Integrated Care Refresh, Part 1: Integration of Behavioral Health Into Primary Care.

Abstract

Back to table of contents Previous article Editor's ChoiceFull AccessIntegrated Care Refresh, Part 1: Integration of Behavioral Health Into Primary CareAndrew Carlo, M.D., M.P.H., Carrie Cunningham, M.D., M.P.H., Lisa B. Dixon, M.D., M.P.H.Andrew CarloSearch for more papers by this author, M.D., M.P.H., Carrie CunninghamSearch for more papers by this author, M.D., M.P.H., Lisa B. DixonSearch for more papers by this author, M.D., M.P.H.Published Online:1 Feb 2022https://doi.org/10.1176/appi.ps.73202AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail This Editor’s Choice collection was published online in December 2021 and refreshes the original January 2019 collection on integrated care. To review all collections, please visit the Editor’s Choice section of ps.psychiatryonline.org.Since publication of the first Editor’s Choice Collection on Integrated Care in 2019, the literature has continued to expand, reflecting a growing interest in and implementation of models to improve high-quality health care and access to it. We refresh this integrated care collection in two parts, the first focusing on integrated behavioral health care, and more specifically the collaborative care model, and the second highlighting innovations in integrated care.Due to long-standing shortages of specialty mental health providers and deep-seated stigma surrounding mental illness, most behavioral health treatment in the United States has been delivered in the primary medical setting for decades. Usual behavioral health treatment in primary care, however, is challenged by limited resources, competing priorities, short visits, and lack of access to specialty treatment when indicated. The collaborative care model (CoCM) offers a solution through population health principles, technology, and systematic teamwork between the primary medical provider, a specially trained care manager, and a designated psychiatric consultant. CoCM is extensively evidence based, with more than 90 randomized controlled trials demonstrating its efficacy across a variety of populations and treatment settings. Implementation of CoCM also carries with it an opportunity to reduce inequities in behavioral health care by reducing stigma, improving access to care, and monitoring outcomes at the population level so that services can be tailored to address racial, ethnic, linguistic, and socioeconomic disparities.This collection offers some of the latest research on CoCM that moves along the research-to-practice continuum from clinical trials to implementation, quality improvement, and financial sustainability. Some highlights include strategies to optimize key components of CoCM (e.g., the case review), a longitudinal evaluation of CoCM implementation, and guidance on how to use the novel CoCM billing codes to make the program financially sustainable.ImplementationThe Learning Curve After Implementation of Collaborative Care in a State Mental Health Integration ProgramCarlo AD, Jeng PJ, Bao Y, et al.Psychiatr Serv 2019; 70:139–142https://doi.org/10.1176/appi.ps.201800249Implementing the Collaborative Chronic Care Model in Mental Health Clinics: Achieving and Sustaining Clinical EffectsBauer MS, Stolzmann K, Miller CJ, et al.Psychiatr Serv 2021; 72:586–589https://doi.org/10.1176/appi.ps.202000117Designing an Academic-Community Telepsychiatry Partnership to Provide Inpatient and Outpatient Services in a Critical Access HospitalKimmel RJ, Iles-Shih MD, Ratzliff A, et al.Psychiatr Serv 2019; 70:744–746https://doi.org/10.1176/appi.ps.201800587Impact of the COVID-19 Pandemic on Primary Care–Mental Health Integration Services in the VA Health SystemCornwell BL, Szymanski BR, McCarthy JFPsychiatr Serv 2021; 72:972–973https://doi.org/10.1176/appi.ps.202000607Structural Components of Integrated Behavioral Health Care: A Comparison of National ProgramsGoldman ML, Scharf DM, Brown JD, et al.Online in Advance, Sept 9, 2021https://doi.org/10.1176/appi.ps.201900623Integrating Behavioral Health and Serious Illness Care in a Post–COVID-19 EnvironmentShalev D, Spaeth-Rublee B, Cheung S, et al.Psychiatr Serv 2021; 72:1467–1470https://doi.org/10.1176/appi.ps.202000903Increased Depression Screening and Treatment Recommendations After Implementation of a Perinatal Collaborative Care ProgramMiller ES, Grobman WA, Ciolino JD, et al.Psychiatr Serv 2021; 72:1268–1275https://doi.org/10.1176/appi.ps.202000563Assessing the Impact of Different Depression Treatment Success Metrics on Organizational PerformanceCarlo AD, Chan G, Arao RF, et al.Psychiatr Serv 2021; 72:830–834https://doi.org/10.1176/appi.ps.202000364Quality improvementHow a Health Center Eliminated the Waiting List for Psychiatric ServicesKinnan S, Emerson MR, Kern J, et al.Psychiatr Serv 2019; 70:1176–1179https://doi.org/10.1176/appi.ps.201900222Best Practices for Systematic Case Review in Collaborative CareBauer AM, Williams MD, Ratzliff A, et al.Psychiatr Serv 2019; 70:1064–1067https://doi.org/10.1176/appi.ps.201900085Recommendations for Integrated Systems and Services for People With Co-occurring Mental Health and Substance Use ConditionsMinkoff K, Covell NHOnline in Advance, Oct 13, 2021https://doi.org/10.1176/appi.ps.202000839A Continuum-Based Framework as a Practice Assessment Tool for Integration of General Health in Behavioral Health CareSmali E, Talley RM, Goldman ML, et al.Online in Advance, Sept 24, 2021https://doi.org/10.1176/appi.ps.202000708Financial sustainabilityProvision of Collaborative Care Model and General Behavioral Health Integration Services in MedicareMarcotte LM, Reddy A, Zhou L, et al.Psychiatr Serv 2021; 72:822–825https://doi.org/10.1176/appi.ps.202000265Sustaining the Collaborative Care Model (CoCM): Billing Newly Available CoCM CPT Codes in an Academic Primary Care SystemCarlo AD, Drake L, Ratzliff ADH, et al.Psychiatr Serv 2020; 71:972–974https://doi.org/10.1176/appi.ps.201900581Clinical trialsRandomized Controlled Trial of a Collaborative Care Intervention for Mood Disorders by a National Commercial Health PlanKilbourne AM, Prenovost KM, Liebrecht C, et al.Psychiatr Serv 2019; 70:219–224https://doi.org/10.1176/appi.ps.201800336 FiguresReferencesCited byDetailsCited byNone Volume 73Issue 2 February 01, 2022Pages 241-242 Metrics PDF download History Published online 1 February 2022 Published in print 1 February 2022