TY - JOUR
KW - accountable care organizations
KW - care integration
KW - collaborative care
KW - health homes
KW - Humans
KW - Mental Health Services/organization & administration
KW - Patient Protection and Affordable Care Act
KW - primary care
KW - Primary Health Care/organization & administration
KW - severe mental illness
KW - United States
AU - D. Mechanic
AU - M. Olfson
A1 - 
AB - Provisions of the Affordable Care Act provide unprecedented opportunities for expanded access to behavioral health care and for redesigning the provision of services. Key to these reforms is establishing mental and substance abuse care as essential coverage, extending Medicaid eligibility and insurance parity, and protecting insurance coverage for persons with preexisting conditions and disabilities. Many provisions, including Accountable Care Organizations, health homes, and other structures, provide incentives for integrating primary care and behavioral health services and coordinating the range of services often required by persons with severe and persistent mental health conditions. Careful research and experience are required to establish the services most appropriate for primary care and effective linkage to specialty mental health services. Research providing guidance on present evidence and uncertainties is reviewed. Success in redesign will follow progress building on collaborative care and other evidence-based practices, reshaping professional incentives and practices, and reinvigorating the behavioral health workforce.
BT - Annual review of clinical psychology
C5 - Financing & Sustainability; Healthcare Policy
CY - United States
DO - 10.1146/annurev-clinpsy-021815-092936
JF - Annual review of clinical psychology
N2 - Provisions of the Affordable Care Act provide unprecedented opportunities for expanded access to behavioral health care and for redesigning the provision of services. Key to these reforms is establishing mental and substance abuse care as essential coverage, extending Medicaid eligibility and insurance parity, and protecting insurance coverage for persons with preexisting conditions and disabilities. Many provisions, including Accountable Care Organizations, health homes, and other structures, provide incentives for integrating primary care and behavioral health services and coordinating the range of services often required by persons with severe and persistent mental health conditions. Careful research and experience are required to establish the services most appropriate for primary care and effective linkage to specialty mental health services. Research providing guidance on present evidence and uncertainties is reviewed. Success in redesign will follow progress building on collaborative care and other evidence-based practices, reshaping professional incentives and practices, and reinvigorating the behavioral health workforce.
PP - United States
PY - 2016
SN - 1548-5951; 1548-5943
SP - 515
EP - 542
EP - 
T1 - The Relevance of the Affordable Care Act for Improving Mental Health Care
T2 - Annual review of clinical psychology
TI - The Relevance of the Affordable Care Act for Improving Mental Health Care
U1 - Financing & Sustainability; Healthcare Policy
U2 - 26666969
U3 - 10.1146/annurev-clinpsy-021815-092936
VL - 12
VO - 1548-5951; 1548-5943
Y1 - 2016
ER -