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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).
11248 Results
5381
Integrating Behavioral Health and Primary Care in Two New Jersey Federally Qualified Health Centers
Type: Journal Article
Year: 2017
Abstract: This column describes a unique model for integrating behavioral health services into two New Jersey federally qualified health centers (FQHCs). The pilot project, funded by a private foundation grant, offers a lens for exploring the distinct challenges and opportunities faced by FQHCs serving diverse populations. The behavioral health services provided through this project were comprehensive, including behavioral health care, chronic disease management, and computerized cognitive-behavioral therapy. Although many changes to health center structure and staffing were required, building on existing infrastructure allowed substantial progress toward implementation of an integrated (and eventually self-sustaining) care system in one year. The challenges facing FQHCs wishing to integrate behavioral health services into their routine operation will vary; this project can provide a blueprint by which comprehensive behavioral health care can be integrated into existing medical clinic services.
Topic(s):
General Literature
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Reference Links: 
View the DOI record for Integrating Behavioral Health and Primary Care in Two New Jersey Federally Qualified Health Centers
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View the PubMed citation for Integrating Behavioral Health and Primary Care in Two New Jersey Federally Qualified Health Centers5382
Integrating Behavioral Health and Primary Care Services for People with Serious Mental Illness: A Qualitative Systems Analysis of Integration in New York
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Healthcare Disparities
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5386
Integrating behavioral health and primary care: a qualitative analysis of financial barriers and solutions
Type: Journal Article
Year: 2020
Publication Place: England
Topic(s):
Financing & Sustainability
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Reference Links:
View the DOI record for Integrating behavioral health and primary care: a qualitative analysis of financial barriers and solutions
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View the PubMed citation for Integrating behavioral health and primary care: a qualitative analysis of financial barriers and solutions5388
Integrating behavioral health and primary care: The Harris County Community Behavioral Health Program
Type: Journal Article
Year: 2008
Publication Place: United States
Abstract: This column describes and evaluates the Harris County Community Behavioral Health Program, a new integrated care program operating in community health centers serving low-income uninsured residents in Houston, Texas. Patient service data, provider satisfaction, patient outcome data, and appointment waiting periods were obtained to evaluate the initial operation of the program. The integrated care program has been successfully implemented on a large scale at an annual cost of about dollars 800,000, or dollars 268 per patient served. About 3,000 patients were treated for behavioral problems by behavioral health staff during the first 11 months of the program. In addition, efforts were made to expand the scope of behavioral health interventions provided by primary care physicians. Providers were satisfied with the program, improvement was detected among patients treated, and there was an increase in the average number of community-based behavioral health services received per patient since the program was implemented.
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, Healthcare Disparities
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Reference Links:
View the DOI record for Integrating behavioral health and primary care: The Harris County Community Behavioral Health Program
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View the PubMed citation for Integrating behavioral health and primary care: The Harris County Community Behavioral Health Program5391
Integrating behavioral health and substance use models for advanced PMHN practice in primary care: Progress made in the 21st century
Type: Journal Article
Year: 2020
Topic(s):
Education & Workforce
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, Opioids & Substance Use
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5393
Integrating Behavioral Health Care into an Urban Hospital-Based Pediatric Primary Care Setting
Type: Journal Article
Year: 2021
Abstract:
Integration of behavioral health into pediatric primary care clinics is a recommended practice with potential to address the mental health needs of underserved children. We describe our process of integrating a behavioral health team into our hospital-based pediatric practice that serves a low-income, ethnically diverse, and underserved population of children and youth in the southeastern U.S. We provide a summary of our four-year program evaluation of feasibility and acceptability of embedding a behavioral health team in our practice. We also discuss the challenges faced, including staff turnover and difficulty with billing for sustainability. Finally, we provide recommendations for pediatric clinics that seek to integrate behavioral health care into their practices.
