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Integration of behavioral health and primary care: current knowledge and future directions

Abstract

Integrated behavioral health in primary care has spread rapidly over the past three decades, although significant questions remain unanswered regarding best practices in clinical, financial and operational worlds. Two key models have emerged over time: care management and Primary Care Behavioral Health. Research to date has been promising; however, there is a significant need for more sophisticated multi-level scientific methodologies to fill in the gaps in current knowledge of integrated primary care. In this paper, we summarize current scientific knowledge about integrated primary care and critically evaluate the strengths and weaknesses of this knowledge base, focusing on clinical, financial and operational factors. Finally, we recommended priorities for future research, dissemination, real-world implementation, and health policy implications.

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Acknowledgments

Special thanks to Claudio Nigg, Amy Janke & Danielle Schoffman for their efforts in organizing this series of manuscripts.

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Correspondence to Mark E. Vogel.

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Mark E. Vogel, Kathryn E. Kanzler, James E. Aikens and Jeffrey L. Goodie declare that they have no conflict of interest.

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

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Vogel, M.E., Kanzler, K.E., Aikens, J.E. et al. Integration of behavioral health and primary care: current knowledge and future directions. J Behav Med 40, 69–84 (2017). https://doi.org/10.1007/s10865-016-9798-7

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Keywords

  • Primary care
  • Integrated care
  • Behavioral health
  • Care management
  • Collaborative care