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The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
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Implementing a Learning Collaborative for Population-Based Physical and Behavioral Health Integration.

Jaspreet S Brar1, Amanda A Maise2, Patricia Schake2

  • 1Community Care Behavioral Health, UPMC Insurance Services Division, 339 Sixth Ave., Suite 1300, Pittsburgh, PA, 15222, USA. brarjs@upmc.edu.

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Summary
This summary is machine-generated.

Behavioral Health Home Plus models improved physical and behavioral health integration for individuals with serious mental illness. A learning collaborative approach successfully scaled wellness coaching and care coordination, reducing tobacco use and hypertension.

Keywords:
Behavioral Health HomeHypertensionLearning CollaborativePhysical Health-Behavioral Health IntegrationSerious mental illnessTobacco

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Area of Science:

  • Integrative medicine
  • Public health
  • Mental health services

Background:

  • Behavioral health home models integrate physical and behavioral health care for individuals with mental illness.
  • The Behavioral Health Home Plus (BHHP) model offers a phased strategy for wellness, coaching, and care coordination.
  • Serious mental illness is often comorbid with chronic physical health conditions like tobacco use and hypertension.

Purpose of the Study:

  • To evaluate the feasibility of scaling the Behavioral Health Home Plus (BHHP) model.
  • To implement population-wide screening and intervention for tobacco use and hypertension within BHHP.
  • To assess the impact of a Learning Collaborative on integrating physical and behavioral health care.

Main Methods:

  • A 12-month Learning Collaborative was used to scale the BHHP model.
  • Two cohorts of 24 community mental health provider organizations in Pennsylvania participated.
  • The intervention focused on population-wide screening and intervention for tobacco use and hypertension.

Main Results:

  • Providers reported increased screening rates for tobacco use and hypertension.
  • Participating individuals showed increased wellness goals and reductions in tobacco use.
  • Reductions in blood pressure readings were observed among participating individuals.

Conclusions:

  • A Learning Collaborative is a feasible quality improvement strategy for scaling integrated care.
  • The BHHP model effectively integrates physical and behavioral health services for serious mental illness.
  • Scaling integrated care models can improve health outcomes for individuals with serious mental illness.