Despite increasing awareness of integrated behavioral health and primary care, little is known about the distribution of integration across the United States. Currently, there is a lack of information at the state and national levels about: Number and location of primary care practices with integrated behavioral health; Where the potential for collaboration exists through provider proximity; and Where integration cannot occur due to the absence of either a primary care or a behavioral...
Despite the changing health care environment’s increasing need for primary care physicians that can manage populations, deliver care in interdisciplinary teams and address quality outcomes, national data indicate that not enough students and residents are choosing careers in primary care. According to family medicine organizations and researchers, “factors that influence specialty choice [include] individual learner characteristics, training and practice environments, and payment systems. The...
A study recently published in General Hospital Psychiatry found that veterans who received behavioral health screening in primary care are typically provided with adequate follow-up care. However, the care provided in all settings can be improved, along with supplementary efforts to align screening and treatment. The study examined primary care screening for depression, post-traumatic stress disorder (PTSD), and...
A report, Eliminating Health Disparities through Culturally and Linguistically Centered Integrated Health Care Care:Consensus Statements, Recommendations, and Key Strategies from the Field was released in May 2014. It is the result of an expert consensus meeting convened by the U.S. Department of Health and Human Services Office of Minority Health convened to: formulate consensus statements, provide recommendations, and identify key strategies from practice for implementing...
The Institute for Patient and Family Centered Care (IPFCC) provides leadership and resources for advancing the practice of patient- and family-centered care. IPFCC promotes collaborative, empowering partnerships among patients, families, and health care professionals and organizations. IPFCC serves as an information resource center for patient and family leaders, clinicians, administrators, educators, researchers, and facility designers who are interested in...
With implementation of the Mental Health Parity and Addiction Equity Act (MHPAEA) and the Affordable Care Act (ACA) underway, the nation is “now in one of the most dynamic periods of mental health care change since the advent of the community mental health movement of the 1960’s” says Tom Insel, M.D., director of the National Institute of Mental Health (NIMH). MHPAEA, signed into law in 2008, calls for treatment of mental illness and substance abuse equal to that of other...
Issues related to alcohol “are among the most significant public health issues in the United States and internationally.” The 2010 National Survey on Drug Use and Health reported that in the preceding year, 70% of Americans 18 years older (161 million adults) had used alcohol and that 9% of adults (20 million) had qualified for an alcohol or drug use disorder. Currently, about 18 million Americans have an Alcohol Use Disorder (AUD). AUDs “are associated with detrimental...
Primary care providers (PCPs) routinely see patients with multiple psychiatric and medical co-morbidities, and it is anticipated that recent health care reforms will increase the number of such patients. The PCPs need integrated behavioral health-primary care interventions that are flexible, applicable to the complex patient, and compatible with the primary care setting. In order to generate practice-ready solutions for rapid uptake by PCPs, a new direction is required for behavioral health-...
The social and behavioral determinants of health such as smoking status and depression are significant factors attributed to risk and functional outcomes for patients with chronic disease. Despite this importance, most electronic health records (EHRs) do not capture this patient information. An EHR that captures this data would be a great asset to integrated behavioral health care. A select committee of leading researchers and population...
San Mateo County’s public health system is now equipped to better treat substance abuse in all patients seen, thanks to Medical Director of Behavioral Health and Recovery Services Robert Paul Cabaj, M.D. “It was astonishing—the number of people in the public-health system with substance abuse issues,” Dr. Cabaj reported. “The vast majority of them were in primary care, and it was very clear that if physicians had some...

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