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Review of behavioral health integration in primary care at Baylor Scott and White Healthcare, Central Region
Journal article   Open access   Peer reviewed

Review of behavioral health integration in primary care at Baylor Scott and White Healthcare, Central Region

John B. Jolly, Norman R. Fluet, Michael D. Reis, Charles H. Stern, Alexander W. Thompson and Gillian A. Jolly
Proceedings - Baylor University. Medical Center, Vol.29(2), pp.131-136
04/01/2016
DOI: 10.1080/08998280.2016.11929388
PMCID: PMC4790545
PMID: 27034543
url
https://europepmc.org/articles/pmc4790545View
Published (Version of record) Open Access

Abstract

The integration of behavioral health services in primary care has been referred to in many ways, but ultimately refers to common structures and processes. Behavioral health is integrated into primary care because it increases the effectiveness and efficiency of providing care and reduces costs in the care of primary care patients. Reimbursement is one factor, if not the main factor, that determines the level of integration that can be achieved. The federal health reform agenda supports changes that will eventually permit behavioral health to be fully integrated and will allow the health of the population to be the primary target of intervention. In an effort to develop more integrated services at Baylor Scott and White Healthcare, models of integration are reviewed and the advantages and disadvantages of each model are discussed. Recommendations to increase integration include adopting a disease management model with care management, planned guideline-based stepped care, follow-up, and treatment monitoring. Population-based interventions can be completed at the pace of the development of alternative reimbursement methods. The program should be based upon patient-centered medical home standards, and research is needed throughout the program development process.
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