Primary Care Behavioral Health Integration

Christian, Eric; Krall, Valerie; Hulkower, Stephen; Stigleman, Sue

doi:10.18043/ncm.79.4.250

Cited by 17 publications

(24 citation statements)

References 16 publications

(33 reference statements)

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“…The importance of BHP availability within primary care regardless of style of introduction has direct clinical and operational implications for integrated health care teams. Warm handoffs are an established way to connect BHPs with patients in need of behavioral health care and can facilitate successful patient engagement ( 9 , 10 , 19 ). Introducing patients to BHPs at point of primary care is essential; a warm handoff was the preferred approach in this study, although some recent data suggest the warm handoff may not increase rate of behavioral health-care follow-up ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

“…Although providers practicing integrated behavioral health care and working with BHPs strive to provide optimal patient care (9,15), evaluation of delivery and patient perception of care is necessary. The American College of Physicians recommends integration of behavioral health care into primary care along with more research to define effective and efficient approaches to care integration (16).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Patient Views of Behavioral Health Providers in Primary Care: A Qualitative Study of 2 Southeastern Clinics

Koehler

Trejo

Sandberg

et al. 2019

Journal of Patient Experience

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Background: Limited research is available around patient experience of integrated behavioral health care in primary care settings. Objective: We sought to identify the major themes through which patients described their integrated behavioral health care experiences as a means of informing and improving clinic processes of integrated health care delivery. Methods: We captured viewpoints from 16 patients who experienced an integrated behavioral health care model from 2 primary care clinics and completed at least 3 visits with a behavioral health provider (BHP). Using grounded theory analyses, we coded and analyzed transcriptions for emergent themes. Analysis: The interview process yielded 3 major themes related to the BHP including (a) the BHPs’ clinic presence made behavioral health care more convenient and accessible, (b) BHPs worked within time and program limitations, and (c) BHPs helped with coping, wellness, and patient-care team communication. Conclusion: The BHPs serving in a large primary care practice and a Federally Qualified Health Center played an important role in connecting patients with behavioral health care and improving care team collaboration, both in terms of communication within the team and between the team and the patient/family.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patient Views of Behavioral Health Providers in Primary Care: A Qualitative Study of 2 Southeastern Clinics

Koehler

Trejo

Sandberg

et al. 2019

Journal of Patient Experience

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“…34 One area that has seen advances in care coordination is the integration of behavioral health, leading to improved chronic disease metrics, decreased utilization and reduced costs. 35 Additionally, programs that coordinate discharged patients between the inpatient and outpatient setting have demonstrated decreased emergency department (ED) visits, hospitalizations, and total cost of care. 36 To train residents in care coordination, FMPs should: • Establish defined curriculum and training outcomes related to coordination with specialists, including electronic communication and/or teleconsultation.…”

Section: Coordination Of Carementioning

confidence: 99%

The Practice Is the Curriculum

Neutze

Hodge²,

Steinbacher³

et al. 2021

Fam Med

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The training family medicine residents receive will have a lasting impact on how they deliver care in the future. Evidence demonstrates an imprinting effect based on the training environment itself. Thus, residency training represents a critical time for establishing clinical experiences that embody core primary care principles and ensure excellent care delivery. This paper focuses on the clinical experience in the family medicine practice setting. We have used Starfield’s four C’s of primary care and added two more: cost and community, as the tools to achieve the triple aim. In reviewing the current state of residency programs across the country, we noted that there was a lack of measurement on how programs were performing when it came to the six C’s. We will briefly describe some recent innovative collaboratives among residencies. Next, we examine the six C’s of primary care in context of current care. These six C’s inform our recommendations for residency training standards to create the family physicians of the future. The overarching theme of these recommendations is the need to measure and report on what we want to ultimately improve.

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“…A large body of research would suggest that by breaking down walls between general medical needs, mental health needs, and nutrition, we can effectively reduce untreated mental illnesses, curb the worsening of chronic conditions, identify issues in food security and help patients identify healthy and cost-effective alternatives, help patients meet their personal health and wellness goals, and perhaps even prevent unnecessary procedures and hospitalizations [15][16][17][18][19][20][21][22][23] .…”

Section: Collaborative Carementioning

confidence: 99%

Creating a Patient-Centered, Global, Decentralized Health System: Combining New Payment and Care Delivery Models with Telemedicine, AI, and Blockchain Technology

Colon¹

2018

BHTY

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Over the past decade, there have been many innovations in new payment and care delivery models and technology, from telemedicine to artificial intelligence (AI) to blockchain. These innovations, however, must be used in tandem to drive real change. We review each of these innovations and propose a model for how they can be combined to be greater than the sum of their parts. In doing so, we can create a global, decentralized health system that truly puts patient care at the center, while supporting and further enabling the clinicians who make this care possible, to deliver higher quality care at a fraction of the cost.

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Primary Care Behavioral Health Integration

Cited by 17 publications

References 16 publications

Patient Views of Behavioral Health Providers in Primary Care: A Qualitative Study of 2 Southeastern Clinics

Patient Views of Behavioral Health Providers in Primary Care: A Qualitative Study of 2 Southeastern Clinics

The Practice Is the Curriculum

Creating a Patient-Centered, Global, Decentralized Health System: Combining New Payment and Care Delivery Models with Telemedicine, AI, and Blockchain Technology

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