Skip to main content
SpringerLink
Log in

A Unified Model of Behavioral Health Integration in Primary Care

  • In Depth Article: Commentary
  • Published:
Academic Psychiatry Aims and scope Submit manuscript

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

References

  1. McGough PM, Bauer AM, Collins L, Dugdale DC. Integrating behavioral health into primary care. Popul Health Manag. 2016;19(2):81–7. https://doi.org/10.1089/pop.2015.0039.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Melek SP, Norris DT, Paulus J. Economic impact of integrated medical-behavioral health: implications for psychiatry. Denver: American Psychiatric Association 2013; 2014.

    Google Scholar 

  3. Beronio K, Glied S, Frank R. How the affordable care act and mental health parity and addiction equity act greatly expand coverage of behavioral health care. J Behav Heal Serv Res. 2014;41(4):410–28.

    Article  Google Scholar 

  4. Jackson GL, Powers BJ, Chatterjee R, Bettger JP, Kemper AR, Hasselblad V, et al. The patient-centered medical home: a systematic review. Annu Intern Med. 2013;158(3):169–78. https://doi.org/10.7326/0003-4819-158-3-201302050-00579.

    Article  Google Scholar 

  5. Thielke S, Vannoy S, Unützer J. Integrating mental health and primary care. Prim Care. 2007;34(3):571–92. https://doi.org/10.1016/j.pop.2007.05.007.

    Article  PubMed  Google Scholar 

  6. Bradley KA, Ludman EJ, Chavez LJ, Bobb JF, Ruedebusch SJ, Achtmeyer CE et al. Patient-centered primary care for adults at high risk for AUDs: the choosing healthier drinking options in primary CarE (CHOICE) trial. Addict Sci Clin Pract 2017;12(1):15. https://doi.org/10.1186/s13722-017-0080-2.

  7. Coventry PA, Hudson JL, Kontopantelis E, Archer J, Richards DA, Gilbody S, et al. Characteristics of effective collaborative care for treatment of depression: a systematic review and meta-regression of 74 randomised controlled trials. PLoS One. 2014;9(9):e108114. https://doi.org/10.1371/journal.pone.0108114.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Oud M, Mayo-Wilson E, Braidwood R, Schulte P, Jones SH, Morriss R, et al. Pyschological interventions for adults with bipolar disorder: systematic review and meta-analysis. Br J Psychiatry. 2016;208(03):213–22. https://doi.org/10.1192/bjp.bp.114.157123.

    Article  PubMed  Google Scholar 

  9. Muntingh AD, van der Feltz-Cornelis CM, van Marwijk HW, Spinhoven P, van Balkom AJ. Collaborative care for anxiety disorders in primary care: a systematic review and meta-analysis. BMC Fam Pract. 2016;17(1):62. https://doi.org/10.1186/s12875-016-0466-3.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Babor TF, McRee BG, Kassebaum PA, Grimaldi PL, Ahmed K, Bray J. Screening, brief intervention, and referral to treatment (SBIRT): toward a public health approach to the management of substance abuse. Subst Abus. 2007;28(3):7–30. https://doi.org/10.1300/J465v28n03_03.

    Article  PubMed  Google Scholar 

  11. Lagisetty P, Klasa K, Bush C, Heisler M, Chopra V, Bohnert A. Primary care models for treating opioid use disorders: what actually works? A systematic review. PLoS One. 2017;12(10):e0186315. https://doi.org/10.1371/journal.pone.0186315.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Milossevic I, Chudzik SM, Boyd S, McCabe RE. Evaluation of an integrated group cognitive-behavioral treatment for comorbid mood, anxiety, and substance use disorders: a pilot study. J Anxiety Disord. 2017;46:85–100. https://doi.org/10.1016/j.janxdis.2016.08.002.

    Article  Google Scholar 

  13. McGovern MP, Lambert-Harris C, Xie H, Meier A, McLeman B, Saunders E. A randomized controlled trial of treatments for co-occuring substance use disorders and PTSD. Addiction. 2015;110(7):1194–204. https://doi.org/10.1111/add.12943.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Scott C, Mendez-Shannon CE. Behavioral health provider essentials. Integrated care: a guide for effective implementation. Arlington: American Psychiatric Association Publishing; 2017. p. 91–125.

    Google Scholar 

  15. Reinert DF, Allen JP. The alcohol use disorders identification test: an update of research findings. Alcohol Clin Exp Res. 2007;31(2):185–99. https://doi.org/10.1111/j.1530-0277.2006.00295.x.

    Article  PubMed  Google Scholar 

  16. McNeely J, Strauss SM, Wright S, Rotrosen J, Khan R, Lee JD, et al. Test-retest reliability of a self-administered alcohol, smoking and substance involvement screening test (ASSIST) in primary care patients. J Subst Abus Treat. 2014;47(1):93–101. https://doi.org/10.1016/j.jsat.2014.01.007.

