How Can We Link General Medical and Behavioral Health Care? International Models for Practice and Policy.
A range of integration models for providing effective care to individuals with comorbid general medical and behavioral health conditions have been described and tested in varied settings internationally for several subsets of this population. This column examines models in three countries selected to showcase implementation in a variety of health systems: the national health system in England, nationally regulated individual insurance market in the Netherlands, and a mixture of employer-sponsored and government-funded health insurance plans in Japan. The authors describe a set of key practices for and challenges to the successful implementation of these models.
Dr. Pincus is with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, and the Irving Institute for Clinical and Translational Research, Columbia University and New York-Presbyterian, New York City (e-mail: pincush@nyspi.columbia.edu ). Ms. Jun and Dr. Mossialos are with the Department of Health and Social Care, London School of Economics and Political Science, London. Dr. Franx is with the Department of Innovation of Care, Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht. Prof. van der Feltz-Cornelis is with the Tranzo Department, Tilburg University, and the Top Clinical Centre for Body, Mind and Health, GGz Breburg, both in Tilburg, the Netherlands. Dr. Ito is with the Department of Social Psychiatry, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo. Benjamin G. Druss, M.D., M.P.H., is editor of this column.
Harold Alan
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Pincus
Dr. Pincus is with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, and the Irving Institute for Clinical and Translational Research, Columbia University and New York-Presbyterian, New York City (e-mail: pincush@nyspi.columbia.edu ). Ms. Jun and Dr. Mossialos are with the Department of Health and Social Care, London School of Economics and Political Science, London. Dr. Franx is with the Department of Innovation of Care, Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht. Prof. van der Feltz-Cornelis is with the Tranzo Department, Tilburg University, and the Top Clinical Centre for Body, Mind and Health, GGz Breburg, both in Tilburg, the Netherlands. Dr. Ito is with the Department of Social Psychiatry, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo. Benjamin G. Druss, M.D., M.P.H., is editor of this column.
Miraya
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Jun
Dr. Pincus is with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, and the Irving Institute for Clinical and Translational Research, Columbia University and New York-Presbyterian, New York City (e-mail: pincush@nyspi.columbia.edu ). Ms. Jun and Dr. Mossialos are with the Department of Health and Social Care, London School of Economics and Political Science, London. Dr. Franx is with the Department of Innovation of Care, Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht. Prof. van der Feltz-Cornelis is with the Tranzo Department, Tilburg University, and the Top Clinical Centre for Body, Mind and Health, GGz Breburg, both in Tilburg, the Netherlands. Dr. Ito is with the Department of Social Psychiatry, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo. Benjamin G. Druss, M.D., M.P.H., is editor of this column.
Gerdien
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Franx
Dr. Pincus is with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, and the Irving Institute for Clinical and Translational Research, Columbia University and New York-Presbyterian, New York City (e-mail: pincush@nyspi.columbia.edu ). Ms. Jun and Dr. Mossialos are with the Department of Health and Social Care, London School of Economics and Political Science, London. Dr. Franx is with the Department of Innovation of Care, Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht. Prof. van der Feltz-Cornelis is with the Tranzo Department, Tilburg University, and the Top Clinical Centre for Body, Mind and Health, GGz Breburg, both in Tilburg, the Netherlands. Dr. Ito is with the Department of Social Psychiatry, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo. Benjamin G. Druss, M.D., M.P.H., is editor of this column.
Christina
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van der Feltz-Cornelis
Dr. Pincus is with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, and the Irving Institute for Clinical and Translational Research, Columbia University and New York-Presbyterian, New York City (e-mail: pincush@nyspi.columbia.edu ). Ms. Jun and Dr. Mossialos are with the Department of Health and Social Care, London School of Economics and Political Science, London. Dr. Franx is with the Department of Innovation of Care, Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht. Prof. van der Feltz-Cornelis is with the Tranzo Department, Tilburg University, and the Top Clinical Centre for Body, Mind and Health, GGz Breburg, both in Tilburg, the Netherlands. Dr. Ito is with the Department of Social Psychiatry, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo. Benjamin G. Druss, M.D., M.P.H., is editor of this column.
Hiroto
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Ito
Dr. Pincus is with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, and the Irving Institute for Clinical and Translational Research, Columbia University and New York-Presbyterian, New York City (e-mail: pincush@nyspi.columbia.edu ). Ms. Jun and Dr. Mossialos are with the Department of Health and Social Care, London School of Economics and Political Science, London. Dr. Franx is with the Department of Innovation of Care, Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht. Prof. van der Feltz-Cornelis is with the Tranzo Department, Tilburg University, and the Top Clinical Centre for Body, Mind and Health, GGz Breburg, both in Tilburg, the Netherlands. Dr. Ito is with the Department of Social Psychiatry, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo. Benjamin G. Druss, M.D., M.P.H., is editor of this column.
Elias
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Mossialos
D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D004739:England; D006264:Health Benefit Plans, Employee / Q000458:organization & administration*; D006801:Humans; D007564:Japan; D008605:Mental Health Services / Q000458:organization & administration*; D009313:National Health Programs / Q000458:organization & administration*; D009426:Netherlands