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Erschienen in:
01.09.2012 | Editorial
The patient centered medical home: a great opportunity to move beyond brilliant and irrelevant
Erschienen in: Translational Behavioral Medicine | Ausgabe 3/2012
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We can observe three things:
1.
A brilliant, elegantly designed research literature supports the efficacy of psychological and behavioral interventions for the treatment of medical and psychological problems typically seen in primary care. This body of research is made irrelevant by its lack of knowledge in primary care
2.
There is rapid penetration of brilliant mental health clinicians now becoming embedded in primary care practices. Such efforts are made irrelevant by lack of data collection to evaluate the effectiveness of such embedding, lack of use of evidence-based practices by the newly embedded clinicians, and an almost sole mental health focus with neglect of substance abuse, health behaviors, or lifestyle change
3.
Significant developing clinical, operational, and financial changes are infiltrating primary care. A major element of that change revolves around the Patient Centered Medical Home (PCMH), which has as a core element whole person care. The American Academy of Family Physicians recently took the position that without the inclusion of mental health, the PCMH will fail [1]