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Integrated Behavioral Health Practice pp 1–23Cite as

Integrated Behavioral Health Service Models and Core Competencies

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Abstract

Health care in the United States continues to remain fragmented, inefficient, inequitable, and ineffective. These factors, combined with long histories of inequities in access to social determinants of health and wealth, have contributed to health disparities for individuals who identify as Black, Indigenous and People of Color (BIPOC), disparities that have been exposed by the COVID-19 pandemic. Integrating health and behavioral health services can address system fragmentation and inequitable access to resources. In this chapter, I define integrated behavioral health practice (IBHP) and provide an overview of the various factors that have led to the rise of integrated behavioral health care (IBHC) in the United States over the last two decades. These inter-related and overlapping factors include service fragmentation, health disparities, the realization of the role of trauma in health outcomes, and the recognition of the co-occurring and bidirectional nature of mental illnesses, addiction, trauma, and physical illnesses. I also identify the barriers to full integration of behavioral health care in health settings and explore potential solutions by highlighting specific models of integrated behavioral health care and the competencies associated with effective integrated behavioral health practice.

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Notes

  1. 1.

    All names and other identifiers of this case have been changed to protect privacy and confidentiality.

References

  • Akincigil, A., & Matthews, E. B. (2017). National rates and patterns of depression screening in primary care: Results from 2012 and 2013. Psychiatric Services, 68(7), 660–666. https://doi.org/10.1176/appi.ps.201600096.

    Article  PubMed  Google Scholar 

  • Alegria, M., Jackson, J. S., Kessler, R. C., & Takeuchi, D. (2003). National Comorbidity Survey Replication (NCS-R). 2001–2003. Ann Arbor: Inter-university Consortium for Political and Social Research.

    Google Scholar 

  • Alexander, L. & Druss, B (2012). Behavioral health homes for people with mental health and substance use conditions: The core clinical features. SAMHSA-HRSA Center for Integrated Health Solutions.

    Google Scholar 

  • Allen, T. D., Eby, L. T., Poteet, M. L., Lentz, E., & Lima, L. (2004). Career benefits associated with mentoring for protégés: A meta-analysis. Journal of Applied Psychology, 89(1), 127–136.

    Article  Google Scholar 

  • Ambrose-Miller, W., & Ashcroft, R. (2016). Challenges faced by social workers as members of interprofessional collaborative health care teams. Health and Social Work, 41(2), 101–109.

    Google Scholar 

  • Andrews, C. M., Darnell, J. S., McBride, T. D., & Gehlert, S. (2013). Social work and implementation of the affordable care act. Health & Social Work, 38, 67–71.

    Article  Google Scholar 

  • Archer, J., Bower, P., Gilbody, S., Lovell, K., Richards, D., Gask, L., Dickens, C., & Coventry, P. (2012). Collaborative care for depression and anxiety problems. The Cochrane database of systematic reviews, 10, CD006525. https://doi.org/10.1002/14651858.CD006525.pub2

    Google Scholar 

  • Balasubramanian, B. A., Cohen, D. J., Jetelina, K. K., Dickinson, L. M., Davis, M., Gunn, R., et al. (2017). Outcomes of integrated behavioral health with primary care. The Journal of the American Board of Family Medicine, 30(2), 130–139. https://doi.org/10.3122/jabfm.2017.02.160234.

    Article  PubMed  Google Scholar 

  • Bower, P., Gilbody, S., Richards, D., Fletcher, J., & Sutton, A. (2006). Collaborative care for depression in primary care—Making sense of a complex intervention: Systematic review and meta-regression. British Journal of Psychiatry, 189, 484–493.

    Article  Google Scholar 

  • Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: care, health, and cost. Health affairs (Project Hope), 27(3), 759–769. https://doi.org/10.1377/hlthaff.27.3.759

    Google Scholar 

  • Braveman, P., & Gruskin, S. (2003). Defining equity in health. Journal of Epidemiology and Community Health, 57(4), 254–258.

    Article  Google Scholar 

  • Brennan Ramirez, L. K., Baker, E. A., & Metzler, M. (2008). Promoting health equity: A resource to help communities address social determinants of health. Atlanta: Department of Health and Human Services, Centers for Disease Control and Prevention.

