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
National Trends in the Prevalence and Treatment of Depression in Adolescents and Young Adults
TL;DR: The prevalence of depression in adolescents and young adults has increased in recent years and trends in prevalence translate into a growing number of young people with untreated depression, calling for renewed efforts to expand service capacity to best meet the mental health care needs of this age group.
Journal ArticleDOI
Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice.
TL;DR: Pediatric primary care clinicians are in an ideal position to implement routine postpartum depression screens at several well-child visits throughout infancy and to provide mental health support through referrals and/or the interdisciplinary services of a pediatric patient-centered medical home model.
Behavioral Health Integration in Primary Care
TL;DR: The integration of behavioral health services into primary care can greatly increase the likelihood that at-risk children are identified and treated as early as possible, particularly in early childhood when primary care is the central universal access point.
Journal ArticleDOI
The Primary Care Behavioral Health (PCBH) Model: An Overview and Operational Definition.
TL;DR: The article provides a description of the key components and strategies used in the model, the rationale for those strategies, a brief comparison of this model to other integration approaches, a focused summary of PCBH model outcomes, and an overview of common challenges to implementing the model.
References
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Journal ArticleDOI
A Common Factors Approach to Improving the Mental Health Capacity of Pediatric Primary Care
Lawrence S. Wissow,Bruno J. Anthony,Jonathan D. Brown,Susan dosReis,Anne Gadomski,Golda S. Ginsburg,Mark A. Riddle +6 more
TL;DR: Why the epidemiology of child mental health problems poses difficulties for disorder-specific mental health interventions, and whether there are evidence-based skills to allow providers to immediately begin treatment for children with emotional and behavioral problems while diagnostic procedures are being pursued, are discussed.
Journal ArticleDOI
Joint principles: integrating behavioral health care into the patient-centered medical home
Mac Baird,Alexander Blount,Stacy Brungardt,Perry Dickinson,Allen J. Dietrich,Ted Epperly,Larry A. Green,Douglas E. Henley,Rodger Kessler,Neil Korsen,Susan H. McDaniel,Ben Miller,Perry A. Pugno,Richard G. Roberts,Julie M. Schirmer,Deb Seymour,Frank V. deGruy +16 more
TL;DR: The Patient-centered Medical Home is an innovative, improved, and evolving approach to providing primary care that has gained broad acceptance in the United States.
Journal ArticleDOI
Integrated primary care: an inclusive three-world view through process metrics and empirical discrimination.
TL;DR: This approach offers practical guidelines for care sites implementing integrated and collaborative care and defines a research framework to produce the evidence required for the aforementioned clinical, operational and financial worlds of this important movement.
Journal ArticleDOI
Value-Based Financially Sustainable Behavioral Health Components in Patient-Centered Medical Homes
TL;DR: The components considered necessary to provide sustainable, value-added integrated behavioral health care in the PCMH are discussed and will augment their ability to achieve improved health in their patients at lower cost in a setting that enhances ease of access to commonly needed services.
Journal ArticleDOI
Implementing collaborative care for depression treatment in primary care: A cluster randomized evaluation of a quality improvement practice redesign
Edmund F. Chaney,Lisa V. Rubenstein,Lisa V. Rubenstein,Chuan Fen Liu,Elizabeth M. Yano,Cory Bolkan,Martin Lee,Barbara Simon,Andrew B. Lanto,Bradford Felker,Jane Uman +10 more
TL;DR: Depression CCM designed and implemented by primary care practices using EBQI improved antidepressant initiation and enabled new insights into the process of translating research-based CCM into practice.