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Leveraging Behavioral Health Expertise: Practices and Potential of the Project ECHO Approach to Virtually Integrating
Brant Hager1, Michael Hasselberg1, Eric Arzubi1
1Dr. Hager is with the Department of Psychiatry and Behavioral Sciences, University of New Mexico School of Medicine, Albuquerque. Dr. Hasselberg and Dr. Richman are with the Department of Psychiatry, University of Rochester, Rochester, New York. Dr. Arzubi is with the Department of Psychiatry, Billings Clinic, Billings, Montana. Dr. Betlinski is with the Department of Psychiatry, Oregon Health and Science University, Portland. Dr. Duncan is with the Department of Psychiatry, University of Washington, Seattle. Dr. Raney is with Health Management Associates, Denver, Colorado. Benjamin G. Druss, M.D., M.P.H., and Gail L. Daumit, M.D., M.H.S., are editors of this column.
Abstract:
This column describes Project ECHO (Extension for Community Healthcare Outcomes), a teleconsultation, tele-education, telementoring model for enhancing primary care treatment of underserved patients with complex medical conditions. Numerous centers have adapted ECHO to support primary care treatment of behavioral health disorders. Preliminary evidence for behavioral health ECHO programs suggests positive impacts on providers, treatment planning, and emergency department costs. ECHO has the potential to improve access to effective and cost-effective behavioral health care by virtually integrating behavioral health knowledge and support in sites where specialty providers are not available. Patient-level outcomes research is critical.
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