title: Psychological Science and Innovative Strategies for Informing Health Care Redesign: A Policy Brief.
abstract: Recent health care legislation and shifting health care financing strategies are transforming health and behavioral health (a broad term referring to mental health, substance use, and health behavior) care in the United States. Advances in knowledge regarding effective treatment and services coupled with incentives for innovation in health and behavioral health care delivery systems make this a unique time for mobilizing our science to enhance the success of health and behavioral health care redesign. To optimize the potential of our current health care environment, a team was formed composed of leaders from the Societies of Clinical Child & Adolescent Psychology, Pediatric Psychology, and Child and Family Policy and Practice (Divisions 53, 54, and 37 of the American Psychological Association). This team was charged with reviewing the scientific and policy literature with a focus on five major issues: (a) improving access to care and reducing health disparities, (b) integrating behavioral health care within primary care, (c) preventive services, (d) enhancing quality and outcomes of care, and (e) training and workforce development. The products of that work are summarized here, including recommendations for future research, clinical, training, and policy directions. We conclude that the current emphasis on accountable care and evaluation of the outcomes of care offer numerous opportunities for psychologists to integrate science and practice for the benefit of our children, families, and nation. The dramatic changes that are occurring in psychological and behavioral health care services and payment systems also require evolution in our practice and training models.
authors.affiliation: a Psychiatry & Biobehavioral Sciences , University of California , Los Angeles.
authors.forename: Joan Rosenbaum
authors.initials: JR
authors.lastname: Asarnow
authors.affiliation: b Department of Child and Adolescent Psychiatry , New York University School of Medicine.
authors.forename: Kimberly E
authors.initials: KE
authors.lastname: Hoagwood
authors.affiliation: c Department of Pediatrics, Psychiatry and Psychology , Case Western Reserve University School of Medicine, MetroHealth Medical Center.
authors.forename: Terry
authors.initials: T
authors.lastname: Stancin
authors.affiliation: d Department of Psychology , University of Alabama.
authors.forename: John E
authors.initials: JE
authors.lastname: Lochman
authors.affiliation: e Department of Psychiatry , University of Texas Southwestern Medical Center, Children's Medical Center , Dallas.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Hughes
authors.affiliation: a Psychiatry & Biobehavioral Sciences , University of California , Los Angeles.
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: Miranda
authors.affiliation: f Center for Healthcare Delivery Science , Nemours Children's Health System.
authors.forename: Tim
authors.initials: T
authors.lastname: Wysocki
authors.affiliation: g Department of Public Health Sciences , The University of North Carolina at Charlotte.
authors.forename: Sharon G
authors.initials: SG
authors.lastname: Portwood
authors.affiliation: a Psychiatry & Biobehavioral Sciences , University of California , Los Angeles.
authors.forename: John
authors.initials: J
authors.lastname: Piacentini
authors.affiliation: h American Psychological Association , Center for Psychology and Health.
authors.forename: Douglas
authors.initials: D
authors.lastname: Tynan
authors.affiliation: i Institute for Juvenile Research , University of Illinois at Chicago.
authors.forename: Marc
authors.initials: M
authors.lastname: Atkins
authors.affiliation: f Center for Healthcare Delivery Science , Nemours Children's Health System.
authors.forename: Anne E
authors.initials: AE
authors.lastname: Kazak
mesh_terms: D000293:Adolescent; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated; D006297:Health Services Accessibility; D054624:Health Status Disparities; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D011320:Primary Health Care / Q000592:standards*; D019966:Substance-Related Disorders / Q000523:psychology; D014481:United States