Abstract
Behavioral health home models are increasingly being utilized to provide physical-behavioral health integration for individuals with mental illness. The Behavioral Health Home Plus model (BHHP) is a phased approach designed to instill a culture of wellness, provide wellness coaching, and offer care coordination for individuals with serious mental illness. The present study utilized a 12-month Learning Collaborative to implement scaling of BHHP in two cohorts totaling 24 community mental health provider organizations in Pennsylvania to include population-wide screening and intervention for tobacco use and hypertension. Providers reported increases in screening rates and wellness goals related to tobacco use and hypertension, as well as reductions in tobacco use and blood pressure readings among participating individuals. Evidence presented indicates that a Learning Collaborative of community mental health providers is a feasible quality improvement approach to scale integration of physical and behavioral health care for individuals with serious mental illness.
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27 April 2021
A Correction to this paper has been published: https://doi.org/10.1007/s10597-021-00826-5
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Acknowledgements
The authors wish to acknowledge the work of Melissa Michael, RN, Duncan Bruce MS, LPC, LBS and James Schuster, MD, MBA of Community Care Behavioral Health, and our providers, individuals in service, and county mental health officials for their contributions to the development and implementation of Behavioral Health Home Plus. We also wish to acknowledge Irina Karpov, MS, Shari Hutchison, MS, PMP, and Marcie Walker, BS of Community Care Behavioral Health for analytical assistance and Advocates for Human Potential for manuscript preparation.
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J.S.B., P.S., L.B., and L.W. developed the intervention. J.S.B., A.A.M., L.J.B., and L.W. supported implementation of the intervention. All authors conceived of the idea for the paper. A.A.M. and A.D.H. conceived the methodology and analytical approach. A.A.M. performed analyses with assistance from a statistician acknowledged above. A.A.M. wrote most of the manuscript with input on multiple drafts from the remaining authors, particularly J.S.B., P.S., C.N., and A.D.H.
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Brar, J.S., Maise, A.A., Schake, P. et al. Implementing a Learning Collaborative for Population-Based Physical and Behavioral Health Integration. Community Ment Health J 57, 1361–1373 (2021). https://doi.org/10.1007/s10597-020-00769-3
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DOI: https://doi.org/10.1007/s10597-020-00769-3