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Structural Components of Integrated Behavioral Health Care: A Comparison of National Programs
Matthew L Goldman1, Deborah M Scharf1, Jonathan D Brown1
1Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, and San Francisco Department of Public Health, San Francisco (Goldman); Department of Psychology, Lakehead University, Thunder Bay, Ontario (Scharf); Mathematica, Washington, D.C. (Brown); National Committee for Quality Assurance, Washington, D.C. (Scholle); Department of Psychiatry, Columbia University Medical Center, and New York State Psychiatric Institute, New York City (Pincus). Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.
Abstract:
Initiatives that support and incentivize the integration of behavioral health and general medical care have become a focus of government strategies to achieve the triple aim of improved health, better patient experience, and reduced costs. The authors describe the components of four large-scale national initiatives aimed at integrating care for a wide range of behavioral health needs. Commonalities across these national initiatives highlight health care and social services needs that must be addressed to improve care for people with co-occurring behavioral health and general medical conditions. These findings can inform how to design, test, select, and align the most promising strategies for integrated care in a variety of settings.
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