Skip to main content

Advancing Integrated Behavioral Health and Primary Care: The Critical Importance of Behavioral Health in Health Care Policy

Abstract

The increased recognition of the importance of mental health, behavioral health, and substance use in primary care creates opportunities for helping better achieve a more efficient and effective health care system. Redesigning primary care through the Patient-Centered Medical Home has opened up new avenues for health care policy discussion; however, what remains unclear is the role behavioral health will play in this significant redesign.

Keywords

  • Behavioral Health
  • Health Care Policy
  • Mental Health Parity
  • Behavioral Health Provider
  • Integrate Behavioral Health

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American College of Physicians (ACP), & American Osteopathic Association (AOA). (2007). Joint principles of the patient-centered medical home. Retrieved August 13, 2009, from http://www.medicalhomeinfo.org/Joint%20Statement.pdf

  • Barr, M., & Ginsburg, J. (2006). The advanced medical home: A patient-centered, physician-­guided model of health care. Retrieved April 25, 2011, from http://www.acponline.org/advocacy/where_we_stand/policy/adv_med.pdf

  • Butler, M., Kane, R. L., McAlpin, D., Kathol, R. G., Fu, S. S., Hagedorn, H., et al. (2008). Integration of mental health/substance abuse and primary care no. 173. Prepared by the Minnesota Evidence-Based Practice Center under Contract No. 290-02-0009 (AHRQ Publication No. 09-E003). Rockville, MD: Agency for Healthcare Research and Quality.

    Google Scholar 

  • deGruy, F. (1996). Mental health care in the primary care setting. In M. S. Donaldson, K. D. Yordy, K. N. Lohr, & N. A. Vanselow (Eds.), Primary care: America’s health in a new era. Washington, DC: Institute of Medicine.

    Google Scholar 

  • deGruy, F. V., & Etz, R. S. (2010). Attending to the whole person in the patient-centered medical home: The case for incorporating mental healthcare, substance abuse care, and health behavior change. Families, Systems & Health, 28(4), 298–307.

    CrossRef  Google Scholar 

  • Ferrante, J. M., Balasubramanian, B. A., Hudson, S. V., & Crabtree, B. F. (2010). Principles of the patient-centered medical home and preventive services delivery. Annals of Family Medicine, 8(2), 108–116. doi:10.1370/afm.1080.

    CrossRef  PubMed  Google Scholar 

  • Goodson, J. D. (2010). Patient Protection and Affordable Care Act: Promise and peril for primary care. Annals of Internal Medicine, 152, 742–744. doi:10.1059/0003-4819-152-11-201006010-00249.

    CrossRef  PubMed  Google Scholar 

  • Green, L. A., Fryer, G. E., Jr., Yawn, B. P., Lanier, D., & Dovey, S. M. (2001). The ecology of medical care revisited. The New England Journal of Medicine, 344(26), 2021–2025.

    CrossRef  PubMed  Google Scholar 

  • Kathol, R. G., Butler, M., McAlpine, D. D., & Kane, R. L. (2010). Barriers to physical and mental condition integrated service delivery. Psychosomatic Medicine, 72(6), 511–518. doi:10.1097/PSY.0b013e3181e2c4a0.

    CrossRef  PubMed  Google Scholar 

  • Katon, W., & Schulberg, H. (1992). Epidemiology of depression in primary care. General Hospital Psychiatry, 14(4), 237–247.

    CrossRef  PubMed  Google Scholar 

  • Kessler, R. C., Demler, O., Frank, R. G., Olfson, M., Pincus, H. A., Walters, E. E., et al. (2005). Prevalence and treatment of mental disorders, 1990 to 2003. The New England Journal of Medicine, 352(24), 2515–2523. doi:10.1056/NEJMsa043266.

    CrossRef  PubMed  Google Scholar 

  • Kessler, R., & Stafford, D. (Eds.). (2008). Primary care is the de facto mental health system. New York: Springer.

    Google Scholar 

  • Mauch, D., Kautz, C., & Smith, S. A. (2008). Reimbursement of mental health services in primary care settings. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • McDaniel, S. H., & Fogarty, C. T. (2009). What primary care psychology has to offer the patient-­centered medical home. Professional Psychology: Research and Practice, 40(5), 483–492. doi:10.1037/a0016751.

    CrossRef  Google Scholar 

  • Miller, B. F. (2010). Collaborative care needs a more active policy voice. Families, Systems & Health, 28(4), 387–388.

    CrossRef  Google Scholar 

  • Miller, B. F., Kessler, R., Peek, C. J., & Kallenberg, G. A. (2011). A national research agenda for research in collaborative care. Papers from the Collaborative Care Research Network Research Development Conference, (AHRQ publication no. 11-0067). Retrieved June 12, 2012, from http://www.ahrq.gov/research/collaborativecare/

  • Petterson, S., Phillips, B., Bazemore, A., Dodoo, M., Zhang, X., & Green, L. A. (2008). Why there must be room for mental health in the medical home. American Family Physician, 77(6), 757.

    PubMed  Google Scholar 

  • Phillps, R. L., Miller, B. F., Petterson, S. M., & Teevan, B. (2011). Better integration of mental health care improves depression screening and treatment in primary care. American Family Physician, 84(9), 980.

    Google Scholar 

  • Starfield, B. (1998). Primary care: Balancing health needs, services, and technology. New York: Oxford University Press.

    Google Scholar 

  • Unutzer, J., Schoenbaum, M., Druss, B. G., & Katon, W. J. (2006). Transforming mental health care at the interface with general medicine: Report for the president’s commission. Psychiatric Services, 57, 37–47.

    CrossRef  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Benjamin F. Miller Psy.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Miller, B.F., Talen, M.R., Patel, K.K. (2013). Advancing Integrated Behavioral Health and Primary Care: The Critical Importance of Behavioral Health in Health Care Policy. In: Talen, M., Burke Valeras, A. (eds) Integrated Behavioral Health in Primary Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6889-9_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-6889-9_4

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6888-2

  • Online ISBN: 978-1-4614-6889-9

  • eBook Packages: MedicineMedicine (R0)