title: The medical home and integrated behavioral health: advancing the policy agenda.
abstract: There has been a considerable expansion of the patient-centered medical home model of primary care delivery, in an effort to reduce health care costs and to improve patient experience and population health. To attain these goals, it is essential to integrate behavioral health services into the patient-centered medical home, because behavioral health problems often first present in the primary care setting, and they significantly affect physical health. At the 2013 Patient-Centered Medical Home Research Conference, an expert workgroup convened to determine policy recommendations to promote the integration of primary care and behavioral health. In this article we present these recommendations: Build demonstration projects to test existing approaches of integration, develop interdisciplinary training programs to support members of the integrated care team, implement population-based strategies to improve behavioral health, eliminate behavioral health carve-outs and test innovative payment models, and develop population-based measures to evaluate integration.
authors: Yale School of Medicine, New Haven, Connecticut; jeremy.ader@yale.edu.
authors: Jeremy
authors: J
authors: Ader
authors: University of Colorado School of Medicine, Aurora, Colorado;
authors: Christopher J
authors: CJ
authors: Stille
authors: University of Colorado School of Medicine, Aurora, Colorado;
authors: David
authors: D
authors: Keller
authors: University of Colorado School of Medicine, Aurora, Colorado;
authors: Benjamin F
authors: BF
authors: Miller
authors: National Committee for Quality Assurance, Washington, District of Columbia; and.
authors: Michael S
authors: MS
authors: Barr
authors: Harvard Medical School, Boston, Massachusetts.
authors: James M
authors: JM
authors: Perrin
mesh_terms: D000293:Adolescent; D002648:Child; D002653:Child Behavior Disorders / Q000628:therapy*; D006291:Health Policy; D006801:Humans; D008962:Models, Theoretical; D010348:Patient Care Team; D018802:Patient-Centered Care; D017410:Practice Guidelines as Topic; D011320:Primary Health Care
keywords: delivery of health care; mental health; patient-centered care; pediatrics; primary health care; substance-related disorders