The Policy Ecology of Behavioral Health Homes: Case Study of Maryland’s Medicaid Health Home Program

  • Elizabeth M. StoneEmail author
  • Gail L. Daumit
  • Alene Kennedy-Hendricks
  • Emma E. McGinty
Original Article


Behavioral health homes, shown to improve receipt of evidence-based medical services among people with serious mental illness in randomized clinical trials, have had limited results in real-world settings; nonetheless, these programs are spreading rapidly. To date, no studies have considered what set of policies is needed to support effective implementation of these programs. As a first step toward identifying an optimal set of policies to support behavioral health home implementation, we use the policy ecology framework to map the policies surrounding Maryland’s Medicaid behavioral health home program. Results suggest that existing policies fail to address important implementation barriers.


Behavioral health home Integrated care Serious mental illness Healthcare policy 



NIMH K01MH106631 (PI: McGinty) and NIMH R24MH102822 (PI: Daumit).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Research Involving Human Participants and/or Animals and Informed Consent

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Elizabeth M. Stone
    • 1
    Email author
  • Gail L. Daumit
    • 2
  • Alene Kennedy-Hendricks
    • 1
  • Emma E. McGinty
    • 1
  1. 1.Department of Health Policy and ManagementJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  2. 2.Division of General Internal MedicineJohns Hopkins School of MedicineBaltimoreUSA

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