TY - JOUR
AU - M. C. Prom
AU - V. Canelos
AU - P. J. Fernandez
AU - Gergen Barnett
AU - C. M. Gordon
AU - C. A. Pace
AU - L. C. Ng
A1 - 
AB - Integrated behavioral health care (IBHC) models in primary care are positioned to address the unmet needs of traditional behavioral health models. However, research support is limited to specific populations, settings, and behavioral health conditions. Empirical evidence is lacking for expansion to larger health systems and diverse behavioral health conditions. This study examines perspectives on IBHC implementation in a large medical center. Semi-structured interviews were conducted with 24 health providers and administrators in two primary care clinics with IBHC. Thematic analysis demonstrated that participants had an overall favorable perception of IBHC, but also perceived implementation challenges, including difficulties with access, underutilization, team dynamics, and financial and interdepartmental issues. The findings suggest that IBHC implementation barriers in existing large health systems risk diminishing potential benefits and successful adoption. These barriers can be combated by incorporating systems change strategies into implementation frameworks, with a focus on barrier prevention and detection and long-term sustainability.
AD - Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. mprom@partners.org.; Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.; Boston University School of Medicine, Boston, MA, USA.; Department of Psychiatry, Boston Medical Center, Boston, MA, USA.; Department of Psychiatry, UT Southwestern, Dallas, TX, USA.; Department of Family Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA.; Department of Psychiatry, Boston Medical Center, Boston, MA, USA.; Department of Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA.; Department of Psychiatry, Boston Medical Center and Boston University, Boston, MA, USA.; Department of Psychology, UCLA, Los Angeles, CA, USA.
BT - The journal of behavioral health services & research
C5 - Education & Workforce; Financing & Sustainability
CY - United States
DO - 10.1007/s11414-020-09742-0
JF - The journal of behavioral health services & research
LA - eng
M1 - Journal Article
N2 - Integrated behavioral health care (IBHC) models in primary care are positioned to address the unmet needs of traditional behavioral health models. However, research support is limited to specific populations, settings, and behavioral health conditions. Empirical evidence is lacking for expansion to larger health systems and diverse behavioral health conditions. This study examines perspectives on IBHC implementation in a large medical center. Semi-structured interviews were conducted with 24 health providers and administrators in two primary care clinics with IBHC. Thematic analysis demonstrated that participants had an overall favorable perception of IBHC, but also perceived implementation challenges, including difficulties with access, underutilization, team dynamics, and financial and interdepartmental issues. The findings suggest that IBHC implementation barriers in existing large health systems risk diminishing potential benefits and successful adoption. These barriers can be combated by incorporating systems change strategies into implementation frameworks, with a focus on barrier prevention and detection and long-term sustainability.
PP - United States
PY - 2020
SN - 1556-3308; 1094-3412
T1 - Implementation of Integrated Behavioral Health Care in a Large Medical Center: Benefits, Challenges, and Recommendations
T2 - The journal of behavioral health services & research
TI - Implementation of Integrated Behavioral Health Care in a Large Medical Center: Benefits, Challenges, and Recommendations
U1 - Education & Workforce; Financing & Sustainability
U2 - 33241465
U3 - 10.1007/s11414-020-09742-0
VO - 1556-3308; 1094-3412
Y1 - 2020
Y2 - Nov 25
ER -