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Primary Care Behavioral Health (PCBH) Model Research: Current State of the Science and a Call to Action

Journal of Clinical Psychology in Medical Settings volume 25, pages 127–156 (2018)Cite this article

Abstract

The Primary Care Behavioral Health (PCBH) model of service delivery is being used increasingly as an effective way to integrate behavioral health services into primary care. Despite its growing popularity, scientifically robust research on the model is lacking. In this article, we provide a qualitative review of published PCBH model research on patient and implementation outcomes. We review common barriers and potential solutions for improving the quantity and quality of PCBH model research, the vital data that need to be collected over the next 10 years, and how to collect those data.

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Notes

  1. Behavioral health is being used as a generic term to include services for health behavior change like weight loss, substance misuse, behavioral medicine interventions such as chronic pain management, and general mental health services for patient problem presentations such as depression or anxiety.

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The opinions and statements in this article are the responsibility of the authors, and such opinions and statements do not necessarily represent the policies of the Department of Health and Human Services, Department of Defense, the Veterans Health Administration, or their agencies.

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Authors and Affiliations

  1. Clinical Support Division, Patient-Centered Medical Home, Defense Health Agency, 7700 Arlington Boulevard, Suite 5101, Falls Church, VA, 22042, USA

    Christopher L. Hunter

  2. VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, USA

    Jennifer S. Funderburk

  3. Department of Psychology, Syracuse University, Syracuse, NY, USA

    Jennifer S. Funderburk

  4. Department of Psychiatry, University of Rochester, Rochester, NY, USA

    Jennifer S. Funderburk

  5. Department of Family Medicine, East Tennessee State University, Johnson City, TN, USA

    Jodi Polaha

  6. Department of Family Medicine, Central Washington Family Medicine Residency, Yakima, WA, USA

    David Bauman

  7. Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD, USA

    Jeffrey L. Goodie

  8. Division of Diabetes, Endocrinology, and Metabolic Diseases, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA

    Christine M. Hunter

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  1. Christopher L. Hunter
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Christopher L. Hunter, Jennifer S. Funderburk, Jodi Polaha, David Bauman, Jeffrey L. Goodie, and Christine M. Hunter declare that they have no conflict of interest.

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Appendix

Appendix

See Tables 3 and 4.

Table 3 Patient outcomes
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Table 4 Implementation outcomes
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Hunter, C.L., Funderburk, J.S., Polaha, J. et al. Primary Care Behavioral Health (PCBH) Model Research: Current State of the Science and a Call to Action. J Clin Psychol Med Settings 25, 127–156 (2018). https://doi.org/10.1007/s10880-017-9512-0

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Keywords

  • Integrated mental health
  • Integrated behavioral health
  • Integrated primary care
  • Primary care behavioral health
  • Primary care mental health
  • Collaborative primary care