A Case Study Report - Altarum Institute

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40 In closing, this case study’s findings as supplemented by the existing literature on domestic PCBH integration efforts provide some useful insights for other collaboratives of communitybased health organizations undertaking similar endeavors. First, these findings point to the importance of assessments of organizational readiness at the onset of planning to engage in a significant system redesign, such as PCBH integration. In doing so, the given system’s strengths and weaknesses, including its context and actors, may be considered in the design of such an initiative or program. To facilitate such an assessment, Mauer and Druss (2007) and others propose that health care systems integrating PCBH should consider: (1) the array of and capacity of health services available in the community; (2) the existing capabilities of the health care workforce; (3) the level of organizational support for providing integrated health care; (4) how organizations will be reimbursed for the delivery of integrated care; (5) the socioeconomic composition of the population targeted for integrated health care; and (6) consumer preferences regarding the delivery of primary and behavioral health care. By evaluating micro and macro systems conditions from the time of an initiative’s inception, it should be easier for organizations to troubleshoot as challenges arise during the initiative’s implementation. In addition, the ongoing determination of both needed improvements for and the effectiveness of PCBH integration through rigorous evaluation, including data gathered from both organizational staff members and patients, is crucial to better shaping such initiatives and establishing their worth. In turn, the timely dissemination and translation of evaluation findings to the wide range of stakeholders is essential to inform similar endeavors and to sustain integrated PCBH system efforts in the future. With the addition of such developmental evaluation, the successfulness and realization of optimal benefits from PCBH integration efforts should also be enhanced. Integrated Primary Care and Behavioral Health www.altarum.org A Case Study Report
References Aitken, J. B., & Curtis, R. (2004). Integrated health care: Improving client care while providing opportunities for mental health counselors. Journal of Mental Health Counseling, 26(4), 321–331. Bachman, J., Pincus, H. A., Houtsinger, J. K., unützer, J. (2006). Funding mechanisms for depression care management: Opportunities and challenges. General Hospital Psychiatry, 28(4), 278–288. Begley, C. e., Hickey, J. S., Ostermeyer, B., Teske, L. A., Vu, T., Wolf, J.,… Rowan, P. J. (2008). Integrating behavioral health and primary care: The Harris County community behavioral health program. Psychiatric Services, 59(4), 356–358. Bernstein, J., Bernstein, e., Tassiopoulos, K., Heeren, T., Levenson, S., & Hingson, R. (2005). Brief motivational intervention at a clinic visit reduces cocaine and heroin use. Drug and Alcohol Dependence, 77(1), 49–59. Berwick, D. M. (2003). Disseminating innovations in health care. Journal of the American Medical Association, 289(15), 1969–1975. doi:10.1001/jama.289.15.1969 Blount, A. (2003). Integrated primary care: Organizing the evidence. Families, Systems, & Health, 21, 121–134. Blount, A., & Miller, B. (2009). Addressing the workforce crisis in integrated primary care. Journal of Clinical Psychology in Medical Settings, 16(1), 113–119. Blount, A., Schoenbaum, M., Kathol, R., Rollman, B., Thomas, M., O’Donohue, W., & Peek, C. (2007). The economics of behavioral health services in medical settings: A summary of the evidence. Professional Psychology: Research and Practice, 38(3), 290–297. Blue-Howells, J., McGuire, J., & nakashima, J. (2008). Co-location of health care services for homeless veterans: A case study of innovation in program implementation. Social Work in Health Care, 47(3), 219–231. doi: 10.1080/00981380801985341 Boardman, J. (2006). Health access and integration for adults with serious and persistent mental illness. Families, Systems, & Health, 24(1), 3–18. doi: 10.1037/1091-7527.24.1.3 Bogner, H. R., & de Vries, H. F. (2010). Integrating type 2 diabetes mellitus and depression treatment among African Americans: A randomized controlled pilot trial. Diabetes Education, 36(2), 284–292. Briggs, R. D., Racine, A. D., & Chinitz, S. (2007). Preventative pediatric mental health care: A co-location model. Infant Mental Health Journal, 28(5), 481–495. doi: 10.1002/imhj.20149 Butler, M., Kane, R. L., McAlpine, D., Kathol, R. G., Fu, S. S., Hagedorn, H., & Wilt, T. J. (2008, October). Integration of mental health/substance abuse and primary care. (AHRQ Publication no. 09-e003). Rockville, MD: Agency for Healthcare Research and Quality. Centers for Disease Control and Prevention (2011, June 21). Chronic diseases and health promotion. Retrieved from http://www.cdc.gov/chronicdisease/overview/index.htm Cherry Street Health Services (2011, June 6). Cherry Street Health Services. Retrieved from www. cherryhealth.org Collins, C. (2009). Integrating behavioral and mental health services into the primary care setting. North Carolina Medical Journal, 70(3), 248. Collins, C., Hewson, D. L., Munger, R., & Wade, T. (2010). Evolving models of behavioral health integration in primary care. new York: Milbank Memorial Fund. Colton, C., & Manderscheid, R. (2006). Congruencies in increased mortality rates, years of potential life lost, and causes of death among public mental health clients in eight states. Preventing Chronic Disease, 3(2), A42. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1563985/ Integrated Primary Care and Behavioral Health www.altarum.org 41 A Case Study Report
Page 1 and 2: June 2011 Integrated Primary Care a
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Page 5: Table of Contents Executive Summary
Page 8 and 9: 2 To inform the qualitative case st
Page 10 and 11: 4 Perceiving increased standardizat
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Page 28 and 29: 22 Embedded units of analysis The d
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Page 34 and 35: “The way I sometimes [describe in
Page 36 and 37: “I would say being in mental heal
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