Joseph Parks, MD, MPH explains how and why traditional processes need to change when integrating behavioral health care into an organization. Dr. Parks has led a statewide transformation of the health care delivery system in Missouri over the last ten years. In his experience, he describes five major process changes that need to happen in order to effectively integrate behavioral healthcare into primary care.
In the News
No Health without Mental Health asked Dr. Mark Williams, a physician with a specialty in psychiatry, about the experiences the Mayo Clinic had when implementing Collaborative Care into their primary care network. In 2007, Mayo integrated behavioral health through the Depression Improvement Across Minnesota, Offering a New Direction (DIAMOND) program. DIAMOND focuses on treating adult depression. By 2010, Mayo expanded the DIAMOND program to all of its primary care clinics.
This article discusses the quality measures that can impact how well an Accountable Care Organization (ACO) integrates behavioral health care.
John Fortney, PhD, explains his interest in rural telehealth, telepsychiatry and integrated care in an interview with Psychiatry Advisor. He discusses how he first became interested in rural telehealth and telepsychiatry while he was a medical geographer looking at the travel barriers people face when accessing health care services.
Drs. Roger Kathol and David Leader make the case for integrated medical and psychiatric payment platforms. Most behavioral health patients access care in the medical sector, but when mental health is not integrated into those medical sector settings, such as primary care, it can result in a lack of care and coverage.
Telemedicine-based Collaborative Care has been shown to reduce PTSD symptoms in rural veterans, according to a study published by JAMA Psychiatry.
The U.S. Military has been using Collaborative Care within their health system since 2003 when they implemented the Three Component Model, similar to a Collaborative Care model. Recently, a grant was awarded to complete an effectiveness trial of an improved Three Component Model called STEPS-UP (Stepped Enhancement of PTSD Services Using Primary Care).
Access to trained behavioral health professionals can be difficult for veterans living in rural areas. John Fortney, PhD, lead author of a new JAMA Psychiatry study, found that using a telemedicine-based Collaborative Care model improved symptoms in veterans diagnosed with severe PTSD.
In a recent Rand Corp survey, it was found that the majority of civilian behavioral health care workers did not understand military culture or appropriate treatment for illnesses unique to service. This finding shows that behavioral health workers outside of the Defense Department or Veterns Affairs cannot appropriate administer the necessary treatment for improvement.
Telemedicine-Based Collaborative Care has been shown to clinically improve PTSD symptoms in rural military veterans. The year-long study examined 265 veterans with severe PTSD who either received outpatient psychotherapy or received counseling and psychotherapy through interactive video and phone calls.