Integrating Primary Care and Behavioral Health Services: A ...

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Horizontal Integration Program (General Consultation) Analysis of Behavioral Health Needs in a Primary Care Population Vertical Integration Program (Critical Pathways) Panic Disorder Generalized Anxiety Somataform Disorders Major Depression Alcohol/Drug Problems 35% (8,750 Patients) Depressive & Anxiety Symptoms Life stress 35% (8,750 Patients) No Behavioral Health Need 30% (7,500 Patients) Kessler, et al., 2005 *Hypothetical Cohort of 25,000 patients 14
The Continuum of Integration Model Desirability Attributes Separate Space & Mission - - Traditional BH Specialty Model 1:1 Referral Relationship + Preferred provider/ Some information exchange Co-location ++ On-site BH Unit/ Separate Team Collaborative Care +++ On site/shared cases w/ BH specialist Integrated Care +++++ BHC as PC Team Member 15
Page 1 and 2: Integrating Primary Care and Behavi
Page 3 and 4: Provision of Behavioral Health Care
Page 5 and 6: Why Integrate Primary Care and Proc
Page 7 and 8: Benefits of Integrating Primary Car
Page 9 and 10: Economic Benefits of Integration Co
Page 11 and 12: Economic Benefits of Integration Me
Page 13: Population-based Care: The Framewor
Page 17 and 18: Common Vertical Integration Targets
Page 19 and 20: Consider: The program must be able
Page 21 and 22: Primary Care Behavioral Health (PCB
Page 23 and 24: PCBH Model: Referral Structure Pat
Page 25 and 26: PCBH Model: Intervention Structure
Page 27 and 28: PCBH Model: Cultural Competency Pr
Page 29 and 30: PCBH Model: Primary Information Pro
Page 31 and 32: Qualities of a Successful PCBH Serv

Integrating Primary Care and Behavioral Health Services: A ...

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