From our practices to yours

Key messages for the journey to integrated behavioral health

Stephanie B. Gold, Larry A. Green, Charles J Peek

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Background: The historic, cultural separation of primary care and behavioral health has caused the spread of integrated care to lag behind other practice transformation efforts. The Advancing Care Together study was a 3-year evaluation of how practices implemented integrated care in their local contexts; at its culmination, practice leaders ("innovators") identified lessons learned to pass on to others. Methods: Individual feedback from innovators, key messages created by workgroups of innovators and the study team, and a synthesis of key messages from a facilitated discussion were analyzed for themes via immersion/crystallization. Results: Five key themes were captured: (1) frame integrated care as a necessary paradigm shift to patient-centered, whole-person health care; (2) initialize: define relationships and protocols up-front, understanding they will evolve; (3) build inclusive, empowered teams to provide the foundation for integration; (4) develop a change management strategy of continuous evaluation and course-correction; and (5) use targeted data collection pertinent to integrated care to drive improvement and impart accountability. Conclusion: Innovators integrating primary care and behavioral health discerned key messages from their practical experience that they felt were worth sharing with others. Their messages present insight into the challenges unique to integrating care beyond other practice transformation efforts.

Original languageEnglish (US)
Pages (from-to)25-34
Number of pages10
JournalJournal of the American Board of Family Medicine
Volume30
Issue number1
DOIs
StatePublished - Jan 1 2017

Fingerprint

Primary Health Care
Social Responsibility
Health
Immersion
Crystallization
Delivery of Health Care
Drive

Keywords

  • Delivery of Health Care
  • Integrated
  • Mental Health
  • Practice-based Research
  • Primary Health Care

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't

Cite this

From our practices to yours : Key messages for the journey to integrated behavioral health. / Gold, Stephanie B.; Green, Larry A.; Peek, Charles J.

In: Journal of the American Board of Family Medicine, Vol. 30, No. 1, 01.01.2017, p. 25-34.

Research output: Contribution to journalReview article

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