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Integrating Behavioral Health and Serious Illness Care in a Post-COVID-19 Environment
Daniel Shalev1, Brigitta Spaeth-Rublee1, Stephanie Cheung1
1Division of Geriatrics and Palliative Medicine, Weill Department of Medicine, Weill Cornell Medicine, New York City (Shalev); Department of Medicine, Division of Palliative Medicine (Shalev), and Department of Psychiatry (Pincus), Columbia University, New York City; Division of Mental Health Services and Policy Research, New York State Psychiatric Institute, New York City (Spaeth-Rublee, Pincus); Department of Psychiatry, Division of Consultation-Liaison Psychiatry (Cheung, Levenson), Irving Institute for Clinical and Translational Research (Pincus), and Vagelos College of Physicians and Surgeons (Pincus), Columbia University Irving Medical Center, New York City. Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.
Abstract:
Individuals with serious medical illnesses experience high rates of comorbid behavioral health conditions. Behavioral health comorbidity affects outcomes in serious illness care. Despite this consequence, behavioral health remains siloed from serious illness care. Prior to the COVID-19 pandemic, the authors presented a conceptual model of behavioral health integration into serious illness care. In this column, the authors reflect on this model in the context of the challenges and opportunities posed by COVID-19.
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