TY - JOUR KW - Horizontal integration KW - integrated behavioral health KW - Physician extender KW - Spectrum of disorders KW - vertical integration AU - M. R. Bütz AU - W. D. Tynan A1 - AB - With the integration of behavioral health services into primary care and other medical specialties, the community of providers and the public must address a number of questions, including: What models of care are there for these services? What kinds of providers supply these services? Are these providers trained behavioral health providers or extenders in some form? And, as these systems of care are constructed, who makes use of them? The purpose of this study is to address these questions as well as to consider some of the challenges of attending to the spectrum of needs that will arise as integrated healthcare services expand. Consideration of these questions may serve to clarify the impact that these models of healthcare will have in ways that may be readily apparent and, at the same time, in ways that may be subtler and less comprehensible. Addressing these questions is also intended to facilitate discussions within healthcare systems and among providers concerning which models of care best respond to specific populations. In turn, proactively answering these questions will, for the foreseeable future, shape not only behavioral healthcare, in perhaps small or large ways, but also healthcare in general. AD - Aspen Practice, P.C., and St. Vincent Healthcare, 2900 12th Avenue North, Suite 280 W, Billings, MT, 59101, USA. drbutz@aspenpractice.net.; Office of Integrated Health Care, American Psychological Association Center for Psychology and Health, Washington, DC, USA. BT - Journal of clinical psychology in medical settings C5 - Education & Workforce CY - United States DO - 10.1007/s10880-019-09679-3 JF - Journal of clinical psychology in medical settings LA - eng M1 - Journal Article N2 - With the integration of behavioral health services into primary care and other medical specialties, the community of providers and the public must address a number of questions, including: What models of care are there for these services? What kinds of providers supply these services? Are these providers trained behavioral health providers or extenders in some form? And, as these systems of care are constructed, who makes use of them? The purpose of this study is to address these questions as well as to consider some of the challenges of attending to the spectrum of needs that will arise as integrated healthcare services expand. Consideration of these questions may serve to clarify the impact that these models of healthcare will have in ways that may be readily apparent and, at the same time, in ways that may be subtler and less comprehensible. Addressing these questions is also intended to facilitate discussions within healthcare systems and among providers concerning which models of care best respond to specific populations. In turn, proactively answering these questions will, for the foreseeable future, shape not only behavioral healthcare, in perhaps small or large ways, but also healthcare in general. PP - United States PY - 2019 SN - 1573-3572; 1068-9583 T1 - Integrating Behavioral Healthcare and Primary Care, Appropriate Balance on What Model is Driving Care, and, the Whole Spectrum of Individuals are Coming Through the Door... T2 - Journal of clinical psychology in medical settings TI - Integrating Behavioral Healthcare and Primary Care, Appropriate Balance on What Model is Driving Care, and, the Whole Spectrum of Individuals are Coming Through the Door... U1 - Education & Workforce U2 - 31732896 U3 - 10.1007/s10880-019-09679-3 VO - 1573-3572; 1068-9583 Y1 - 2019 Y2 - Nov 15 ER -