    Google Scholar 

  • Bridges, A. J., Andrews, A. R., 3rd, Villalobos, B. T., Pastrana, F. A., Cavell, T. A., & Gomez, D. (2014). Does integrated behavioral health care reduce mental health disparities for Latinos? Initial findings. Journal of Latina/o psychology, 2(1), 37–53. https://doi.org/10.1037/lat0000009.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bryan, S., & Donaldson, C. (2016). Taking triple aim at the triple aim. Healthcare Papers, 15, 25–30.

    Article  Google Scholar 

  • Butler, M., Kane, R., McAlpine, D., Kathol, R. G., Fu, S. S., Hagedorn, H., & Wilt, T. J. (2009). Integration of mental health/substance abuse and primary care. Minneapolis: Minnesota Evidence-Based Practice Center.

    Google Scholar 

  • Centers of Disease Control. (2013). CDC health disparities report. Morbidity and Mortality Weekly Report (MMWR), 62(Suppl. 3), 1–187.

    Google Scholar 

  • Chan, Y. F., Huang, H., Sieu, N., & Unutzer, J. (2013). Substance screening and referral for substance abuse treatment in an integrated mental health care program. Psychiatric Services, 64(1), 88–90. https://doi.org/10.1176/appi.ps.201200082.

    Article  PubMed  Google Scholar 

  • Chowkwanyu, M., & Reed, A. L. (2020). Racial health disparities and Covid-19 – Caution and context. New England Journal of Medicine, Downloaded on May 27th, 2020. https://doi.org/10.1056/NEJMp2012910.

  • Cohen, D. J., Davis, M. M., Hall, J. D., Gilchrist, E. C., & Miller, B. F. (2015). A guidebook of professional practices for behavioral health and primary care integration: Observations from exemplary sites. Rockville: Agency for Healthcare Research and Quality.

    Google Scholar 

  • Commission on Social Determinants of Health (CSDH). (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Geneva: Final report of the Commission on Social Determinants of Health. World Health Organization.

    Google Scholar 

  • Corrigan, P. W., Pickett, S., Batia, K., & Michaels, P. J. (2014). Peer navigators and integrated care to address ethnic health disparities of people with serious mental illness. Social Work in Public Health, 29(6), 581–593. https://doi.org/10.1080/19371918.2014.893854.

    Article  PubMed  PubMed Central  Google Scholar 

  • Croft, B., & Parish, S. L. (2013). Care integration in the patient protection and affordable care act: Implications for behavioral health. Administration and Policy in Mental Health, 40(4). https://doi.org/10.1007/s10488-012-0405-0.

  • Cunningham, P. J. (2009). Beyond parity: Primary care physicians’ perspectives on access to mental health care. Health Affairs, 28(3), w490–w501. https://doi.org/10.1377/hlthaff.28.3.w490.

    Article  PubMed  Google Scholar 

  • Davis, T. S., Guada, J., Reno, R., Peck, A., Evans, S., Moskow Sigal, L., & Swenson, S. (2015). Integrated and culturally relevant care: A model to prepare social workers for primary care behavioral health practice. Social Work in Health Care, 54(10), 909–938. https://doi.org/10.1080/00981389.2015.1062456.

    Article  PubMed  Google Scholar 

  • Davis, M. J., Moore, K. M., Meyers, K., Mathews, J., & Zerth, E. O. (2016). Engagement in mental health treatment following primary are mental health integration contact. Psychological Services, 13(4), 333–340.

    Article  Google Scholar 

  • Doherty, W. (1995). The why’s and levels of collaborative family health care. Family Systems Medicine, 13(3–4), 275–281. https://doi.org/10.1037/h0089174.

    Article  Google Scholar 

  • Doherty, W. J., McDaniel, S. H., & Baird, M. A. (1996). Five levels of primary care/behavioral healthcare collaboration. Behavioral Healthcare Tomorrow, 25–28.

    Google Scholar 

  • Druss, B. G., & Mauer, B. J. (2010). Health care reform and care at the behavioral health—Primary care interface. Psychiatric Services, 61(11), 1087–1092. https://doi.org/10.1176/ps.2010.61.11.1087.

    Article  PubMed  Google Scholar 

  • Forenza, B., & Eckert, C. (2018). Social worker identity: A profession in context. Social Work, 63(1), 17–26.