    Article  Google Scholar 

  17. Hildebrand M. The psychometric properties of the drug use disorders identification test (DUDIT): a review of recent research. J Subst Abus Treat. 2015;53:52–9. https://doi.org/10.1016/j.jsat.2015.01.008.

    Article  Google Scholar 

  18. McGovern MP, Urada D, Lambert-Harris C, Sullivan ST, Mazade NA. Development and initial feasibility of an organizational measure of behavioral health integration in medical care settings. J Subst Abus Treat. 2012;43(4):402–9. https://doi.org/10.1016/j.jsat.2012.08.013.

    Article  Google Scholar 

  19. Khayal IS, McGovern MP, Bruce ML, Bartels SJ. Developing an integrated behavioral health system model using engineering design. Paper presented at Industrial and Systems Engineering Conference, May 23, 2017, Pittsburgh, PA.

  20. Reiss-Brennan B, Brunisholz KD, Dredge C, Briot P, Grazier K, Wilcox A, et al. Association of integrated team-based care with health care quality, utilization, and cost. JAMA Intern Med. 2016;316(8):826–34.

    Google Scholar 

  21. Lasky GB. Organizational leadership and culture change. Integrated care: a guide for effective implementation. Arlington: American Psychiatric Association Publishing; 2017. p. 37–59.

    Google Scholar 

  22. Lasky GB. Team development and culture integrated care: a guide for effective implementation. Arlington: American Psychiatric Association Publishing; 2017. p. 61–87.

    Google Scholar 

  23. van Eeghen C, Kessler R, Littenberg B. Chronic care coordination by integrating care through a team-based, population-driven approach: a case study. Transl Behav Med. 2018;in press.

  24. Raney L. The evolving role of psychiatry in the era of health care reform. Psychiatr Serv. 2013;64(11):1076–8. https://doi.org/10.1176/appi.ps.201300311.

    Article  PubMed  Google Scholar 

  25. Solberg LI, Crain AL, Jaeckels N, Ohnsorg KA, Margolis KL, Beck A, et al. The DIAMOND initiative: implementing collaborative care for dpression in 75 primary care clinics. Implement Sci. 2013;8(1) https://doi.org/10.1186/1748-5908-8-135.

  26. Peek CJ, The National Integration Academy Council. Lexicon for behavioral health and primary care integration: concepts and definitions developed by expert consensus. Rockville: Agency for Healthcare Research and Quality; 2013. http://integrationacademy.ahrq.gov/sites/default/files/Lexicon/pdf. Accessed 9 Jan 2018.

  27. Cacciola JS, Alterman AI, Dephilippis D, Drapkin ML, Valadez C Jr, Fala NC, et al. Development and initial evaluation of the brief addiction monitor (BAM). J Subst Abus Treat. 2013;44(3):256–63. https://doi.org/10.1016/j.jsat.2012.07.013.

    Article  Google Scholar 

  28. Watkins KE, Ober AJ, Lamp K, Lind M, Setodji C, Osilla KC, et al. Collaborative care for opioid and alcohol use disorders in primary care: the SUMMIT randomized clinical trial. JAMA Intern Med. 2017;177(10):1480–8. https://doi.org/10.1001/jamainternmed.2017.3947.

    Article  PubMed  Google Scholar 

  29. Korthuis PT, McCarty D, Weimer M, Bougatsos C, Blazina I, Zakher B, et al. Primary care-based models for the treatment of opioid use disorder. Ann Intern Med. 2016;

  30. CT LB, Han SC, Bergeron A, Samet JH. Office-based opioid treatment with buprenorphine (OBOT-B): statewide implementation of the Massachusetts collaborative care model in community health centers. J Subst Abus Treat. 2016;60:6–13. https://doi.org/10.1016/j.jsat.2015.06.010.

    Article  Google Scholar 

  31. Nordstrom BR, Saunders EC, McLeman B, Meier A, Xie H, Lambert-Harris C, et al. Using a learning collaborative strategy with office-based practices to increase access and improve quality of care for patients with opioid use disorders. J Addict Med. 2016;10(2):117–23. https://doi.org/10.1097/ADM.0000000000000200.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. School of Medicine, Stanford University, Stanford, CA, USA

    Mark McGovern & Kaitlin Dent

  2. School of the Science of Health Care Delivery, Arizona State University, Phoenix, AZ, USA

    Rodger Kessler

Authors
  1. Mark McGovern
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kaitlin Dent
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Rodger Kessler
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mark McGovern.

Ethics declarations

This commentary was composed and written in compliance with all ethical standards and considerations.

Disclosures

On behalf of all authors, the corresponding author states that there is no conflict of interest to disclose.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

McGovern, M., Dent, K. & Kessler, R. A Unified Model of Behavioral Health Integration in Primary Care. Acad Psychiatry 42, 265–268 (2018). https://doi.org/10.1007/s40596-018-0887-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40596-018-0887-5

Keywords

Search

Navigation