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The Literature Collection contains over 10,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
598 Results
301
Integrating mental health into primary care within the Veterans Health Administration
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
Education & Workforce
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, Medical Home
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Reference Links: 
View the DOI record for Integrating mental health into primary care within the Veterans Health Administration
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View the PubMed citation for Integrating mental health into primary care within the Veterans Health Administration304
Integrating social & behavioral determinants of health into patient care & population health at VHA: a conceptual framework & an assessment of available individual & population level data sources & evidence-based measurements
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Healthcare Disparities
See topic collection
, Medical Home
See topic collection
305
Integrating substance abuse treatment into the medical home
Type: Journal Article
Year: 2011
Publication Place: United States
Topic(s):
Medical Home
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Reference Links: View the PubMed citation for Integrating substance abuse treatment into the medical home
306
Integrating Telemental Healthcare with the Patient-Centered Medical Home Model
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: OBJECTIVE: The purpose of this article is to discuss how telemental healthcare and the patient-centered medical home (PCMH) can be integrated to improve the quality of mental healthcare available. METHODS: This article outlines the components of a PCMH, and how the needs of this type of system of care can benefit from telemental healthcare. RESULTS: The princples of PCMHs are being increasingly promoted in a variety of settings. In order to fulfill these principles, mental heathcare must be a integral part of the care provided to patients within the PCMH. The mental healthcare workforce is inadequate to provide care for patients, particularly in rural and high-poverty areas. Telemental healthcare provides a means to extend mental health services to the PCMHs using a variety of models. CONCLUSIONS: Telemental healthcare offers unique opportunities to bridge the need for mental healthcare integration in the PCMH for all patients.
Topic(s):
HIT & Telehealth
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, Medical Home
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Reference Links:
View the DOI record for Integrating Telemental Healthcare with the Patient-Centered Medical Home Model
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View the PubMed citation for Integrating Telemental Healthcare with the Patient-Centered Medical Home Model307
Integration of behavioral medicine in primary care
Type: Journal Article
Year: 2012
Publication Place: United States
Topic(s):
Medical Home
See topic collection
308
Integration of collaborative medication therapy management in a safety net patient-centered medical home
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: OBJECTIVE: To describe the integration of collaborative medication therapy management (CMTM) into a safety net patient-centered medical home (PCMH). SETTING: Federally qualified Health Care for the Homeless clinic in Richmond, VA, from October 2008 to June 2010. PRACTICE DESCRIPTION: A CMTM model was developed by pharmacists, physicians, nurse practitioners, and social workers and integrated with a PCMH. CMTM, as delivered, consisted of (1) medication assessment, (2) development of care plan, and (3) follow-up. PRACTICE INNOVATION: CMTM is integrated with the medical and mental health clinics of PCMH in a safety net setting that serves homeless individuals. MAIN OUTCOME MEASURES: Number of patients having a CMTM encounter, number and type of medication-related problems identified for a subset of patients in the mental health and medical clinics, pharmacist recommendations, and acceptance rate of pharmacist recommendations. RESULTS: Since October 2008, 695 patients have had a CMTM encounter. An analysis of 209 patients in the mental health clinic indicated that 425 medication-related problems were identified (2.0/patient). Pharmacists made 452 recommendations to resolve problems, and 384 (85%) pharmacist recommendations were accepted by providers and/or patients. For 40 patients in the medical clinic, 205 medication-related problems were identified (5.1/patient). Pharmacists made 217 recommendations to resolve the problems, and 194 (89%) recommendations were accepted. CONCLUSION: Integrating CMTM with a safety net PCMH was a valuable patient-centered strategy for addressing medication-related problems among homeless individuals. The high acceptance rate of pharmacist recommendations demonstrates the successful integration of pharmacist services.
