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

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PCBH Model:<br />

Referral Structure<br />

Patient referred by PCP only; self-referral rare<br />

“Warm h<strong>and</strong>off” on same day basis<br />

BHC screens PCP appointment schedule to<br />

“leverage” medical visits<br />

Referral defined by pathway (e.g., initial DX of<br />

diabetes, high risk for obesity onset at 12 month<br />

well child, initial diagnosis of ADHD <strong>and</strong> aged<br />

5-9 <strong>and</strong> + screen for parent-child relationship<br />

problems)<br />

23

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