    Article  Google Scholar 

  • Fraher, E. P., Richman, E. L., Zerden, L. D. S., & Lombardi, B. (2018). Social work student and practitioner roles in integrated care settings. American Journal of Preventive Medicine, 54(6S3), S281–S289.

    Article  Google Scholar 

  • Gehlert, S., Hall, K. L., & Palinkas, L. A. (2017). Preparing our next-generation scientific workforce to address the grand challenges for social work. Journal of the Society for Social Work and Research, 8(1), 2334–2315.

    Article  Google Scholar 

  • Geronimus, A. T., Hicken, M., Keene, D., & Bound, J. (2006). “Weathering” and age patterns of allostatic load scores among blacks and whites in the United States. American Journal of Public Health, 96, 826–833.

    Article  Google Scholar 

  • Gerrity, M., Zoller, E., Pinson, N., Pettinari, C., & King, V. (2014). Integrating Primary Care into Behavioral Health Settings: What Works for Individuals with Serious Mental Illness. New York, NY: Milbank Memorial Fund. https://www.milbank.org/wpcontent/uploads/2016/04/Integrating-Primary-Care-Exec-Sum.pdf

    Google Scholar 

  • Gross, C. P., Essien, U. R., Pasha, S., Gross, J. R., Wang, S., & Nunez-Smith, M. (2020). Racial and ethnic disparities in population level Covid-19 mortality. medRxiv. https://doi.org/10.1101/2020.05.07.20094250.

  • Hall, J., Cohen, D. J., Davis, M., Gunn, R., Blount, A., Pollack, D. A., Miller, W. L., Smith, C., Valentine, N., & Miller, B. F. (2015). Preparing the workforce for behavioral health and primary care integration. Journal of the American Board of Family Medicine, 28, S41–S51. https://doi.org/10.3122/jabfm.2015.S1.150054.

    Article  PubMed  PubMed Central  Google Scholar 

  • Health Resources & Services Administration. (2014). Behavioral health workforce education and training FY 2014 awards. Retrieved from http://www.hrsa.gov/about/news/2014tables/behavioralworkforce/

  • Health Resources and Services Administration (HRSA). (2018). Designated health professional shortage areas statistics: Fourth quarter of fiscal year 2018 designated HPSA quarterly summary. Bureau of Health Workforce: Health Resources and Services Administration: US Department of health and Human Services. Retrieved October 22, 2018 from https://ersrs.hrsa.gov/ReportServer?/HGDW_Reports/BCD_HPSA/BCD_HPSA_SCR50_Qtr_Smry_HTML&rc:Toolbar=false

  • Heath, B., Wise Romero, P., & Reynolds, K. (2013). A review and proposed standard framework for levels of integrated healthcare. SAMHSA-HRSA Center for Integrated Health Solutions: Washington, DC.

    Google Scholar 

  • Hoge, M. A., & Morris, J. A. (2004). Implementing best practices in behavioral health workforce education: Building a change agenda. Administration and Policy in Mental Health, 32(2), 85–89.

    Article  Google Scholar 

  • Hoge, M. A., Morris, J. A., Laraia, M., Pomerantz, A., & Farley, T. (2014). Core competencies for integrated behavioral health and primary care. Washington, DC: SAMHSA - HRSA Center for Integrated Health Solutions.

    Google Scholar 

  • Horevitz, E., & Manoleas, P. (2013). Professional competencies and training needs of professional social workers in integrated behavioral health in primary care. Social Work in Health Care, 52, 752–787. https://doi.org/10.1080/00981389.2013.791362.

    Article  PubMed  Google Scholar 

  • Hser, Y. I., Grella, C. E., Hubbard, R. L., et al. (2001). An evaluation of drug treatments for adolescents in 4 US cities. Archives of General Psychiatry, 58(7), 689–695.

    Article  Google Scholar 

  • Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.

    Google Scholar 

  • Jones, B., & Phillips, F. (2016). Social work and interprofessional education in health care: A call for continued leadership. Journal of Social Work Education, 52(1), 18–29.

