nach oben

Journal of Clinical Psychology in Medical Settings

Erschienen in:

01.03.2009

The Problem of Integrating Behavioral Health in the Medical Home and the Questions It Leads to

verfasst von: Rodger Kessler, Dale Stafford, Randall Messier

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 1/2009

Einloggen, um Zugang zu erhalten

Abstract

Psychology and other behavioral health professions have amassed a broad empirical and clinical literature suggesting many medical presentations are best responded to with the addition of evidence based behavioral interventions. Despite this, psychology has not achieved a regular presence as part of medical practice. We suggest specific reasons for the current state of affairs including clinical, operational, societal labels, financial and training dimensions. Medical, psychological, administrative, and financial perspectives are reviewed. If the goals of health care system reform are to be reached then we must identify and challenge the current limitations of health care. This paper will identify the elements that need to be changed in order for psychology to be integrated into medicine rather than excluded from its policy, planning and operations.

Berwick, D. M. (2003). Disseminating innovations in health care. Journal of the American Medical Association, 289, 1969–1975.PubMedCrossRef

Blount, A. (1998). Integrated primary care. New York: W. W. Norton.

Blount, A., & Miller, B. (2009). Addressing the workforce crisis in integrated primary care [Electronic Version]. Journal of Clinical Psychology in Medical Settings. Retrieved February 1, 2009.

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). Rockville, Maryland: Agency for Health Research and Quality.

Callahan, E. J., Bertakis, K. D., Azari, R., Robbins, J. A., Helms, L. J., & Leigh, J. P. (2002). Association of higher costs with symptoms and diagnosis of depression. The Journal of Family Practice, 51, 540–544.PubMed

Casciani, A. I. (2004). The practical application of health and behavior codes. Paper presented at the American Psychological Association Annual Meeting, Honolulu, Hawaii.

Cowley, D., Khan, A., Khan, A., Harezlak, J., Tu, W., & Kroenke, K. (2003). Somatic symptoms in primary care: Etiology and outcome. Psychosomatics, 44, 471–478. doi:10.1176/appi.psy.44.6.471.CrossRef

Cummings, N., Cummings, J., & Johnson, J. (1997). Behavioral health in primary care. Madison: Psychosocial Press.

Golden, S. H., Lazo, M., Carnethon, M., Bertoni, A. G., Schreiner, P. J., Roux, A. V. D., et al. (2008). Examining a bidirectional association between depressive symptoms and diabetes. Journal of the American Medical Association, 299, 2751–2759.PubMedCrossRef

Guck, T. P., Guck, A. J., Brack, A. B., & Frey, D. R. (2007). No-show rates in partially integrated models of behavioral health care in a primary care setting. Families, Systems and Health, 25, 137–146. doi:10.1037/1091-7527.25.2.137.CrossRef

Katon, W., & Unutzer, J. (2006). Collaborative care models for depression: Time to move from evidence to practice. Archives of Internal Medicine, 166, 2304–2306. doi:10.1001/archinte.166.21.2304.PubMedCrossRef

Katon, W. J., Russo, J. E., Von Korff, M., Lin, E. H. B., Ludman, E., & Ciechanowski, P. S. (2008). Long-term effects on medical costs of improving depression outcomes in patients with depression and diabetes. Diabetes Care, 31, 1155–1159. doi:10.2337/dc08-0032.PubMedCrossRef

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

Kessler, R. (2008a). How I learned about integration by failing miserably: The deadly sins of integration. In R. Kessler & D. Stafford (Eds.), Collaborative medicine case studies: Evidence in practice. New York: Springer.CrossRef

Kessler, R. (2008b). Integration of care is about money too: The health and behavior codes as an element of a new financial paradigm. Families, Systems and Health, 26, 207–216. doi:10.1037/a0011918.CrossRef

Kessler, R., & Stafford, D. (2008). Primary care is the defacto mental health system. In R. Kessler & D. Stafford (Eds.), Collaborative medicine case studies: Evidence in practice. New York: Springer.CrossRef

