change Pediatricians' Responses to Children's Mental Health Problems?
Sarah M. Horwitz,Amy Storfer-Isser,Bonnie D. Kerker,Bonnie D. Kerker,Moira Szilagyi,Andrew S. Garner,Karen G. O'Connor,Kimberly Hoagwood,Cori Green,Jane Meschan Foy,Ruth E.K. Stein +10 more
TL;DR: Overall, on-site MHPs were not associated with comanagement or increased likelihood of pediatricians identifying, treating/managing, or referring children with 5 common child MH problems.
Journal ArticleDOI
Integrated Behavioral Health Care in Pediatric Primary Care: A Quality Improvement Project.
TL;DR: A colocated behavioral health and care coordination integration model in a pediatric primary care office to reduce barriers to behavioral health care is described.
Journal ArticleDOI
Integrated Behavioral Health Care in Pediatric Subspecialty Clinics
TL;DR: The role of CAPs in integrated BH care in subspecialty care is explored, focusing on cost, resource use, financial support, and patient and provider satisfaction.
Journal ArticleDOI
Psychologists' Contributions to Patient-Centered Medical Homes.
TL;DR: The case for the value of PCMHs, particularly those that incorporate behavioral health services, is built, with a focus on ways psychologists can bolster the PCMH model by engaging in interprofessional partnerships related to education and training, practice, research, and leadership.
References
More filters
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.