    Article  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. https://doi.org/10.1097/PSY.0b013e3181e2c4a0, https://www.ncbi.nlm.nih.gov/pubmed/20498293

  • Katon, W., Von Korff, M., Lin, E., Simon, G., Walker, E., Bush, T., & Ludman, E. (1995). Collaborative management to achieve depression treatment guidelines. JAMA: The Journal of the American Medical Association, 273(13), 1026–1031.

    Article  Google Scholar 

  • Katon, W., Robinson, P., Von Korff, M., Lin, E., Bush, T., Ludman, E., Simon, G., & Walker, E. (1996). A multifaceted intervention to improve treatment of depression in primary care. Archives of General Psychiatry, 53(10), 924–932. http://www.ncbi.nlm.nih.gov/pubmed/8857869

  • Katon, W. J., Schoenbaum, M., Fan, M. Y., Callahan, C. M., Williams, J., Hunkeler, E., Harpole, L., Zhou, X. H., Langston, C., & Unutzer, J. (2005). Cost-effectiveness of improving primary care treatment of late-life depression. Archives of General Psychiatry, 62(12).

    Google Scholar 

  • Kelly, T. M., & Daley, D. C. (2013). Integrated treatment of substance use and psychiatric disorders. Social Work in Public Health, 28, 388–406. https://doi.org/10.1080/19371918.2013.774673.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kerman, N., & Kidd, S. A. (2019). The healthcare triple aim in the recovery era. Administration and Policy in Mental Health and Mental Health Services. https://doi.org/10.1007/s10488-019-00997-0.

  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602.

    Article  Google Scholar 

  • Kim, J. Y., Higgins, T. C., Esposito, D., & Hamblin, A. (2017). Integrating health care for high need Medicaid beneficiaries with serious mental illness and chronic physical health conditions at managed acre, provider and consumer levels. Psychiatric Rehabilitation Journal, 40(2), 207–215. https://doi.org/10.1037/prj0000231.

    Article  PubMed  Google Scholar 

  • Koma, W., Artiga, S., Neuman, T., Claxton, G., Rae, M., Kates, J., & Michaud, J. (2020). Low-income and communities of color at higher risk for serious illness if infected with coronavirus. Report of the Kaiser Family Foundation. Accessed on 5/8/20 at: https://www.kff.org/disparities-policy/issue-brief/low-income-and-communities-of-color-at-higher-risk-of-serious-illness-if-infected-with-coronavirus/#

  • Kronick, R. G., Bella, M., & Gilmer, T. P. (2009, October). The faces of Medicaid III: Refining the portrait of people with multiple chronic conditions. Center for Health Care Strategies, Inc.

    Google Scholar 

  • Lee, C. D., & Del Carmen Montiel, E. (2010). Does mentoring matter in the mental health field? Social Work in Mental Health, 8(5), 438–454.

    Article  Google Scholar 

  • Mancini, M. A., & Miner, C. S. (2013). Learning and change in a community mental health setting. Journal of Evidence Based Social Work, 10(5), 494–504.

    Google Scholar 

  • Mancini, M. A., Maynard, B., & Cooper-Sadlo, S. (Epub ahead of print, September 23, 2019). Implementation of an integrated behavioral health specialization serving children and youth: Processes and outcomes. Journal of Social Work Education. https://doi.org/10.1080/10437797.2019.1661905.

  • Mauer, B. J. (2009). Behavioral health/primary care integration and the person-centered healthcare home. National Council for Community Behavioral Healthcare.

    Google Scholar 

  • Mechanic, D. (2012). Seizing opportunities under the Affordable Care Act for transforming the mental and behavioral health system. Health Affairs (Millwood), 31(2), 376–382. https://doi.org/10.1377/hlthaff.2011.0623.

    Article  Google Scholar 

  • Mechanic, D., & Olfson, M. (2016). The relevance of the Affordable Care Act for improving mental health care. Annual Review of Clinical Psychology, 12(1), 515–542. https://doi.org/10.1146/annurev-clinpsy021815-092936.

    Article  PubMed  Google Scholar 

  • Miller, B. F., Teevan, B., Phillips, R. L., Petterson, S. M., & Bazemore, A. W. (2011). The importance of time in treating mental health in primary care. Families, Systems & Health: Journal of Collaborative Family Healthcare, 29(2), 144–145. https://doi.org/10.1037/a0023993.