Kroenke, K., & Mangelsdorff, A. D. (1989). Common symptoms in ambulatory care: Incidence, evaluation, therapy and outcome. The American Journal of Medicine, 86, 262–266. doi:10.1016/0002-9343(89)90293-3.PubMedCrossRef

Miller, B. F., Mendenhall, T. J., & Malik, A. D. (2009). Integrated primary care: An inclusive three-world view. Through process metrics and empirical discrimination [Electronic Version]. Journal of Clinical Psychology in Medical Settings. Retrieved December 16, 2008.

Peek, C. J. (2008). Planning care in the clinical, financial, and operational worlds. In R. Kessler & D. Stafford (Eds.), Collaborative medicine case studies: Evidence in practice (pp. 25–38). New York: Springer Science.CrossRef

Pomerantz, A., & Cole, B. H. (2009). The challenge of integrated care for mental health: Leaving the 50 minute hour and other sacred things [Electronic Version]. Journal of Clinical Psychology in Medical Settings. Retrieved February 1, 2009.

Simon, G. (2006). Collaborative care for depression is effective in older people. British Medical Journal, 332, 249–250. doi:10.1136/bmj.332.7536.249.PubMedCrossRef

Simon, G. E., Katon, W. J., Lin, E. H., Rutter, C., Manning, W. G., Von Korff, M., et al. (2007). Cost-effectiveness of systematic depression treatment among people with diabetes mellitus. Archives of General Psychiatry, 64, 65–72. doi:10.1001/archpsyc.64.1.65.PubMedCrossRef

Simon, G. E., Katon, W. J., Von Korff, M., Unutzer, J., Lin, E. H. B., Walker, E. A., et al. (2001). Cost effectiveness of a collaborative care program for primary care patients with persistent depression. The American Journal of Psychiatry, 158, 1638–1644. doi:10.1176/appi.ajp.158.10.1638.PubMedCrossRef

Simon, G. E., Von Korff, M., & Barlow, W. (1995). Health care costs of primary care patients with recognized depression. Archives of General Psychiatry, 52, 850–856.PubMed

Strosahl, K., & Robinson, P. (2008). The primary care behavioral health model: Applications to prevention, acute care and chronic condition management. In R. Kessler & D. Stafford (Eds.), Collaborative medicine case studies: Evidence in practice. New York: Springer.

Trude, S., & Stoddard, J. J. (2003). Referral gridlock: Primary care physicians and mental health services. Journal of General Internal Medicine, 18, 442–449. doi:10.1046/j.1525-1497.2003.30216.x.PubMedCrossRef

Walders, N., Childs, G. E., Comer, D., Kelleher, K. J., & Drotar, D. (2003). Barriers to mental health referral from pediatric to primary care settings. The American Journal of Managed Care, 9, 677–683.PubMed

Williams, J., Palmes, G., Klinepeter, K., Pulley, A., & Meschan, J. F. (2005). Referral by pediatricians of children with behavioral health disorders. Clinical Pediatrics, 44, 343–349. doi:10.1177/000992280504400410.PubMedCrossRef

Titel: The Problem of Integrating Behavioral Health in the Medical Home and the Questions It Leads to
verfasst von: Rodger Kessler
Dale Stafford
Randall Messier
Publikationsdatum: 01.03.2009
Verlag: Springer US
Erschienen in: Journal of Clinical Psychology in Medical Settings / Ausgabe 1/2009
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-009-9146-y

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2009

Psychologists and Primary Care Physicians: A Training Model for Creating Collaborative Relationships

The Train is Leaving the Station: Is Psychology Aboard?

Development of a Substance Abuse Consultation and Referral Service in an Academic Medical Center: Challenges, Achievements and Dissemination

Collaborative Communication Between Psychologists and Primary Care Providers

The Financial Dimension of Integrated Behavioral/Primary Care

Behavioral Health Consultation and Primary Care: Lessons Learned