Advancing Care Together by Integrating Primary Care and Behavioral Health

Green, Larry A.; Cifuentes, Maribel

doi:10.3122/jabfm.2015.s1.150102

Cited by 26 publications

(22 citation statements)

References 22 publications

(16 reference statements)

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“…The methods have been presented previously in detail. 16 A mixed-methods learning evaluation 30 generated key practice-based findings demonstrating how ACT practices implemented integrated care in the context of usual care delivery. The study received ethical approval by the institutional review boards of the Oregon Health & Science University, University of Texas Health Science Center at Houston, and University of Colorado.…”

Section: Methodsmentioning

confidence: 99%

“…12,13 However, the adoption of integrated care 14 has been slow because of challenges implementing it in community settings, and relatively little research is available on context-specific implementation strategies. [15][16][17] We previously documented the extensive processes used by diverse community mental health centers and primary care practices to integrate behavioral and primary care in the Advancing Care Together (ACT) demonstration project. 15,16,18 -27 The ACT evaluation showed that the shift to integrated care requires extensive health system redesign, including modifications to team composition,and interprofessional interaction, 19 and that variations in approaches have implications for the cost of the health system redesign 29 and how well these efforts actually reach target patients.…”

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confidence: 99%

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Outcomes of Integrated Behavioral Health with Primary Care

et al. 2017

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Background:Integrating behavioral health and primary care is beneficial to patients and health systems. However, for integration to be widely adopted, studies demonstrating its benefits in community practices are needed. The objective of this study was to evaluate effect of integrated care, adapted to local contexts, on depression severity and patients' experience of care.Methods: This study used a convergent mixed-methods design, merging findings from a quasi-experimental study with patient interviews conducted as part of Advancing Care Together, a community demonstration project that created an innovation incubator for practices implementing evidence-based integration strategies. The study included 475 patients with a 9-item Patient Health Questionnaire (PHQ-9) score >10 at baseline, from 5 practices.Results: Statistically significant reductions in mean PHQ-9 scores were observed in all practices, ranging from 2.72 to 6.46 points. Clinically, 50% of patients had a >5-point reduction in PHQ-9 score and 32% had a >50% reduction.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

Outcomes of Integrated Behavioral Health with Primary Care

et al. 2017

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“…Summit participants examined roadmaps for transforming primary care practices with team-based approaches. Examples highlighted included the 10 Building Blocks of High-Performing Primary Care, 29 team strategies for integrating behavioral health and primary care, 30 incorporating patients and communi-ties into primary care teams (eg, community health workers), 31 and approaches for increasing joy in practice. 32 Participants concluded that effective teams must be adaptable with regard to the needs of the population, size of the community, and specific roles of team members.…”

Section: ) Team-based Care: Revisiting and Revitalizing Old Modelsmentioning

confidence: 99%

"A Paradox Persists When the Paradigm Is Wrong": Pisacano Scholars' Reflections from the Inaugural Starfield Summit

Doohan

Coutinho

Lochner

et al. 2016

The Journal of the American Board of Family Medicine

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“…15 The following 3 areas are ripe for attention to help bring into alignment practice innovation with health policy.…”

Section: Health-policy Recommendationsmentioning

confidence: 99%

When Frontline Practice Innovations Are Ahead of the Health Policy Community: The Example of Behavioral Health and Primary Care Integration

Miller¹

2015

The Journal of the American Board of Family Medicine

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Innovation in health care delivery often far outpaces the speed at which health policy changes to accommodate this innovation. Integrating behavioral health and primary care is a promising approach to defragment health care and help health care achieve the triple aim of decreasing costs, improving outcomes, and enhancing patients' experiences. However, the problem remains that health policy does not frequently support the integration of care. This commentary describes some of the reasons policy falters as well as potential opportunities to begin to influence health policy to better support practices that take an integrated approach to health care. (J Am Board Fam Med 2015;28:S98 -S101.)

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Advancing Care Together by Integrating Primary Care and Behavioral Health

Cited by 26 publications

References 22 publications

Outcomes of Integrated Behavioral Health with Primary Care

Outcomes of Integrated Behavioral Health with Primary Care

"A Paradox Persists When the Paradigm Is Wrong": Pisacano Scholars' Reflections from the Inaugural Starfield Summit

When Frontline Practice Innovations Are Ahead of the Health Policy Community: The Example of Behavioral Health and Primary Care Integration

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