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Integrated behavioral health and primary care is achievable across all practice types. Successful integration requires breaking down barriers, with practice transformation support and multi-stakeholder collaboration being key for sustainability.

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Area of Science:

  • Health Services Research
  • Behavioral Health Integration
  • Primary Care Transformation

Background:

  • The integration of behavioral health services into primary care settings is a growing trend.
  • Early adopters in Colorado have gained valuable insights into the process of integration.
  • Understanding these lessons is crucial for organizations beginning their integration journey.

Purpose of the Study:

  • To discuss the process and challenges of integrating behavioral health and primary care in Colorado.
  • To share lessons learned from early adopters to guide new initiatives.
  • To advocate for strategies that promote the scaling and sustainability of integrated care models.

Main Methods:

  • This is a commentary, not a research study.
  • It synthesizes experiences and observations from early adopters of integrated care.
  • It presents arguments for the feasibility and necessity of integrated care.

Main Results:

  • Integrated care is feasible across diverse practice settings, despite existing barriers.
  • Overcoming barriers requires ongoing effort to ensure scalability and long-term sustainability.
  • Key enablers include adequate payment, workforce development, and data infrastructure.

Conclusions:

  • Practice transformation support is essential, not merely sufficient, for fundamental change.
  • Sustaining integrated care necessitates a collaborative 'village' approach involving diverse stakeholders.
  • Continued collaboration among payers, clinicians, patients, public health, philanthropy, and policymakers is vital.