Topic(s):
Medical Home
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Reference Links:
View the DOI record for Integration of collaborative medication therapy management in a safety net patient-centered medical home
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View the PubMed citation for Integration of collaborative medication therapy management in a safety net patient-centered medical home309
Integration of pharmacists into a patient-centered medical home
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: OBJECTIVES: To define the joint principles of the patient-centered medical home (PCMH) and describe the integration of pharmacists into a PCMH. SETTING: Family medicine residency training program in North Carolina from 2001 to 2011. PRACTICE DESCRIPTION: Mountain Area Health Education Family Health Center is a family medicine residency training program that is part of the North Carolina Area Health Education Center system. The goal of the organization is to train and retain health care students and residents. The practice is recognized as a level III PCMH by the National Committee for Quality Assurance (NCQA) and seeks to provide quality, safe, patient-centered care according to the joint principles of PCMH. Pharmacists, nurses, nutritionists, care managers, Spanish translators, and behavioral medicine specialists work collaboratively with physicians to provide seamless, comprehensive care. PRACTICE INNOVATION: The Department of Pharmacotherapy is embedded in the family medicine clinic. Three pharmacists and two pharmacy residents are involved in providing direct patient care services, ensuring access to community resources, assisting patients with transitions of care, providing interprofessional education, and participating in continuous quality improvement initiatives. The pharmacists serve as clinical pharmacist practitioners and provide medication therapy management services in a pharmacotherapy clinic, anticoagulation clinics, and an osteoporosis clinic and via an inpatient family medicine service. Multiple learners such as student pharmacists, pharmacy residents, and family medicine residents rotate through the various pharmacy clinics to learn about pharmacotherapeutic principles and the role of the pharmacist in PCMH. CONCLUSION: PCMH is a comprehensive, patient-centered, team-based approach to population management in the primary care setting. Pharmacists play a vital role in PCMH and make fundamental contributions to patient care across health care settings. Such innovations in the ambulatory care setting create a unique niche for pharmacists to use their skills.
Topic(s):
Education & Workforce
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, Medical Home
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Reference Links:
View the DOI record for Integration of pharmacists into a patient-centered medical home
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View the PubMed citation for Integration of pharmacists into a patient-centered medical home310
Interdisciplinary Team Perspectives on Mental Health Care in VA Home-Based Primary Care: A Qualitative Study
Type: Journal Article
Year: 2019
Publication Place: England
Topic(s):
Medical Home
See topic collection
Reference Links:
View the DOI record for Interdisciplinary Team Perspectives on Mental Health Care in VA Home-Based Primary Care: A Qualitative Study
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View the PubMed citation for Interdisciplinary Team Perspectives on Mental Health Care in VA Home-Based Primary Care: A Qualitative Study311
Is there a psychiatrist in the house? Integrating child psychiatry into the pediatric medical home
Type: Journal Article
Year: 2013
Publication Place: Netherlands US
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Medical Home
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Reference Links: View the PubMed citation for Is there a psychiatrist in the house? Integrating child psychiatry into the pediatric medical home
312
Joint principles of the Patient-Centered Medical Home
Type: Journal Article
Year: 2008
Publication Place: United States
Topic(s):
Medical Home
See topic collection
313
Joint principles: integrating behavioral health care into the patient-centered medical home
Type: Journal Article
Year: 2014
Publication Place: United States
Topic(s):
Medical Home
See topic collection
Reference Links:
View the DOI record for Joint principles: integrating behavioral health care into the patient-centered medical home
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View the PubMed citation for Joint principles: integrating behavioral health care into the patient-centered medical home314
Joint principles: Integrating behavioral health care into the patient-centered medical home
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: The Patient-centered Medical Home (PCMH) is an innovative, improved, and evolving approach to providing primary care that has gained broad acceptance in the United States. The Joint Principles of the PCMH, formulated and endorsed in February 2007, are sound and describe the ideal toward which we aspire. However, there is an element running implicitly through these joint principles that is difficult to achieve yet indispensable to the success of the entire PCMH concept. The incorporation of behavioral health care has not always been included as practices transform to accommodate to the PCMH ideals. This is an alarming development because the PCMH will be incomplete and ineffective without the full incorporation of this element, and retrofitting will be much more difficult than prospectively integrating into the original design of the PCMH. Therefore we offer a complementary set of joint principles that recognizes the centrality of behavioral health care as part of the PCMH. This document follows the order and language of the original joint principles while emphasizing what needs to be addressed to insure incorporation of the essential behavioral elements. It is intended to supplement and not replace the original Joint Principles document, which still stands.
