title: Psychologists in patient-centered medical homes (PCMHs): Roles, evidence, opportunities, and challenges.
abstract: The patient-centered medical home (PCMH) is an increasingly common model of health care delivery with many exciting opportunities for psychologists. The PCMH reflects a philosophy and model of care that is highly consistent with psychological science and practice. It strives to provide patient-centered, comprehensive, team-based, coordinated, accessible, and quality and safety-oriented health care delivery to individuals and families. Moreoever, in keeping with changes in the health care system more broadly, the PCMH model prioritizes the integration of behavioral and physical health care, and this emphasis lays the foundation for active and full engagement of psychologists in this context. This article provides an overview of the PCMH and the evidence and roles for psychologists across a range of pediatric, adult, and geriatric health care populations and settings. Current challenges to the necessary expansion of psychology in the PCMH are discussed, with particular attention to the needs for training and advocacy to support the contributions of behavioral health care in the PCMH. Psychology must embrace its rightful place as a health profession and appreciate and highlight the ways in which psychologists can play unique and critical roles in transforming present and future health care delivery models. (PsycINFO Database Record
authors.affiliation: Nemours Center for Healthcare Delivery Science, Nemours Children's Health System.
authors.forename: Anne E
authors.initials: AE
authors.lastname: Kazak
authors.affiliation: Departments of Family Medicine and Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University.
authors.forename: Justin M
authors.initials: JM
authors.lastname: Nash
authors.affiliation: Mental Health Service, VA Puget Sound Health Care System.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Hiroto
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Emory University.
authors.forename: Nadine J
authors.initials: NJ
authors.lastname: Kaslow
mesh_terms: D003695:Delivery of Health Care; D006801:Humans; D010348:Patient Care Team; D018802:Patient-Centered Care; D024382:Professional Role; D011584:Psychology