Article

Journal of Clinical Psychology in Medical Settings

, Volume 16, Issue 1, pp 4-12

The Problem of Integrating Behavioral Health in the Medical Home and the Questions It Leads to

  • Rodger KesslerAffiliated withDepartment of Family Medicine and Center for Translational Science, University of Vermont College of Medicine, Berlin Family Health, Fletcher Allen Health Care Email author 
  • , Dale StaffordAffiliated withDepartment of Family Medicine, University of Vermont College of Medicine, Berlin Family Health, Fletcher Allen Health Care
  • , Randall MessierAffiliated withFletcher Allen Health Care

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Abstract

Psychology and other behavioral health professions have amassed a broad empirical and clinical literature suggesting many medical presentations are best responded to with the addition of evidence based behavioral interventions. Despite this, psychology has not achieved a regular presence as part of medical practice. We suggest specific reasons for the current state of affairs including clinical, operational, societal labels, financial and training dimensions. Medical, psychological, administrative, and financial perspectives are reviewed. If the goals of health care system reform are to be reached then we must identify and challenge the current limitations of health care. This paper will identify the elements that need to be changed in order for psychology to be integrated into medicine rather than excluded from its policy, planning and operations.

Keywords

Medical home Family medicine Psychology and medicine Collaborative care Evidence based behavioral care Health care policy