TY - JOUR
KW - Delivery of Health Care, Integrated/organization & administration
KW - Humans
KW - Mental Health Services/organization & administration
KW - Models, Organizational
KW - Patient Protection and Affordable Care Act/legislation & jurisprudence
KW - Primary Health Care/organization & administration
KW - United States
AU - R. Manderscheid
AU - R. Kathol
A1 - 
AB - The integration of behavioral health (BH) and primary care services has been the subject of considerable attention for almost a decade. Such work has been motivated by the prevalence of chronic health problems in persons with BH conditions and correspondingly high rates of early death. Service integration efforts typically included cross-referral or bidirectional efforts to add some features of primary care to specialty BH settings or the reverse. This article proposes a third approach based on full service and financial integration and shows how it differs substantially from the other 2 models. This new model has the potential to bring much-needed BH services to persons served in primary care settings who have these conditions, while fostering integrated services in specialty settings for those with the most severe mental or substance use conditions. The Patient Protection and Affordable Care Act could provide a valuable opportunity to implement this third model.
BT - Annals of Internal Medicine
C5 - Financing & Sustainability; Key & Foundational
CP - 1
CY - United States
DO - 10.7326/M13-1693
IS - 1
JF - Annals of Internal Medicine
N2 - The integration of behavioral health (BH) and primary care services has been the subject of considerable attention for almost a decade. Such work has been motivated by the prevalence of chronic health problems in persons with BH conditions and correspondingly high rates of early death. Service integration efforts typically included cross-referral or bidirectional efforts to add some features of primary care to specialty BH settings or the reverse. This article proposes a third approach based on full service and financial integration and shows how it differs substantially from the other 2 models. This new model has the potential to bring much-needed BH services to persons served in primary care settings who have these conditions, while fostering integrated services in specialty settings for those with the most severe mental or substance use conditions. The Patient Protection and Affordable Care Act could provide a valuable opportunity to implement this third model.
PP - United States
PY - 2014
SN - 1539-3704; 0003-4819
SP - 61
EP - 65
EP - 
T1 - Fostering sustainable, integrated medical and behavioral health services in medical settings
T2 - Annals of Internal Medicine
TI - Fostering sustainable, integrated medical and behavioral health services in medical settings
U1 - Financing & Sustainability; Key & Foundational
U2 - 24573665
U3 - 10.7326/M13-1693
VL - 160
VO - 1539-3704; 0003-4819
Y1 - 2014
ER -