Email UpdatesLiterature Collection
Collection Insights
12K+
References
11K+
Articles
1600+
Grey Literature
4800+
Opioids & SU
The Literature Collection contains over 11,000 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).
619 Results
423
Practical Approaches for Achieving Integrated Behavioral Health Care in Primary Care Settings
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: Behavioral health problems are common, yet most patients do not receive effective treatment in primary care settings. Despite availability of effective models for integrating behavioral health care in primary care settings, uptake has been slow. The Behavioral Health Integration Implementation Guide provides practical guidance for adapting and implementing effective integrated behavioral health care into patient-centered medical homes. The authors gathered input from stakeholders involved in behavioral health integration efforts: safety net providers, subject matter experts in primary care and behavioral health, a behavioral health patient and peer specialist, and state and national policy makers. Stakeholder input informed development of the Behavioral Health Integration Implementation Guide and the GROW Pathway Planning Worksheet. The Behavioral Health Integration Implementation Guide is model neutral and allows organizations to take meaningful steps toward providing integrated care that achieves access and accountability.
Topic(s):
Education & Workforce
See topic collection
, Medical Home
See topic collection
Reference Links: 
View the DOI record for Practical Approaches for Achieving Integrated Behavioral Health Care in Primary Care Settings
View DOI Record
View the PubMed citation for Practical Approaches for Achieving Integrated Behavioral Health Care in Primary Care Settings426
Practice-based care coordination: A medical home essential
Type: Journal Article
Year: 2007
Publication Place: United States
Abstract: Families who raise children and youth with special health care needs deserve a medical home. They expect a team approach to health care, with coordination across multiple services and settings. Children, youth, and families benefit from the organization of critical information into written care summaries and action plans. If primary care pediatricians, family physicians, and internists are to achieve optimal health care quality and improvement of existing health care delivery, care coordination will be an essential contributing process to their team approach. Several national health policy recommendations identify care coordination as a cross-cutting intervention to fill the gap between what exists and what is needed in health care today. A practice-based care-coordination model, including a definition and vision for care, a framework of structures and processes, and a position description with specific competencies, is needed. Improvement methodology provides an effective means for health care teams to implement and evaluate practice-based care coordination within their medical home. The improvement approach and model must be flexibly applied to have utility across diverse health care organizations. A medical home team approach, with fully developed practice-based care-coordination services, will enhance health and cost outcomes for children, youth, and families and heighten the professional satisfaction of those delivering health care.
Topic(s):
Medical Home
See topic collection
, Healthcare Policy
See topic collection
Reference Links: View the PubMed citation for Practice-based care coordination: A medical home essential
427
Preventive service gains from first contact access in the primary care home
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: BACKGROUND: The patient-centered medical home (PCMH) concept recently has garnered national attention as a means of improving the quality of primary care. Preventive services are one area in which the use of a PCMH is hoped to achieve gains, though there has been limited exploration of PCMH characteristics that can assist with practice redesign. The purpose of this study was to examine whether first-contact access characteristics of a medical home (eg, availability of appointments or advice by telephone) confer additional benefit in the receipt of preventive services for individuals who already have a longitudinal relationship with a primary care physician at a site of care. METHODS: This was a secondary analysis examining data from 5507 insured adults with a usual physician who participated in the 2003 to 2006 round of the Wisconsin Longitudinal Study. Using logistic regression, we calculated the odds of receiving each preventive service, comparing individuals who had first-contact access with those without first-contact access. RESULTS: Eighteen percent of the sample received care with first-contact access. In multivariable analyses, after adjustment, individuals who had first-contact access had higher odds of having received a prostate examination (odds ratio [OR], 1.62; 95% CI, 1.20-2.18), a flu shot (OR, 1.36; 95% CI, 1.01-1.82), and a cholesterol test (OR, 1.36; 95% CI, 1.01-1.82) during the past year. There was no significant difference in receipt of mammograms (OR, 1.23; 95% CI, 0.94-1.61). CONCLUSIONS: In the primary care home, first-contact accessibility adds benefit, beyond continuity of care with a physician, in improving receipt of preventive services. Amid increasing primary care demands and finite resources available to translate the PCMH into clinic settings, there is a need for further studies of the interplay between specific PCMH principles and how they perform in practice.
Topic(s):
Medical Home
See topic collection
Reference Links:
View the DOI record for Preventive service gains from first contact access in the primary care home
View DOI Record
View the PubMed citation for Preventive service gains from first contact access in the primary care home428
Primary care for patient complexity, not only disease
Type: Journal Article
Year: 2009
Abstract: Primary care is increasingly geared toward standardized care and decision-making for common chronic conditions, combinations of medical and mental health conditions, and the behavioral aspects of care for those conditions. Yet even with well-integrated team-based care for health conditions in place, some patients do not engage or respond as well as clinicians would wish or predict. This troubles patients and clinicians alike and is often chalked up informally to "patient complexity." Indeed, every clinician has encountered complex patients and reacted with "Oh my gosh"-but not necessarily with a patterned vocabulary for exactly how the patient is complex and what to do about it. Based on work in the Netherlands, patient complexity is defined here as interference with standard care and decision-making by symptom severity or impairments, diagnostic uncertainty, difficulty engaging care, lack of social safety or participation, disorganization of care, and difficult patient-clinician relationships. A blueprint for patient-centered medical home must address patient complexity by promoting the interplay of usual care for conditions and individualized attention to patient-specific sources of complexity-across whatever diseases and conditions the patient may have.
