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Integrated Care and Specialty Behavioral Health Care in the Patient-Centered Medical Home

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Abstract

Integrated health care represents the contemporary recognition that holistic, whole-person, and patient-centered medical home (PCMH) services are effective in terms of improved treatment outcomes for mental health (MH), substance abuse, and physical illness, as well as more cost-effective for both patients and health-care systems. These benefits are obtained, for instance, through a reduction in expensive emergency department visits and overutilization of health-care services in service delivery settings with integrated physical health primary care (PC) and behavioral health services. In fact, evidence suggests that the myriad benefits of integrated care (IC) models, and more specifically, PCMH models encompass additional positive outcomes including increased consumer satisfaction, decreased provider burnout, increased access to care, improved patient adherence to treatment recommendations, and reduced stigma toward accessing behavioral health care. Recent federal efforts toward health-care reform including policy changes such as those enacted through the Patient Protection and Affordable Care Act (ACA), as well as systems change reforms like PCMHs, dovetail nicely with the major paradigmatic shifts in health-care service conceptualization and provision occurring throughout PC and behavioral health.

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Authors and Affiliations

  1. Behavioral Medicine, Midwestern University, 555 31st Street, Downers Grove, 60515, IL, USA

    Dr. Robynne M. Lute PsyD

  2. Arizona State University, 500 North 3rd Street, Mail Code 3020, Phoenix, 85004, AZ, USA

    Dr. Lesley Manson PsyD

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  1. Dr. Robynne M. Lute PsyD
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Correspondence to Robynne M. Lute PsyD .

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  1. Department of Psychology, University of Nevada, Reno, Nevada, USA

    William O'Donohue

  2. University of Nevada, Reno, Nevada, USA

    Alexandros Maragakis

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Lute, R., Manson, L. (2015). Integrated Care and Specialty Behavioral Health Care in the Patient-Centered Medical Home. In: O'Donohue, W., Maragakis, A. (eds) Integrated Primary and Behavioral Care. Springer, Cham. https://doi.org/10.1007/978-3-319-19036-5_2

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