The Primary Care Behavioral Health Model: Applications to Prevention, Acute Care and Chronic Condition Management

  • Kirk Strosahl
  • Patricia Robinson

Research findings consistently suggest that most people receive behavioral health (BH) services in the primary care setting. The annual rate of onset of mental and addictive disorders hovers in the vicinity of 27%, and the vast majority of those afflicted by these problems seek care from primary care providers (PCPs). People present to primary care for assistance with a myriad of other BH problems, such as nicotine addiction, obesity, chronic pain, medical nonadherence, insomnia and learning problems. For most problems that challenge the quality of life for citizens of any age, primary care is the beginning and ending point of care. It is unfortunate that most PCPs need to see 20–35 patients a day to stay in business, as the time constraints alone make it nearly impossible for them to detect and treat the BH needs of the patients filling their waiting rooms. Limited training and a growing lack of access to BH providers for consultation further frustrate the typical PCP’s efforts to address the BH needs. When not addressed effectively, BH problems contribute to higher medical costs, as well as poorer medical, functional and behavioral outcomes. Given this dire situation, primary care systems, both large and small, are exploring collaborative care options.


Behavioral Health Addictive Disorder Panic Symptom Primary Care System Behavioral Health Provider 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Kirk Strosahl
    • 1
  • Patricia Robinson
    • 1
  1. 1.Mountainview Consulting Group Inc.ZillahUSA

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