TY - JOUR
KW - behavioral health
KW - financially sustainable
KW - Health Reform
KW - integrated care
KW - patient-centered medical home
KW - primary care
AU - R. G. Kathol
AU - F. DeGruy
AU - B. L. Rollman
A1 - 
AB - Because a high percentage of primary care patients have behavioral problems, patient-centered medical homes (PCMHs) that wish to attain true comprehensive whole-person care will find ways to integrate behavioral health services into their structure. Yet in today's health care environment, the incorporation of behavioral services into primary care is exceptional rather than usual practice. In this article, we discuss the components considered necessary to provide sustainable, value-added integrated behavioral health care in the PCMH. These components are to: (1) combine medical and behavioral benefits into one payment pool; (2) target complex patients for priority behavioral health care; (3) use proactive onsite behavioral "teams;" (4) match behavioral professional expertise to the need for treatment escalation inherent in stepped care; (5) define, measure, and systematically pursue desired outcomes; (6) apply evidence-based behavioral treatments; and (7) use cross-disciplinary care managers in assisting the most complicated and vulnerable. By adopting these 7 components, PCHMs 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.
BT - Annals of family medicine
C5 - Financing & Sustainability; Medical Home
CP - 2
CY - United States
DO - 10.1370/afm.1619
IS - 2
JF - Annals of family medicine
N2 - Because a high percentage of primary care patients have behavioral problems, patient-centered medical homes (PCMHs) that wish to attain true comprehensive whole-person care will find ways to integrate behavioral health services into their structure. Yet in today's health care environment, the incorporation of behavioral services into primary care is exceptional rather than usual practice. In this article, we discuss the components considered necessary to provide sustainable, value-added integrated behavioral health care in the PCMH. These components are to: (1) combine medical and behavioral benefits into one payment pool; (2) target complex patients for priority behavioral health care; (3) use proactive onsite behavioral "teams;" (4) match behavioral professional expertise to the need for treatment escalation inherent in stepped care; (5) define, measure, and systematically pursue desired outcomes; (6) apply evidence-based behavioral treatments; and (7) use cross-disciplinary care managers in assisting the most complicated and vulnerable. By adopting these 7 components, PCHMs 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.
PP - United States
PY - 2014
SN - 1544-1717; 1544-1709
SP - 172
EP - 175
EP - 
T1 - Value-based financially sustainable behavioral health components in patient-centered medical homes
T2 - Annals of family medicine
TI - Value-based financially sustainable behavioral health components in patient-centered medical homes
U1 - Financing & Sustainability; Medical Home
U2 - 24615314
U3 - 10.1370/afm.1619
VL - 12
VO - 1544-1717; 1544-1709
Y1 - 2014
ER -