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
Containing Costs And Improving Care For Children In Medicaid And CHIP
TL;DR: This article showed that spending in Medicaid and the Children's Health Insurance Program (CHIP) is highly concentrated among children with chronic health problems and highlighted the importance of cost containment strategies that reduce avoidable hospitalizations among children.
Journal ArticleDOI
Financing mental health and substance use disorder care within physical health: a look to the future.
TL;DR: The article describes the advantages that would occur if assessment and treatment of MH/SUDs became a clinical, administrative, and financial part of physical health with common provider networks, the ability to combine service locations, similar coding and billing procedures, and a single funding pool.
Journal Article
Better integration of mental health care improves depression screening and treatment in primary care.
TL;DR: Enhanced, coordinated financial support for the integration of mental health care into primary care could improve identification and treatment of depression.
Book ChapterDOI
Advancing Integrated Behavioral Health and Primary Care: The Critical Importance of Behavioral Health in Health Care Policy
TL;DR: The increased recognition of the importance of mental health, behavioral health, and substance use in primary care creates opportunities for helping better achieve a more efficient and effective health care system.