Literature Collection

541

The Pediatric Patient-Centered Medical Home: Innovative models for improving behavioral health

Type: Journal Article

Authors: J. R. Asarnow, D. J. Kolko, J. Miranda, A. E. Kazak

Year: 2017

Publication Place: United States

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542

The phenomenological evaluation of social worker competencies in patient-centered medical homes

Type: Web Resource

Authors: Veda D. Stalling

Year: 2016

Topic(s):

, ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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543

The phenomenological evaluation of social worker competencies in patient-centered medical homes

Type: Web Resource

Authors: Veda D. Stalling

Year: 2016

Topic(s):

, ,

Disclaimer:

This grey literature reference is included in the Academy�s Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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544

The Policy Context of Patient Centered Medical Homes: Perspectives of Primary Care Providers

Type: Journal Article

Authors: Jeffrey A. Alexander, Genna R. Cohen, Christopher G. Wise, Lee A. Green

Year: 2012

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545

The Policy Ecology of Behavioral Health Homes: Case Study of Maryland's Medicaid Health Home Program

Type: Journal Article

Authors: E. M. Stone, G. L. Daumit, A. Kennedy-Hendricks, E. E. McGinty

Year: 2020

Publication Place: United States

Abstract: Behavioral health homes, shown to improve receipt of evidence-based medical services among people with serious mental illness in randomized clinical trials, have had limited results in real-world settings; nonetheless, these programs are spreading rapidly. To date, no studies have considered what set of policies is needed to support effective implementation of these programs. As a first step toward identifying an optimal set of policies to support behavioral health home implementation, we use the policy ecology framework to map the policies surrounding Maryland's Medicaid behavioral health home program. Results suggest that existing policies fail to address important implementation barriers.

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546

The Policy Ecology of Behavioral Health Homes: Case Study of Maryland's Medicaid Health Home Program

Type: Journal Article

Authors: E. M. Stone, G. L. Daumit, A. Kennedy-Hendricks, E. E. McGinty

Year: 2020

Publication Place: United States

Abstract: Behavioral health homes, shown to improve receipt of evidence-based medical services among people with serious mental illness in randomized clinical trials, have had limited results in real-world settings; nonetheless, these programs are spreading rapidly. To date, no studies have considered what set of policies is needed to support effective implementation of these programs. As a first step toward identifying an optimal set of policies to support behavioral health home implementation, we use the policy ecology framework to map the policies surrounding Maryland's Medicaid behavioral health home program. Results suggest that existing policies fail to address important implementation barriers.

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547

The Post-Katrina Conversion Of Clinics In New Orleans To Medical Homes Shows Change Is Possible, But Hard To Sustain

Type: Journal Article

Authors: D. R. Rittenhouse, L. A. Schmidt, K. J. Wu, J. Wiley

Year: 2012

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548

The problem of integrating behavioral health in the medical home and the questions it leads to

Type: Journal Article

Authors: R. Kessler, D. Stafford, R. Messier

Year: 2009

Publication Place: United States

Abstract: Psychology and other behavioral health professions have amassed a broad empirical and clinical literature suggesting many medical presentations are best responded to with the addition of evidence based behavioral interventions. Despite this, psychology has not achieved a regular presence as part of medical practice. We suggest specific reasons for the current state of affairs including clinical, operational, societal labels, financial and training dimensions. Medical, psychological, administrative, and financial perspectives are reviewed. If the goals of health care system reform are to be reached then we must identify and challenge the current limitations of health care. This paper will identify the elements that need to be changed in order for psychology to be integrated into medicine rather than excluded from its policy, planning and operations.

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549

The role of integration service delivery models in addressing needs of adults and children with behavioral health conditions

Type: Report

Authors: J. E. Miller, S . Y. Gorden

Year: 2014

Publication Place: Alexandria, VA

Topic(s):

, , ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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550

The role of organizational context in the implementation of a statewide initiative to integrate mental health services into pediatric primary care

Type: Journal Article

Authors: M. A. King, L. S. Wissow, R. A. Baum

Year: 2017

Publication Place: United States

Abstract: BACKGROUND: Although there is evidence that mental health services can be delivered in pediatric primary care with good outcomes, few changes in service delivery have been seen over the past decade. Practices face a number of barriers, making interventions that address determinants of change at multiple levels a promising solution. However, these interventions may need appropriate organizational contexts in place to be successfully implemented. PURPOSE: The objective of this study was to test whether organizational context (culture, climate, structures/processes, and technologies) influenced uptake of a complex intervention to implement mental health services in pediatric primary care. METHODOLOGY/APPROACH: We incorporated our research into the implementation and evaluation of Ohio Building Mental Wellness Wave 3, a learning collaborative with on-site trainings and technical assistance supporting key drivers of mental health care implementation. Simple linear regression was used to test the effects of organizational context and external or fixed organizational characteristics on program uptake. RESULTS: Culture, structure/processes, and technologies scores indicating a more positive organizational context for mental health at the project's start, as well as general cultural values that were more group/developmental, were positively associated with uptake. Patient-centered medical home certification and use of electronic medical records were also associated with greater uptake. Changes in context over the course of Building Mental Wellness did not influence uptake. CONCLUSION: Organizational culture, structures/processes, and technologies are important determinants of the uptake of activities to implement mental health services in pediatric primary care. Interventions may be able to change these aspects of context to make them more favorable to integration, but baseline characteristics more heavily influence the more proximal uptake of program activities. PRACTICE IMPLICATIONS: Pediatric primary care practices would benefit from assessing their organizational context and taking steps to address it prior to or in a phased approach with mental health service implementation.

