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We now have over twenty years of experience with research
and practice with integrated behavioral healthcare.

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There are now over seventy research
studies that have been done in this

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area and if you look at the key message that comes
from this body of research it's really three things.

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	If you have primary care
providers, primary care physicians,

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and mental health professionals collaborate closely,
work closely together caring for a patient,

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there are three things
that come from that.

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	First of all you get a much
better patient care experience,

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second of all you
have better outcomes,

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and that's not just physical health
outcomes but also mental health

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outcomes and better
functioning in general.

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And then uh, you also
have lower healthcare costs.

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	When you provide this kind of care
in an integrated way it actually

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leads to a reduction in overall healthcare
costs and today that is called the triple aim,

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better patient care experience, better
health outcomes and lower healthcare costs.

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Well if there is one thing that
we have learned from research on

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integrated care that's also tremendously
important for every practitioner,

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every practice is trying to implement an effective
evidence based integrated care program,

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that is the idea of
keeping your eye on the prize.

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	That's also something we now
call measurement based practice.

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So the idea there is that just like
with high blood pressure where every

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time that you come into the doctor's
office somebody will measure your

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blood pressure and see if your
treatment is on the right track,

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we have to do the exact same thing when we're
treating things like depression or anxiety.

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	Now that's easier said than done
but it's actually quite easy to do,

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it can take a simple nine item
rating scale that the patient fills

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out to see how bad their depression
is doing or how much they are

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progressing in their treatment and
that can be done in a couple minutes

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in the doctor's office or it can be done at
home before coming in to see the doctor.

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	And with that information we then
can see is the treatment working?

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And what we'll discover is about
half the time the treatment is

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actually quite effective and at
about half the time it's not quite

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working yet and that doesn't mean we
have a bad patient or a bad provider,

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it's just not quite the right treatment.

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	And that means we're going to
have make a change in treatment,

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we might have to get a consultation with
another specialist but it really is important

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to have that information every time we see the
patient, to see are we on the right track,

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can we make changes so ultimately we
can really get the vast majority of

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our patients in a
primary care setting better.