Skip to main content

Advertisement

Log in

Effect of the Exclusion of Behavioral Health from Health Information Technology (HIT) Legislation on the Future of Integrated Health Care

  • Published:
The Journal of Behavioral Health Services & Research Aims and scope Submit manuscript

Abstract

Past research has shown abundant comorbidity between physical chronic health conditions and mental illness. The focal point of the conversation to reduce cost is better care coordination through the implementation of health information technology (HIT). At the policy level, the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act) was implemented as a way to increase the implementation of HIT. However, behavioral health providers have been largely excluded from obtaining access to the funds provided by the HITECH Act. Without further intervention, disjointed care coordination between physical and behavioral health providers will continue.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. American Recovery and Reinvestment Act (ARRA), P.L. 111-5. (2009). Available online at http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname = 111_cong_bills&docid = f:h1enr.pdf. Accessed August 1, 2013.

  2. National Center for Chronic Disease Prevention and Health Promotion. Chronic Diseases The Power to Prevent, the Call to Control: At a Glance 2009. Washington (DC): CDC, 2009.

    Google Scholar 

  3. Center for Integrated Health Solutions. Behavioral Health Homes for People with Mental Health and Substance Use Conditions. Washington (DC): SAMHSA-HRSA, 2012.

    Google Scholar 

  4. National Association of State Mental Health Program Directors. Morbidity and Mortality in People with Serious Mental Illness. Washington (DC): NASMHPD, 2006.

    Google Scholar 

  5. Pincus HA, Page AE, Druss BG, et al. Can psychiatry cross the quality chasm? Improving the quality of health care for mental and substance use conditions. American Journal of Psychiatry. 2007; 164(5):712-9.

    Article  PubMed  Google Scholar 

  6. Druss BG, Zhao L, Von Esenwein S, et al. Understanding excess mortality in persons with mental illness: 17-year follow up of a nationally representative US survey. Medical Care. 2011; 49(6): 599-604.

    Article  PubMed  Google Scholar 

  7. Dickey B, Normand SL, Weiss RD, et al. Medical Morbidity, Mental Illness, and Substance Use Disorders. Psychiatric Services. 2002; 53(7): 861-867.

    Article  PubMed  Google Scholar 

  8. National Council of Behavioral Healthcare. HIT adoption and readiness for meaningful use in community mental health. Report on 2012 National Council survey. Washington (DC): National Council of Behavioral Healthcare, 2012.

  9. Pating DR, Miller MM, Goplerud E, et al. New systems of care for substance use disorders: treatment, finance, and technology under health reform. Psychiatry Clinics of North America. 2012; 35: 327–356.

    Article  Google Scholar 

  10. Corrigan PW, Watson AC, Warpinski AC, et al. Stigmatizing attitudes about mental illness and allocation of resources to mental health services. Community Mental Health Journal. 2004; 40 (4): 297-307.

    Article  PubMed  Google Scholar 

  11. Corrigan PW, Watson, AC. Factors that explain how policy makers distribute resources for mental health services. Psychiatric Services. 2003; 54 (4): 501-507.

    Article  PubMed  Google Scholar 

  12. Smith DM, Damschroder LJ, Kim SY, et al. What it’s worth? Public willingness to pay to avoid mental illnesses compared with general medical illnesses. Psychiatric Services. 2012; 63 (4): 319-324.

    Article  PubMed  Google Scholar 

  13. Hanson KW. Public opinion and the mental health parity debate: lessons from the survey literature. Psychiatric Services. 1998; 49: 1059-1066.

    Article  CAS  PubMed  Google Scholar 

  14. Blumenthal D. Wiring the health system- Origins and provisions of a new federal program. Part one of two. The New England Journal of Medicine. 2011; 365 (24): 2323-2329.

    Article  CAS  PubMed  Google Scholar 

  15. Health Information Technology for Economic and Clinical Health (HITECH) Act, Title XIII of Division A and Title IV of Division B of the American Recovery and Reinvestment Act of 2009 ( HYPERLINK "http://itlaw.wikia.com/wiki/ARRA" \o "ARRA" ARRA ), Pub. L. No. 111-5.

  16. RothsteCBRSin MA. The Hippocratic bargain and health information technology. Journal of Law, Medicine and Ethics. 2010; 7-13.

  17. Clemens NA. Privacy, Consent, and the Electronic Mental Health. Record: The Person vs. the System. Journal of Psychiatric Practice. 2012; 18 (1): 46-50.

    Article  PubMed  Google Scholar 

  18. Levin BL, Hanson A. Mental Health Informatics. New York: Taylor Francis Group, 2011.

    Google Scholar 

  19. Gruman JC. Making health information sing for people with chronic health conditions. Journal of Preventative Medicine 2011; 40 (5S2): S238-S240.

    Article  Google Scholar 

  20. Koch R. The 80/20 Principle: The Secret of Achieving More with Less. New York: Doubleday Publishing, 1998.

    Google Scholar 

  21. Druss BG, Marcus SC, Olfson M, et al. The most expensive medical conditions in America. Health Affairs. 2002; 21(4): 105-111.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The author would like to express thanks to Robert Walker of the University of Kentucky and Michael Lardieri of the National Council for Behavioral Health for their consultation during the development of this manuscript

Conflict of interest

There is no conflict of interest that is inherent to this manuscript and the author.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Deborah Cohen MSW.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cohen, D. Effect of the Exclusion of Behavioral Health from Health Information Technology (HIT) Legislation on the Future of Integrated Health Care. J Behav Health Serv Res 42, 534–539 (2015). https://doi.org/10.1007/s11414-014-9407-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11414-014-9407-x

Keywords

Navigation