Integrated care clinic: Creating enhanced clinical pathways for integrated behavioral health care in a family medicine residency clinic serving a low-income, minority population.

Abstract

The transformation into a fully integrated BH family medicine clinic through the creation of ICC and enhanced clinical pathways to facilitate regular integrated BH care showed promising pilot results. Future research is needed to examine associations between ICC and patient outcomes (e.g., weight, depressive symptoms). (PsycINFO Database Record

Effective mental health interventions to reduce hospital readmission rates: a systematic review

“…The studies by Berge and colleagues (28) and DeCaporale-Ryan and colleagues (29) evaluated the impact of primary care behavioral health interventions at two primary care practices that serve low-income patients. Primary care behavioral health is a model of behavioral health integration where behavioral health providers are embedded in the primary care team (39).…”

“…Routine depression screenings have long been recommended by a number of professional societies, including the American Heart Association (46). Behavioral health integration, whether delivered through a primary care behavioral health model as studied by Berge (28) and DeCaporale-Ryan (29) or a collaborative care model as studied by Huffman (34,35), breaks down the silos that have long separated mental health from physical health, while simultaneously improving access to mental health services, and reducing the associated stigma. Primary care behavioral health models have been found to improve insomnia, posttraumatic stress disorder, and suicidal ideation (39).…”

Influence Of Authority And Message Framing On Compliance With Mental Health Treatment Recommendations

“…There is some evidence that authoritative sources may be particularly useful in real world settings. Specifically, studies utilizing field designs suggest that approaches such as the "warm hand-off", a process in which a medical doctor introduces the mental health service provider directly to the patient, is an effective way to increase mental health service use within integrated healthcare settings (Berge et al, 2017).…”

“…More than a quarter of the United States population has likely experienced a mental health concern in the last 12 months (Kessler, Chiu, & Demler, 2005), but the majority of these individuals receive no mental health treatment in a given year (Wang et al, 2005). This is unfortunate because treating mental health concerns has been shown to decrease health care costs (Simon, Vonkorff, & Barlow, 1995), reduce hospital readmission rates (Berge et al, 2017), and improve patients' quality of life (Spitzer et al, 1995). For those receiving treatment for a mental health concern, most are treated in general medical settings (Kroenke, Spitzer, Williams, Monohan, & Lowe, 2007;Regier, Goldber, & Taube, 1978;Wang et al, 2005), but this care typically does not meet minimally adequate standards (Wang et al, 2005).…”

“…Fortunately, integrated behavioral health (IBH) care models are becoming more common in primary care settings. In IBH care models, individuals trained specifically in mental health are readily accessible to medical providers (Berge et al, 2017). Since primary care physicians and mental health service providers are collaborating with one another in these integrated care models, medical providers have more opportunities to recommend mental health treatment.…”