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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
562
The Policy Ecology of Behavioral Health Homes: Case Study of Maryland's Medicaid Health Home Program
Type: Journal Article
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.
Topic(s):
Medical Home
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Reference Links: 
View the DOI record for The Policy Ecology of Behavioral Health Homes: Case Study of Maryland's Medicaid Health Home Program
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View the PubMed citation for The Policy Ecology of Behavioral Health Homes: Case Study of Maryland's Medicaid Health Home Program563
The Policy Ecology of Behavioral Health Homes: Case Study of Maryland's Medicaid Health Home Program
Type: Journal Article
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.
Topic(s):
Medical Home
See topic collection
Reference Links:
View the DOI record for The Policy Ecology of Behavioral Health Homes: Case Study of Maryland's Medicaid Health Home Program
View DOI Record
View the PubMed citation for The Policy Ecology of Behavioral Health Homes: Case Study of Maryland's Medicaid Health Home Program565
The problem of integrating behavioral health in the medical home and the questions it leads to
Type: Journal Article
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.
Topic(s):
Education & Workforce
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, 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 The problem of integrating behavioral health in the medical home and the questions it leads to
View DOI Record
View the PubMed citation for The problem of integrating behavioral health in the medical home and the questions it leads to566
The role of organizational context in the implementation of a statewide initiative to integrate mental health services into pediatric primary care
Type: Journal Article
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.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, HIT & Telehealth
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, Medical Home
See topic collection
567
The Role of the Patient-Centered Medical Home in Treating Depression
Type: Journal Article
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.
Topic(s):
Medical Home
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Reference Links:
View the DOI record for The Role of the Patient-Centered Medical Home in Treating Depression
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View the PubMed citation for The Role of the Patient-Centered Medical Home in Treating Depression568
The Show-me State Shows the Way On 'Health Homes' for Mental Health
Type: Journal Article
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.
Topic(s):
Medical Home
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Reference Links: View the PubMed citation for The Show-me State Shows the Way On 'Health Homes' for Mental Health
570
The Transformation of Behavioral Healthcare in New Mexico
Type: Journal Article
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.
Topic(s):
Medical Home
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, Healthcare Policy
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Reference Links: View the PubMed citation for The Transformation of Behavioral Healthcare in New Mexico
571
The White River model of colocated collaborative care: A platform for mental and behavioral health care in the medical home
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
Medical Home
See topic collection
572
There Is No "I" in Teamwork in the Patient-Centered Medical Home: Defining Teamwork Competencies for Academic Practice
Type: Journal Article
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.
Topic(s):
Education & Workforce
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, Medical Home
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Reference Links:
View the DOI record for There Is No "I" in Teamwork in the Patient-Centered Medical Home: Defining Teamwork Competencies for Academic Practice
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View the PubMed citation for There Is No "I" in Teamwork in the Patient-Centered Medical Home: Defining Teamwork Competencies for Academic Practice575
Toward a collaborative care delivery model: The role of population health improvement organizations in the patient-centered medical home
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
Medical Home
See topic collection
576
Toward a Unified Integration Approach: Uniting Diverse Primary Care Strategies Under the Primary Care Behavioral Health (PCBH) Model
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Education & Workforce
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, Medical Home
See topic collection
578
Transforming Primary Care in the New Orleans Safety-net: The Patient Experience
Type: Journal Article
Year: 2012
Abstract: BACKGROUND:: The patient-centered medical home (PCMH) is a key service delivery innovation in health reform. However, there are growing questions about whether the changes in clinics promoted by the PCMH model lead to improvements in the patient experience. OBJECTIVE:: To test the hypothesis that PCMH improvements in safety-net primary care clinics are associated with a more positive patient experience. RESEARCH DESIGN:: Multilevel cross-sectional analysis of patients nested within the primary care clinics that serve them. SUBJECTS:: Primary care clinic leaders and patients throughout the City of New Orleans health care safety-net. MEASURES:: Dependent variables included patient ratings of accessibility, coordination, and confidence in the quality/safety of care. The key independent variable was a score measuring PCMH structural and process improvements at the clinic level. RESULTS:: Approximately two thirds of patients in New Orleans gave positive ratings to their clinics on access and quality/safety, but only one third did for care coordination. In all but the largest clinics, patient experiences of care coordination were positively associated with the clinic's use of PCMH structural and process changes. Results for patient ratings of access and quality/safety were mixed. CONCLUSIONS:: Among primary care clinics in the New Orleans safety-net, use of more PCMH improvements at the clinic level led to more positive patient rating of care coordination, but not of accessibility or confidence in quality/safety. Ongoing efforts to pilot, demonstrate, implement, and evaluate the PCMH should consider how the impact of medical practice transformation could vary across different aspects of the patient experience.
Topic(s):
Medical Home
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Reference Links:
View the DOI record for Transforming Primary Care in the New Orleans Safety-net: The Patient Experience
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View the PubMed citation for Transforming Primary Care in the New Orleans Safety-net: The Patient Experience580
Transforming primary care: Improving on the medical home model
Type: Journal Article
Year: 2011
Publication Place: England
Topic(s):
Medical Home
See topic collection
Reference Links:
View the DOI record for Transforming primary care: Improving on the medical home model
View DOI Record
View the PubMed citation for Transforming primary care: Improving on the medical home model