title: Integration of behavioral health and primary care: current knowledge and future directions.
abstract: Integrated behavioral health in primary care has spread rapidly over the past three decades, although significant questions remain unanswered regarding best practices in clinical, financial and operational worlds. Two key models have emerged over time: care management and Primary Care Behavioral Health. Research to date has been promising; however, there is a significant need for more sophisticated multi-level scientific methodologies to fill in the gaps in current knowledge of integrated primary care. In this paper, we summarize current scientific knowledge about integrated primary care and critically evaluate the strengths and weaknesses of this knowledge base, focusing on clinical, financial and operational factors. Finally, we recommended priorities for future research, dissemination, real-world implementation, and health policy implications.
authors.affiliation: Genesys Regional Medical Center, One Genesys Parkway, Grand Blanc, MI, 48439, USA. vogel1@msu.edu.
authors.forename: Mark E
authors.initials: ME
authors.lastname: Vogel
authors.affiliation: University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
authors.forename: Kathryn E
authors.initials: KE
authors.lastname: Kanzler
authors.affiliation: Department of Family Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
authors.forename: James E
authors.initials: JE
authors.lastname: Aikens
authors.affiliation: Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Goodie
mesh_terms: D001524:Behavioral Medicine / Q000639:trends*; D019033:Delivery of Health Care, Integrated / Q000639:trends*; D005544:Forecasting; D006291:Health Policy / Q000639:trends; D006302:Health Services Research / Q000639:trends*; D006801:Humans; D011320:Primary Health Care / Q000639:trends*
keywords: Behavioral health; Care management; Collaborative care; Integrated care; Primary care