title: Behavioral health integration in primary care at Brigham and Women׳s Advanced Primary Care Associates, South Huntington.
abstract: Of the many problems facing the US healthcare system, the shortage of behavioral health providers in outpatient settings is particularly profound. To address this issue, Boston׳s Brigham and Women׳s Hospital identified ways to incorporate behavioral health into primary care when it opened the South Huntington Primary Care clinic in August 2011. When the needs of its patients were more complex than anticipated, the clinic created assessment tools and refined care processes to identify, triage, and monitor patients with mental illness. Key insights from the South Huntington experience include. • Hiring for roles instead of training can decrease costs of implementation. • A process for reflection, assessment, and adaptation is a critical component of innovation. • Innovations must adapt to the specific needs of the local community. • Innovations are most effective when they reflect the capabilities of local providers.
authors.affiliation: Harvard Medical School, USA. Electronic address: Km202@hms.harvard.edu.
authors.forename: Katherine
authors.initials: K
authors.lastname: Majzoub Perez
authors.affiliation: Harvard Medical School, USA.
authors.forename: Lydia
authors.initials: L
authors.lastname: Flier
authors.affiliation: Harvard Medical School, USA.
authors.forename: Helen
authors.initials: H
authors.lastname: D'Couto
authors.affiliation: Harvard Medical School, USA.
authors.forename: Meghan
authors.initials: M
authors.lastname: Rudder
authors.affiliation: Harvard Medical School, USA.
authors.forename: Anjali
authors.initials: A
authors.lastname: Thakker
authors.affiliation: Harvard Medical School, USA.
authors.forename: John
authors.initials: J
authors.lastname: Weems
authors.affiliation: Harvard Medical School, USA.
authors.forename: Leah
authors.initials: L
authors.lastname: Wibecan
authors.affiliation: Department of Medicine, Massachusetts General Hospital and Harvard Medical School, USA.
authors.forename: Zirui
authors.initials: Z
authors.lastname: Song
authors.affiliation: Division of General Medicine, Brigham and Women׳s Hospital and Department of Health Policy and Center for Primary Care, Harvard Medical School, USA.
authors.forename: Asaf
authors.initials: A
authors.lastname: Bitton
authors.affiliation: Brigham Depression Center, Brigham and Women׳s Hospital and Harvard Medical School, USA.
authors.forename: Jane
authors.initials: J
authors.lastname: Erb
authors.affiliation: Department of Medicine, Brigham and Women׳s Hospital and Harvard Medical School, USA.
authors.forename: Stuart
authors.initials: S
authors.lastname: Pollack
authors.affiliation: Department of Psychiatry, Brigham and Women׳s Hospital and Harvard Medical School, USA.
authors.forename: David
authors.initials: D
authors.lastname: Silbersweig
authors.affiliation: Brigham and Women׳s Hospital, USA.
authors.forename: Lara
authors.initials: L
authors.lastname: Sullivan
authors.affiliation: Department of Medicine, Brigham and Women׳s Hospital and Harvard Medical School, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Frolkis
mesh_terms: D000553:Ambulatory Care; D001900:Boston; D003695:Delivery of Health Care; D019033:Delivery of Health Care, Integrated; D005260:Female; D017048:Health Care Costs; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services; D010348:Patient Care Team; D058007:Physicians, Primary Care; D011320:Primary Health Care
keywords: Behavioral health integration; Culture; Medical home; Mental health; Primary care; Team-based care