Topic(s):
Medical Home
See topic collection
432
Principles of the patient-centered medical home and preventive services delivery
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: PURPOSE: Limited research exists examining the principles of the patient-centered medical home (PCMH) and improved outcomes. We examined whether PCMH principles (personal physician, physician-directed team, whole-person orientation, coordination of care, quality and safety, and enhanced access) are associated with receipt of preventive services. METHODS: We undertook cross-sectional analyses using baseline patient and practice member surveys and chart audits from a quality improvement trial in 24 primary care offices. Association of PCMH principles with preventive services (receipt of cancer screening, lipid screening, influenza vaccination, and behavioral counseling) was examined using hierarchical linear modeling. RESULTS: Higher global PCMH scores were associated with receipt of preventive services (beta = 2.3; P <.001). Positive associations were found with principles of personal physician (beta = 3.7; P <.001), in particular, continuity with the same physician (beta = 4.4; P = .002) and number of visits within 2 years (15% higher for patients with 13 or more visits; P <.001); and whole-person orientation (beta = 5.6; P <.001), particularly, having a well-visit within 5 years (beta = 12.3; P <.001) and being treated for chronic diseases (6% higher if more than 3 chronic diseases; P = .002). Having referral systems to link patients to community programs for preventive counseling (beta = 8.0; P <.001) and use of clinical decision-support tools (beta = 5.0; P = .04) were also associated with receipt of preventive services. CONCLUSIONS: Relationship-centered aspects of PCMH are more highly correlated with preventive services delivery in community primary care practices than are information technology capabilities. Demonstration projects and tools that measure PCMH principles should have greater emphasis on these key primary care attributes.
Topic(s):
Medical Home
See topic collection
Reference Links: View the PubMed citation for Principles of the patient-centered medical home and preventive services delivery
433
Progress of Ontario's Family Health Team model: A patient-centered medical home
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: Ontario's Family Health Team (FHT) model, implemented in 2005, may be North America's largest example of a patient-centered medical home. The model, based on multidisciplinary teams and an innovative incentive-based funding system, has been developed primarily from fee-for-service primary care practices. Nearly 2 million Ontarians are served by 170 FHTs. Preliminary observations suggest high satisfaction among patients, higher income and more gratification for family physicians, and trends for more medical students to select careers in family medicine. Popular demand is resulting in expansion to 200 FHTs. We describe the development, implementation, reimbursement plan, and current status of this multidisciplinary model, relating it to the principles of the patient-centered medical home. We also identify its potential to provide an understanding of many aspects of primary care.
Topic(s):
Financing & Sustainability
See topic collection
, Medical Home
See topic collection
Reference Links:
View the DOI record for Progress of Ontario's Family Health Team model: A patient-centered medical home
View DOI Record
View the PubMed citation for Progress of Ontario's Family Health Team model: A patient-centered medical home434
Promotora assisted depression care among predominately Hispanic patients with concurrent chronic illness: Public care system clinical trial design
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Healthcare Disparities
See topic collection
, Medical Home
See topic collection
435
Provider perceptions of pharmacists providing mental health medication support in patient-centered medical homes
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Medical Home
See topic collection
Reference Links: View the PubMed citation for Provider perceptions of pharmacists providing mental health medication support in patient-centered medical homes
437
Providing Effective Primary Care for Patients with Serious Mental Illness: Additional Components to Enhance Practice
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract:
Despite pronounced disparities in mortality and physical health outcomes, no well accepted models exist for integrating primary care with behavioral health for patients with serious mental illness (SMI). This article describes a case study of an enhanced approach to primary care that builds on the patient centered medical home (PCMH) model and adds three additional components: (1) longer and more frequent visits to establish trust and increase adherence, (2) a primary care team that has both the skills to provide effective primary care and the heart to take care of patients with SMI and (3) planned and proactive communication between the behavioral health team and the primary care team.
Topic(s):
Education & Workforce
See topic collection
, Healthcare Disparities
See topic collection
, Medical Home
See topic collection
Reference Links:
View the DOI record for Providing Effective Primary Care for Patients with Serious Mental Illness: Additional Components to Enhance Practice
View DOI Record
View the PubMed citation for Providing Effective Primary Care for Patients with Serious Mental Illness: Additional Components to Enhance Practice439
Providing specialty consultant expertise to primary care: an expanding spectrum of modalities
Type: Journal Article
Year: 2014
Publication Place: England
Topic(s):
HIT & Telehealth
See topic collection
, Medical Home
See topic collection
, Education & Workforce
See topic collection
Reference Links:
View the DOI record for Providing specialty consultant expertise to primary care: an expanding spectrum of modalities
View DOI Record
View the PubMed citation for Providing specialty consultant expertise to primary care: an expanding spectrum of modalities440
Providing underserved patients with medical homes: Assessing the readiness of safety-net health centers
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: Enthusiasm for the patient-centered medical home model is growing, yet initial research is scant, showing that true transformation is challenging and that meaningful improvements in care delivery, efficiency, and health outcomes take time and sustained investment. This brief surveys safety-net health centers to determine their potential to become medical homes. Safety-net health centers that provide vulnerable and low-income populations with comprehensive primary care have unique opportunities for successful transformation, but also face challenges. For example, nearly half of the health centers surveyed do not have a process for scheduling patients with a personal provider or have an existing process that needs improvement; two-thirds do not have a process for same-day scheduling or have a process that needs improvement. Survey data also show that health centers that employed team-based care were more likely to have instituted patient access and communications processes, relative to those without team-based care.
Topic(s):
Medical Home
See topic collection
Reference Links: View the PubMed citation for Providing underserved patients with medical homes: Assessing the readiness of safety-net health centers