Perceived Barriers to and Facilitators of Engagement in Reverse Integrated Care

  • Hillary A. Gleason
  • Debbie Truong
  • Kathleen Biebel
  • Marie Hobart
  • Monika Kolodziej

Individuals with chronic mental illness and addiction have poorer health outcomes than the general population, largely because of preventable medical conditions.1,2 Early onset and heightened incidence of chronic disease—such as type two diabetes, chronic obstructive pulmonary disease, and hypertension—might limit behavioral health consumers’ quality life years and ultimately lead to early mortality.3,4 These health risks are exacerbated by coinciding poor health correlates such as low socioeconomic status, disrupted cycles of care, and substance use.4,5Primary and Behavioral Health Care Integration (PBHCI) initiatives address these compounding health disparities by improving access to quality primary care and wellness services inside of behavioral health centers. As opposed to traditional integrated care models in which behavioral health services are co-located in medical settings, reverse integration targets consumers with serious and persistent mental illness who are more likely...


Behavioral Health Community Mental Health Center Active Consumer Behavioral Health Care Persistent Mental Illness 
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We thank all the members of the Wellness Team at Community Healthlink, both past and present, for the dedication, passion, and creativity they have brought to the Wellness Center.

Compliance with Ethical Standards


The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The Substance Abuse and Mental Health Services Administration awarded a Primary and Behavioral Health Care Initiative grant in September 2010.

Conflict of Interest

The authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.


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Copyright information

© National Council for Behavioral Health 2016

Authors and Affiliations

  • Hillary A. Gleason
    • 3
  • Debbie Truong
    • 1
    • 2
  • Kathleen Biebel
    • 2
  • Marie Hobart
    • 1
  • Monika Kolodziej
    • 2
  1. 1.Community HealthlinkWorcesterUSA
  2. 2.Department of PsychiatryUMass Medical SchoolWorcesterUSA
  3. 3.Clinical PsychologyUniversity of MontanaMissoulaUSA

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