Related Experiment Video
Updated: Apr 30, 2026
11:21
Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
8.0K
Behavioral Health in Independently Owned Family Medicine Practices
Brooke Ike1, Brennan Keiser1, Ajla Pleho1
1Department of Family Medicine University of Washington.
Journal of the American Board of Family Medicine : JABFM
|April 28, 2026
Summary
Independent family physicians face cost, staffing, and space barriers to integrating behavioral health (BH) care. They offer limited BH support due to resource constraints, highlighting the need for targeted strategies.
Area of Science:
- Primary Care
- Behavioral Health Integration
- Health Services Research
Background:
- Rising mental health and substance use diagnoses increase demand for behavioral health (BH) care.
- Access to BH care remains a challenge for many patients.
- Few independent family medicine practices collaborate with BH clinicians.
Purpose of the Study:
- To identify barriers to implementing integrated BH in independently owned family medicine practices.
- To explore alternative BH care delivery methods used by these practices.
Main Methods:
- Qualitative exploratory study using the Framework Method.
- Interviews conducted with 16 family physicians from independent practices.
- Participants recruited from those who completed the American Board of Family Medicine 2021-2022 Continuous Certification questionnaire.
Main Results:
- Cost, staffing, and space were key barriers to implementing and sustaining integrated BH.
- Physicians provide BH support through assessment, diagnosis, medication management, coaching, and referrals.
- Limitations in training and resources impact the scope of BH services offered.
Conclusions:
- Barriers to BH integration in independent practices mirror those in larger systems but with unique contextual nuances.
- Independent practice physicians are addressing BH service gaps within their limitations.
- Targeted strategies addressing cost, staffing, and space are crucial for sustainable BH integration.
Related Concept Videos
01:30Community Based Intervention
619
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
619
01:29Documentation in Long-Term and Home Healthcare Setting
1.5K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.5K
01:21Behavior Modification
1.0K
Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
A real-world application of operant conditioning principles is applied...
1.0K
01:30Primary Healthcare Services
3.0K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
3.0K
01:13Patient-centered Care
3.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.1K
01:15Methods of Documentation VI: Case Management Model
924
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
924