TY - JOUR
KW - primary care
KW - Public policy issues
AU - E. E. McGinty
AU - G. L. Daumit
A1 - 
AB - Interventions that integrate care for mental illness or substance use disorders into general medical care settings have been shown to improve patient outcomes in clinical trials, but efficacious models are complex and difficult to scale up in real-world practice settings. Existing payment policies have proven inadequate to facilitate adoption of effective integrated care models. This article provides an overview of evidence-based models of integrated care, discusses the key elements of such models, considers how existing policies have fallen short, and outlines future policy strategies. Priorities include payment policies that adequately support structural elements of integrated care and incentivize multidisciplinary team formation and accountability for patient outcomes, as well as policies to expand the specialty mental health and addiction treatment workforce and address the social determinants of health that disproportionately influence health and well-being among people with mental illness or substance use disorders.
AD - Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health (McGinty), and Division of General Internal Medicine, Johns Hopkins School of Medicine (Daumit), Baltimore.; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health (McGinty), and Division of General Internal Medicine, Johns Hopkins School of Medicine (Daumit), Baltimore.
BT - Psychiatric services (Washington, D.C.)
C5 - Education & Workforce; Financing & Sustainability; Healthcare Disparities; Healthcare Policy; Opioids & Substance Use
CP - 11
DO - 10.1176/appi.ps.202000183
IS - 11
JF - Psychiatric services (Washington, D.C.)
LA - eng
M1 - Journal Article
N2 - Interventions that integrate care for mental illness or substance use disorders into general medical care settings have been shown to improve patient outcomes in clinical trials, but efficacious models are complex and difficult to scale up in real-world practice settings. Existing payment policies have proven inadequate to facilitate adoption of effective integrated care models. This article provides an overview of evidence-based models of integrated care, discusses the key elements of such models, considers how existing policies have fallen short, and outlines future policy strategies. Priorities include payment policies that adequately support structural elements of integrated care and incentivize multidisciplinary team formation and accountability for patient outcomes, as well as policies to expand the specialty mental health and addiction treatment workforce and address the social determinants of health that disproportionately influence health and well-being among people with mental illness or substance use disorders.
PY - 2020
SN - 1557-9700; 1075-2730; 1075-2730
SP - 1163
EP - 1169
EP - 
T1 - Integrating Mental Health and Addiction Treatment Into General Medical Care: The Role of Policy
T2 - Psychiatric services (Washington, D.C.)
TI - Integrating Mental Health and Addiction Treatment Into General Medical Care: The Role of Policy
U1 - Education & Workforce; Financing & Sustainability; Healthcare Disparities; Healthcare Policy; Opioids & Substance Use
U2 - 32487007
U3 - 10.1176/appi.ps.202000183
VL - 71
VO - 1557-9700; 1075-2730; 1075-2730
Y1 - 2020
Y2 - Nov 1
ER -