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The Literature Collection contains over 13,000 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).
13126 Results
1784
Behavioral Health Integration into Primary Care: a Microsimulation of Financial Implications for Practices
Type:
Journal Article
Year:
2017
Abstract:
Background: New payments from Medicare encourage behavioral health services to be integrated into primary care practice activities. Objective: To evaluate the financial impact for primary care practices of integrating behavioral health services. Design: Microsimulation model. Participants: We simulated patients and providers at federally qualified health centers (FQHCs), non-FQHCs in urban and rural high-poverty areas, and practices outside of high-poverty areas surveyed by the National Association of Community Health Centers, National Ambulatory Medical Care Survey, National Health and Nutrition Examination Survey, and National Health Interview Survey. Interventions: A collaborative care model (CoCM), involving telephone-based follow-up from a behaviorist care manager, or a primary care behaviorist model (PCBM), involving an in-clinic behaviorist. Main Measures: Net revenue change per full-time physician. Key Results: When behavioral health integration services were offered only to Medicare patients, net revenue was higher under CoCM (averaging $25,026 per MD in year 1 and $28,548/year in subsequent years) than PCBM (-$7052 in year 1 and -$3706/year in subsequent years). When behavioral health integration services were offered to all patients and were reimbursed by Medicare and private payers, only practices adopting the CoCM approach consistently gained net revenues. The outcomes of the model were sensitive to rates of patient referral acceptance, presentation, and therapy completion, but the CoCM approach remained consistently financially viable whereas PCBM would not be in the long-run across practice types. Conclusions: New Medicare payments may offer financial viability for primary care practices to integrate behavioral health services, but this viability depends on the approach toward care integration.
Topic(s):
Financing & Sustainability
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Reference Links:
View the DOI record for Behavioral Health Integration into Primary Care: a Microsimulation of Financial Implications for Practices
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View the PubMed citation for Behavioral Health Integration into Primary Care: a Microsimulation of Financial Implications for Practices
1789
Behavioral Health Integration With Primary Care: Implementation Experience and Impacts From the State Innovation Model Round 1 States
Type:
Journal Article
Year:
2019
Publication Place:
United States
Topic(s):
Financing & Sustainability
See topic collection
1792
Behavioral health interventions being implemented in a VA primary care system
Type:
Journal Article
Year:
2011
Publication Place:
United States
Abstract:
The integration of behavioral health and primary care has received much attention in the literature. Behavioral health providers (BHPs) in integrated settings are faced with different treatment constraints than those who work in specialty mental health. The existing literature focuses on what BHPs should do in primary care settings; however, little research exists specifying what BHPs are actually doing. This study provides a glimpse into what types of interventions BHPs are using, and what types of patients they are seeing, in primary care. A chart review was conducted of patients (N = 180) seen by BHPs in five Veterans Affairs primary care clinics. Depression was the most common diagnosis, while less common presenting problems included substance abuse/dependence, psychosis, and bipolar disorder. Common interventions used were medical management, psycho-education, elements of cognitive-behavioral therapy (CBT), and supportive psychotherapy. Future research should examine the efficacy of brief interventions in primary care settings.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Behavioral health interventions being implemented in a VA primary care system
View DOI Record
View the PubMed citation for Behavioral health interventions being implemented in a VA primary care system
1794
Behavioral Health Needs, Barriers, and Parent Preferences in Rural Pediatric Primary Care
Type:
Journal Article
Year:
2020
Publication Place:
United States
Topic(s):
Healthcare Disparities
See topic collection
Reference Links:
View the DOI record for Behavioral Health Needs, Barriers, and Parent Preferences in Rural Pediatric Primary Care
View DOI Record
View the PubMed citation for Behavioral Health Needs, Barriers, and Parent Preferences in Rural Pediatric Primary Care
1800
Behavioral Health Problems Presented to Integrated Pediatric Behavioral Health Clinics: Differences in Urban and Rural Patients
Type:
Journal Article
Year:
2017
Publication Place:
United States
Abstract:
Behavioral health diagnoses and service use may differ based on rurality. The purpose of this study was to examine the patterns of mental disorder diagnoses of urban, rural, and remote pediatric populations. This retrospective study used electronic medical records from integrated behavioral health clinics in Nebraska from 2012 to 2013. Bivariate and multivariable models were used to examine the differences in diagnoses. Adolescents with attention deficit and related disorders were more likely to be male, younger, have public insurance and rural/remote residents. Adjustment disorders were associated with being female, older, and urban residents. Adolescents with anxiety disorder had a significant interaction between age and gender, with both genders being older, having private insurance, and urban residents. Adolescents with mood disorder were more likely to be female, older, and urban residents. Demographic and clinical differences among patients in urban and rural/remote settings have implications for care in rural settings.
Topic(s):
Healthcare Disparities
See topic collection