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551

The Role of the Patient-Centered Medical Home in Treating Depression

Type: Journal Article

Authors: O. E. Bogucki, M. D. Williams, L. I. Solberg, R. C. Rossom, C. N. Sawchuk

Year: 2020

Abstract:

PURPOSE OF REVIEW: This review discusses the role of the patient-centered medical home (PCMH) in treating depression, focusing on findings from primary care-based studies and their implications for the PCMH. RECENT FINDINGS: Pharmacotherapy, psychotherapy, and collaborative care are evidence-based treatments for depression that can be delivered in primary care and extended to diverse populations. Recent research aligns with the core components of the PCMH model. The core components of the PCMH are critical elements of depression treatment. Comprehensive care within the PCMH addresses medical and behavioral health concerns, including depression. Psychiatric and psychological care must be flexibly delivered so services remain accessible yet patient-centered. To ensure the quality and safety of treatment, depression symptoms must be consistently monitored. Coordination within and occasionally outside of the PCMH is needed to ensure patients receive the appropriate level of care. More research is needed to empirically evaluate depression treatment within the PCMH.

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552

The Show-me State Shows the Way On 'Health Homes' for Mental Health

Type: Journal Article

Authors: J. Burns

Year: 2018

Publication Place: United States

Abstract: The medical home model for delivering health care is getting tested for people with mental health problems. Missouri has been a pacesetter.

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553

The SUMMIT ambulatory-ICU primary care model for medically and socially complex patients in an urban federally qualified health center: study design and rationale

Type: Journal Article

Authors: Brian Chan, Samuel T. Edwards, Meg Devoe, Richard Gil, Matthew Mitchell, Honora Englander, Christina Nicolaidis, Devan Kansagara, Somnath Saha, P. T. Korthuis

Year: 2018

Publication Place: London

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554

The Transformation of Behavioral Healthcare in New Mexico

Type: Journal Article

Authors: C. E. Willging, L. Lamphere, B. Rylko-Bauer

Year: 2014

Abstract: Since 1997, public-sector behavioral healthcare in New Mexico has remained under continual transition. We have conducted qualitative research to examine recent efforts in NM to establish a recovery-oriented behavioral healthcare system, focusing on comprehensive community support services, clinical homes, and core service agencies. We examine how decisions made in the outer context (e.g., the system level) shaped the implementation of each initiative within the inner context of service provision (e.g., provider agencies). We also clarify how sociopolitical factors, as exemplified in changes instituted by one gubernatorial administration and undone by its successor, can undermine implementation efforts and create crises within fragile behavioral healthcare systems. Finally, we discuss findings in relation to efforts to promote wraparound service planning and to establish medical home models under national healthcare reform.

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555

The White River model of colocated collaborative care: A platform for mental and behavioral health care in the medical home

Type: Journal Article

Authors: A. S. Pomerantz, B. Shiner, B. V. Watts, M. J. Detzer, C. Kutter, B. Street, D. Scott

Year: 2010

Publication Place: United States

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556

There Is No "I" in Teamwork in the Patient-Centered Medical Home: Defining Teamwork Competencies for Academic Practice

Type: Journal Article

Authors: E. L. Leasure, R. R. Jones, L. B. Meade, M. I. Sanger, K. G. Thomas, V. P. Tilden, J. L. Bowen, E. J. Warm

Year: 2013

Abstract: Evidence suggests that teamwork is essential for safe, reliable practice. Creating health care teams able to function effectively in patient-centered medical homes (PCMHs), practices that organize care around the patient and demonstrate achievement of defined quality care standards, remains challenging. Preparing trainees for practice in interprofessional teams is particularly challenging in academic health centers where health professions curricula are largely siloed. Here, the authors review a well-delineated set of teamwork competencies that are important for high-functioning teams and suggest how these competencies might be useful for interprofessional team training and achievement of PCMH standards. The five competencies are (1) team leadership, the ability to coordinate team members' activities, ensure appropriate task distribution, evaluate effectiveness, and inspire high-level performance, (2) mutual performance monitoring, the ability to develop a shared understanding among team members regarding intentions, roles, and responsibilities so as to accurately monitor one another's performance for collective success, (3) backup behavior, the ability to anticipate the needs of other team members and shift responsibilities during times of variable workload, (4) adaptability, the capability of team members to adjust their strategy for completing tasks on the basis of feedback from the work environment, and (5) team orientation, the tendency to prioritize team goals over individual goals, encourage alternative perspectives, and show respect and regard for each team member. Relating each competency to a vignette from an academic primary care clinic, the authors describe potential strategies for improving teamwork learning and applying the teamwork competences to academic PCMH practices.

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557

Tool Used To Assess How Well Community Health Centers Function As Medical Homes May Be Flawed

Type: Journal Article

Authors: Robin M. A. Clarke, Chi-hong Tseng, Robert H. Brook, Arleen F. Brown

Year: 2012

Publication Place: United States

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558

Toward a collaborative care delivery model: The role of population health improvement organizations in the patient-centered medical home

Type: Journal Article

Authors: A. S. McLaughlin, D. M. Schulte, G. Sharp

Year: 2010

Publication Place: United States

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559

Toward a Unified Integration Approach: Uniting Diverse Primary Care Strategies Under the Primary Care Behavioral Health (PCBH) Model

Type: Journal Article

Authors: B. E. Sandoval, J. Bell, P. Khatri, P. J. Robinson

Year: 2018

Publication Place: United States

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560

Transforming Physician Practices To Patient-Centered Medical Homes: Lessons From The National Demonstration Project

Type: Journal Article

Authors: Paul A. Nutting, Benjamin F. Crabtree, William L. Miller, Kurt C. Stange, Elizabeth Stewart, Carlos Jaen

Year: 2011

Publication Place: United States

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