Topic(s):
Medical Home
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Reference Links:
View the DOI record for Joint principles: Integrating behavioral health care into the patient-centered medical home
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View the PubMed citation for Joint principles: Integrating behavioral health care into the patient-centered medical home315
Journey to the patient-centered medical home: A qualitative analysis of the experiences of practices in the National Demonstration Project
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: PURPOSE: We describe the experience of practices in transitioning toward patient-centered medical homes (PCMHs) in the National Demonstration Project (NDP). METHODS: The NDP was launched in June 2006 as the first national test of a model of the PCMH in a diverse sample of 36 family practices, randomized to facilitated and self-directed intervention groups. An independent evaluation team used a multimethod evaluation strategy, analyzing data from direct observation, depth interviews, e-mail streams, medical records, and patient and practice surveys. The evaluation team reviewed data from all practices as they became available and produced interim summaries. Four 2- to 3-day evaluation team retreats were held during which case summaries of all practices were discussed and patterns were described. RESULTS: The 6 themes that emerged from the data reflect major shifts in individual and practice roles and identities, as well as changes in practices' management strategies. The themes are (1) practice adaptive reserve is critical to managing change, (2) developmental pathways to success vary considerably by practice, (3) motivation of key practice members is critical, (4) the larger system can help or hinder, (5) practice transformation is more than a series of changes and requires shifts in roles and mental models, and (6) practice change is enabled by the multiple roles that facilitators play. CONCLUSIONS: Transformation to a PCMH requires more than a sequence of discrete changes. The practice transformation process may be fostered by promoting adaptive reserve and local control of the developmental pathway.
Topic(s):
Medical Home
See topic collection
316
Journey toward a patient-centered medical home: readiness for change in primary care practices
Type: Journal Article
Year: 2011
Publication Place: United States
Topic(s):
HIT & Telehealth
See topic collection
, Medical Home
See topic collection
Reference Links:
View the DOI record for Journey toward a patient-centered medical home: readiness for change in primary care practices
View DOI Record
View the PubMed citation for Journey toward a patient-centered medical home: readiness for change in primary care practices318
Legislative and Policy Developments and Imperatives for Advancing the Primary Care Behavioral Health (PCBH) Model
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Education & Workforce
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, Healthcare Policy
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, Medical Home
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Reference Links:
View the DOI record for Legislative and Policy Developments and Imperatives for Advancing the Primary Care Behavioral Health (PCBH) Model
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View the PubMed citation for Legislative and Policy Developments and Imperatives for Advancing the Primary Care Behavioral Health (PCBH) Model319
Limits on same-day billing in Medicaid hinders integration of behavioral health into the medical home model
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Financing & Sustainability
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, Healthcare Policy
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, Medical Home
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Reference Links:
View the DOI record for Limits on same-day billing in Medicaid hinders integration of behavioral health into the medical home model
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View the PubMed citation for Limits on same-day billing in Medicaid hinders integration of behavioral health into the medical home model320
Linkages Between Patient-centered Medical Homes and Addiction Treatment Organizations: Results From a National Survey
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: BACKGROUND: To meet their aims of providing comprehensive and coordinated care, patient-centered medical homes (PCMHs) need to coordinate services for individuals with substance use disorders. Yet, the 14,000 addiction treatment (AT) organizations across the United States that provide services for more than 1 million individuals daily are generally ill-prepared to work with PCMHs (eg, AT organizations often lack electronic health records). OBJECTIVES: To examine the extent to which AT organizations have formal linkages through contracts with PCMHs; to identify key dimensions of linkages between PCMHs and AT organizations (eg, shared use of electronic health records); to identify characteristics of AT organizations and their environments associated with these linkages. MATERIALS AND METHODS: We draw on data from a 2014 nationally representative survey of directors and clinical supervisors from 695 AT organizations (n=1390 survey respondents). RESULTS: Thirty-eight percent of patients across the nation are receiving treatment in AT organizations linked by contracts to PCMHs. This number increases to 51% in states that expanded Medicaid (vs. only 6.2% of patients in non-Medicaid expansion states). Yet, the great majority of linkages are relatively weak; they do not include the exchange of patient information. Results from multivariable analyses show that larger, nonprofit and publicly owned AT organizations, as well as those located in the northeast and in states that expanded Medicaid coverage, are more likely to have contracts with PCMHs. CONCLUSIONS: Without stronger linkages between AT organizations and PCMHs or the development of other models that integrate services, individuals with substance abuse disorders may continue to receive uncoordinated care.
Topic(s):
Medical Home
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Reference Links:
View the DOI record for Linkages Between Patient-centered Medical Homes and Addiction Treatment Organizations: Results From a National Survey
View DOI Record
View the PubMed citation for Linkages Between Patient-centered Medical Homes and Addiction Treatment Organizations: Results From a National Survey