    Article  Google Scholar 

  • National Healthcare Disparities Report. (2013). Highlights from the 2013 National Healthcare Quality and Disparities Reports. May 2014. Rockville: Agency for Healthcare Research and Quality. Retrieved from http://www.ahrq.gov/research/findings/nhqrdr/nhdr13/highlights.html

  • O’Keefe, V. M., Wingate, L. R., Cole, A. B., Hollingsworth, D. W., & Tucker, R. P. (2015). Seemingly harmless racial communications are not so harmless: Racial microaggressions lead to suicidal ideation by way of depression symptoms. Suicide and Life-threatening Behavior, 45(5), 567–576.

    Article  Google Scholar 

  • Obucina, M., Harris, N., Fitzgerald, J. A., Chai, A., Radford, K., Ross, A., et al. (2018). The application of triple aim framework in the context of primary healthcare: A systematic literature review. Health Policy, 122, 900–907. https://doi.org/10.1016/j.healthpol.2018.06.006.

    Article  PubMed  Google Scholar 

  • Olvera, R. L., Fisher-Hoch, S. P., Williamson, D. E., & Vatcheva, K. P. (2016). Depression in Mexican Americans with diagnosed and undiagnosed diabetes. Psychological Medicine, 46(3), 637–646. https://doi.org/10.1017/S0033291715002160.

    Article  PubMed  Google Scholar 

  • Oppel, R. A., Gebeloff, R., Lai, R., Wright, W., & Smith, M. (2020, July 5th). The fullest look yet at the racial inequity of coronavirus. The New York Times. Retrieved on July 7th at: https://www.nytimes.com/interactive/2020/07/05/us/coronavirus-latinos-african-americans-cdc-data.html

  • Peek, C. J. (2013). The National Integration Academy Council. Lexicon for behavioral health and primary care integration: Concepts and definitions developed by expert consensus (AHRQ Publication No.13-IP001-EF). Rockville: Agency for Healthcare Research and Quality.

    Google Scholar 

  • Reiss-Brennan, B., Brunisholz, K. D., Dredge, C., Briot, P., Grazier, K., Wilcox, A., et al. (2016). Association of integrated team-based care with health care quality, utilization, and cost. JAMA, 316(8), 826–834. https://doi.org/10.1001/jama.2016.11232.

    Article  PubMed  Google Scholar 

  • Ross, S., & Peselow, E. (2012). Co-occurring psychotic and addictive disorders: Neurobiology and diagnosis. Clinical Neuropharmacology, 35(5), 235–243. https://doi.org/10.1097/WNF.0b013e318261e193.

    Article  PubMed  Google Scholar 

  • Roy-Byrne, P., Craske, M. G., Sullivan, G., Rose, R. D., Edlund, M. J., et al. (2010). Delivery of evidence-based treatment for multiple anxiety disorders in primary care: A randomized controlled trial. JAMA, 303(19), 1921–1928. https://doi.org/10.1001/jama.2010.608.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rodriguez-Lonebear, D., Barceló, N., Akee, R., Carroll, S.R (2020). American Indian Reservations and COVID-19: Correlates of Early Infection Rates in the Pandemic. Journal of Public Health Management and Practice, 26(4), 371–377. doi: 10.1097/PHH.0000000000001206

    Google Scholar 

  • Sangaleti, C., Schveitzer, M. C., Peduzzi, M., Campos Pavone Zoboli, E. L., & Baldini Soares, C. (2017). Experiences and shared meaning of teamwork and interprofessional collaboration among health care professionals in primary health care settings: A systematic review. JBI Database of Systematic Reviews and Implementation Reports. https://doi.org/10.11124/JBISRIR-2016-003016

  • Santucci, K. (2012). Psychiatric disease and drug abuse. Current Opinion in Pediatrics, 24(2), 233–237. https://doi.org/10.1097/MOP.0b013e3283504fbf.

    Article  PubMed  Google Scholar 

  • Schoen, C., Davis, K., How, S. K., & Schoenbaum, S. C. (2006). US health system performance: A national scorecard. Health Affairs, 25(6), w457–ww75.

