Related Experiment Video
Updated: Jun 26, 2026
05:10
Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Behavioral health consultation and primary care: lessons learned
Patricia J Robinson1, Kirk D Strosahl
1Mountainview Consulting Group, Zillah, WA 98953, USA. patti1510@msn.com
Journal of Clinical Psychology in Medical Settings
|February 3, 2009
Summary
This article details 20 years of experience with the Primary Care Behavioral Health (PCBH) model, enhancing access to behavioral care within primary care settings. The PCBH model integrates behavioral health consultants as team members for improved patient access and outcomes.
Area of Science:
- Health Services Research
- Primary Care Medicine
- Behavioral Health Integration
Background:
- The Primary Care Behavioral Health (PCBH) model was developed to address the need for accessible behavioral health services within primary care.
- The model positions behavioral health consultants as core members of the primary care team, embedded within the exam room area.
Purpose of the Study:
- To provide an overview of 20 years of experience in developing and implementing the PCBH model.
- To review the roles of research, quality improvement, and stakeholder analysis in promoting integrated care.
- To describe current efforts in developing integration targets and using the PCBH model for training.
Main Methods:
- The study reviews 20 years of professional experience in developing and implementing the PCBH model.
- It involved testing various approaches to behavioral health services in general medicine.
- System testing was conducted with multiple healthcare organizations and government agencies.
Main Results:
- The PCBH model facilitates immediate access to behavioral care for a large number of primary care patients.
- The model has been system-tested across diverse healthcare settings.
- Current efforts focus on creating tools for integration targets and training providers within the PCBH framework.
Conclusions:
- The PCBH model offers a viable approach to integrating behavioral health services into primary care.
- Dissemination efforts are crucial for promoting integrated care, supported by research and quality improvement.
- The PCBH model serves as a platform for training integrated care teams.
Related Concept Videos
01:30Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:30Community Based Intervention
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
01:13Patient-centered Care
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:30Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...