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, Healthcare Disparities
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Reference Links:
View the DOI record for Integrating Behavioral Health Care into an Urban Hospital-Based Pediatric Primary Care Setting
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View the PubMed citation for Integrating Behavioral Health Care into an Urban Hospital-Based Pediatric Primary Care Setting5394
Integrating Behavioral Health in Primary Care Using Lean Workflow Analysis: A Case Study
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Integrating Behavioral Health in Primary Care Using Lean Workflow Analysis: A Case Study
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View the PubMed citation for Integrating Behavioral Health in Primary Care Using Lean Workflow Analysis: A Case Study5395
Integrating behavioral health in primary care: Time to shift paradigms
Type: Journal Article
Year: 2021
Topic(s):
General Literature
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Reference Links:
View the DOI record for Integrating behavioral health in primary care: Time to shift paradigms
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View the PubMed citation for Integrating behavioral health in primary care: Time to shift paradigms5397
Integrating behavioral health in the pediatric medical home
Type: Journal Article
Year: 2018
Publication Place: England
Topic(s):
Healthcare Disparities
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Reference Links: View the PubMed citation for Integrating behavioral health in the pediatric medical home
5398
Integrating Behavioral Health into Pediatric Primary Care: Implications for Provider Time and Cost
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: OBJECTIVES: Integrating a behavioral health consultant (BHC) into primary care is associated with improved patient outcomes, fewer medical visits, and increased provider satisfaction; however, few studies have evaluated the feasibility of this model from an operations perspective. Specifically, time and cost have been identified as barriers to implementation. Our study aimed to examine time spent, patient volume, and revenue generated during days when the on-site BHC was available compared with days when the consultant was not. METHODS: Data were collected across a 10-day period when a BHC provided services and 10 days when she was not available. Data included time stamps of patient direct care; providers' direct reports of problems raised; and a review of medical and administrative records, including billing codes and reimbursement. This study took place in a rural, stand-alone private pediatric primary care practice. The participants were five pediatric primary care providers (PCPs; two doctors of medicine, 1 doctor of osteopathy, 2 nurse practitioners) and two supervised doctoral students in psychology (BHCs). Pediatric patients (N = 668) and their parents also participated. RESULTS: On days when a BHC was present, medical providers spent 2 fewer minutes on average for every patient seen, saw 42% more patients, and collected $1142 more revenue than on days when no consultant was present. CONCLUSIONS: The time savings demonstrated on days when the consultant was available point to the efficiency and potential financial viability of this model. These results have important implications for the feasibility of hiring behavioral health professionals in a fee-for-service system. They have equally useful implications for the utility of moving to a bundled system of care in which collaborative practice is valued.
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, Healthcare Disparities
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Reference Links:
View the DOI record for Integrating Behavioral Health into Pediatric Primary Care: Implications for Provider Time and Cost
View DOI Record
View the PubMed citation for Integrating Behavioral Health into Pediatric Primary Care: Implications for Provider Time and Cost5399
Integrating Behavioral Health into Primary Care
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: Depression is one of the more common diagnoses encountered in primary care, and primary care in turn provides the majority of care for patients with depression. Many approaches have been tried in efforts to improve the outcomes of depression management. This article outlines the partnership between the University of Washington (UW) Neighborhood Clinics and the UW Department of Psychiatry in implementing a collaborative care approach to integrating the management of anxiety and depression in the ambulatory primary care setting. This program was built on the chronic care model, which utilizes a team approach to caring for the patient. In addition to the patient and the primary care provider (PCP), the team included a medical social worker (MSW) as care manager and a psychiatrist as team consultant. The MSW would manage a registry of patients with depression at a clinic with several PCPs, contacting the patients on a regular basis to assess their status, and consulting with the psychiatrist on a weekly basis to discuss patients who were not achieving the goals of care. Any recommendation (eg, a change in medication dose or class) made by the psychiatrist was communicated to the PCP, who in turn would work with the patient on the new recommendation. This collaborative care approach resulted in a significant improvement in the number of patients who achieved care plan goals. The authors believe this is an effective method for health systems to integrate mental health services into primary care. (Population Health Management 2016;19:81-87).
Topic(s):
Education & Workforce
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