    Article  Google Scholar 

  • Schoenbaum, M., Unutzer, J., Sherbourne, C., Duan, N., Rubenstein, L. V., Miranda, J., Meredith, L. S., Carney, M. F., & Wells, K. (2001). Cost-effectiveness of practice-initiated quality improvement for depression: Results of a randomized controlled trial. Journal of the American Medical Association, 286(11).

    Google Scholar 

  • Shim, R. S., Koplan, C., Langheim, F. J. P., et al. (2012). Health care reform and integrated care: A golden opportunity for preventive psychiatry. Psychiatric Services, 63(12), 1231–1233. https://doi.org/10.1176/appi.ps.201200072.

    Article  PubMed  Google Scholar 

  • Stanhope, V., Videka, L., Thorning, H., & McKay, M. (2015). Moving toward integrated health: An opportunity for social work. Social Work in Health Care, 54, 383–407.

    Article  Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2019). Key substance use and mental health indicators in the United States: Results from the 2018 National Survey on Drug Use and Health (HHS Publication No. PEP19-5068, NSDUH Series H-54). Rockville: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/

  • Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62(4), 271–286. https://doi.org/10.1037/0003-066X.62.4.271.

    Article  PubMed  Google Scholar 

  • Thielke, S., Vannoy, S., & Unutzer, J. (2007). Integrating mental health and primary care. Primary Care, 34(3).

    Google Scholar 

  • Thota, A. B., Sipe, T. A., Byard, G. J., Zometa, C. S., Hahn, R. A., McKnight-Eily, L. R., et al. (2012). Collaborative care to improve the management of depressive disorders: A community guide systematic review and meta-analysis. American Journal of Preventative Medicine, 42(5), 525–538. https://doi.org/10.1016/j.amepre.2012.01.019.

    Article  Google Scholar 

  • Unützer, J. (2002). Collaborative care management of late-life depression in the primary care setting: A randomized controlled trial. JAMA: The Journal of the American Medical Association, 288(22), 2836–2845. https://doi.org/10.1001/jama.288.22.2836.

    Article  PubMed  Google Scholar 

  • Unützer, J., & Park, M. (2012). Strategies to improve the management of depression in primary care. Primary Care, 39(2), 415–431. https://doi.org/10.1016/j.pop.2012.03.010.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wagner, E. H., Austin, B. T., & Von Korff, M. (1996). Organizing Care for Patients with chronic illness. The Milbank Quarterly, 74(4), 511–44. http://www.ncbi.nlm.nih.gov/pubmed/8941260

  • Wagner, E. H., Austin, B. T., Davis, C., Hindmarsh, M., Schaefer, J., & Bonomi, A. (2001). Improving chronic illness care: Translating evidence into action. Health Affairs, 20(6).

    Google Scholar 

  • Whittington, J. W., Nolan, K., Lewis, N., & Torres, T. (2015). Pursuing the triple aim: The first 7 years. Milbank Quarterly, 93, 263–300. https://doi.org/10.1111/1468-0009.12122.

    Article  PubMed  Google Scholar 

  • Woltmann, E., Grogan-Kaylor, A., Perron, B., Georges, H., Kilbourne, A. M., & Bauer, M. S. (2012). Comparative effectiveness of collaborative chronic care models for mental health conditions across primary, specialty, and behavioral health care settings: Systematic review and meta-analysis. American Journal of Psychiatry, 169(8), 790–804. https://doi.org/10.1176/appi.ajp.2012.11111616.

    Article  PubMed  Google Scholar 

  • Xierali, I. M., Tong, S. T., Petterson, S. M., Puffer, J. C., Phillips, R. L., & Bazemore, A. W. (2013). Family physicians are essential for mental health care delivery. Journal of the American Board of Family Medicine, 26(2), 114–115.

    Article  Google Scholar 

  • Young, J. Q., Kline-Simon, A. H., Mordecai, D. J., & Weisner, C. (2015). Prevalence of behavioral health disorders and associated chronic disease burden in a commercially insured health system: Findings of a case-control study. General Hospital Psychiatry, 37(2), 101–108. https://doi.org/10.1016/j.genhosppsych.2014.12.005.113.

    Article  PubMed  Google Scholar 

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    Michael A. Mancini

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Mancini, M.A. (2021). Integrated Behavioral Health Service Models and Core Competencies. In: Integrated Behavioral Health Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-59659-0_1

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