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Evolving Models of Integrated Behavioral Health and Primary Care

  • Parashar RamanujEmail author
  • Erin Ferenchik
  • Mary Docherty
  • Brigitta Spaeth-Rublee
  • Harold Alan Pincus
Public Policy and Public Health (G Norquist, Section Editor)
  • 135 Downloads
Part of the following topical collections:
  1. Topical Collection on Public Policy and Public Health

Abstract

Purpose of Review

Mental and physical disorders commonly co-occur leading to higher morbidity and mortality in people with mental and substance use disorders (collectively called behavioral health disorders). Models to integrate primary and behavioral health care for this population have not yet been implemented widely across health systems, leading to efforts to adapt models for specific subpopulations and mechanisms to facilitate more widespread adoption.

Recent Findings

Using examples from the UK and USA, we describe recent advances to integrate behavioral and primary care for new target populations including people with serious mental illness, people at the extremes of life, and for people with substance use disorders. We summarize mechanisms to incentivize integration efforts and to stimulate new integration between health and social services in primary care. We then present an outline of recent enablers for integration, concentrating on changes to funding mechanisms, developments in quality outcome measurements to promote collaborative working, and pragmatic guidance aimed at primary care providers wishing to enhance provision of behavioral care.

Summary

Integrating care between primary care and behavioral health services is a complex process. Established models of integrated care are now being tailored to target specific patient populations and policy initiatives developed to encourage adoption in particular settings. Wholly novel approaches to integrate care are significantly less common. Future efforts to integrate care should allow for flexibility and innovation around implementation, payment models that support delivery of high value care, and the development of outcome measures that incentivize collaborative working practices.

Keywords

Integrated care Collaborative care Mental health services Primary care Co-occurring conditions 

Notes

Funding

This report was supported through two grants from the Commonwealth Fund of New York awarded to the New York State Psychiatric Institute. The views expressed here are those of the authors and not necessarily those of the Commonwealth Fund.

Compliance with Ethical Standards

Conflict of Interest

Erin Ferenchik, Mary Docherty, and Brigitta Spaeth-Rublee declare no conflict of interest.

Parashar Ramanuj has received honoraria from the Institute for Healthcare Improvement not related to this work.

Harold Alan Pincus declares he is a member of the Council on Quality of Care at the American Psychiatric Association for which he receives no remuneration.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 1.
    National Institute of Mental Health. 2017. https://www.nimh.nih.gov/health/statistics/mental-illness.shtml. Accessed 5 Jul 2018.
  2. 2.
    McManus S, Bebbington P, Jenkins R, Brugha T. Adult Psychiatric Morbidity Survey 2014: Mental health and wellbeing in England. NHS Digital 2016http://webarchivenationalarchivesgovuk/20180328140249/http://digitalnhsuk/catalogue/PUB21748 Accessed 11 Aug 2018.
  3. 3.
    •• Druss BG, Walker ER. Mental disorders and medical comorbidity. Synth Proj Res Synth Rep. 2011;21:1–26 This article highlights that people with physical and mental comorbidities represent a significant and costly proportion of the population. It underscores that the most effective and cost-effective treatment for people with such comorbidities is an integrated approach. Google Scholar
  4. 4.
    Katon WJ. Clinical and health services relationships between major depression, depressive symptoms, and general medical illness. Biol Psychiatry. 2003;3:216–26.CrossRefGoogle Scholar
  5. 5.
    Walker ER, McGee RE, Druss BG. Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA Psychiatry. 2015;72:334–41.PubMedPubMedCentralCrossRefGoogle Scholar
  6. 6.
    Lawrence D, Kisely S. Inequalities in healthcare provision for people with severe mental illness. J Psychopharmacol. 2010;24:61–8.  https://doi.org/10.1177/1359786810382058.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Roberts L, Roalfe A, Wilson S. Physical health care of patients with schizophrenia in primary care: a comparative study. Fam Pract. 2007;24:34–40.PubMedCrossRefGoogle Scholar
  8. 8.
    McIntyre RS, Soczynska JK, Beyer JL. Medical comorbidity in bipolar disorder: re-prioritizing unmet needs. Curr Opin Psychiatry. 2007;20:406–16.PubMedCrossRefGoogle Scholar
  9. 9.
    Fagiolini A, Goracci A. The effects of undertreated chronic medical illnesses in patients with severe mental disorders. J Clin Psychiatry. 2009;70:22–9.PubMedCrossRefGoogle Scholar
  10. 10.
    Shen C, Sambamoorthi U, Rust G. Co-occurring mental illness and health care utilization and expenditures in adults with obesity and chronic physical illness. Dis Manag. 2008;11:153–60.PubMedCrossRefGoogle Scholar
  11. 11.
    Peek CJ, National Integration Academy Council. Lexicon for Behavioral Health and Primary Care Integration: Concepts and Definitions Developed by Expert Consensus. Agency for Healthcare Research and Quality. https://integrationacademy.ahrq.gov/node/3158 Accessed 1 Jul 2018.
  12. 12.
    •• Huffman JC, Niazi SK, Rundell JR, et al. Essential articles on collaborative care models for the treatment of psychiatric disorders in medical settings: a publication by the academy of psychosomatic medicine research and evidence-based practice committee. Psychosomatics. 2014;55:109–22 Review of important and high-quality articles on collaborative care models for the treatment of psychiatric disorders in medical settings. PubMedCrossRefGoogle Scholar
  13. 13.
    Crowley RA, Kirschner N. The integration of care for mental health, substance abuse, and other behavioral health conditions into primary care: executive summary of an American College of Physicians Position Paper. Ann Int Med. 2015;163:298–9.PubMedCrossRefGoogle Scholar
  14. 14.
    •• Unützer J, Katon W, Callahan CM, et al. Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. J Am Med Assoc. 2002;288:2836–45 The first randomized controlled trial that showed the potential benefits of the Collaborative Care Model, which still remains the most evidenced model of integrated care delivery in primary care. CrossRefGoogle Scholar
  15. 15.
    American Psychiatric Association & Academy of Psychosomatic Medicine. Dissemination of integrated care within adult primary care settings: the Collaborative Care Model. 2016. https://www.integration.samhsa.gov/integrated-care-models/APA-APM-Dissemination-Integrated-Care-Report.pdf Accessed on 20 Jul 2018.
  16. 16.
    • Goodrich DE, Kilbourne AM, Nord KM, Bauer MS. Mental health collaborative care and its role in primary care settings. Curr Psychiatry Rep. 2013;15:383 A good evidence summary of the potential benefits of mental health collaborative care and how it may be implemented in primary care. PubMedPubMedCentralCrossRefGoogle Scholar
  17. 17.
    Bogner HR, Morales KH, de Vries HF, Cappola AR. Integrated management of Type 2 diabetes mellitus and depression treatment to improve medication adherence: a randomized controlled trial. Ann Fam Med. 2012;10:15–22.PubMedPubMedCentralCrossRefGoogle Scholar
  18. 18.
    • Archer J, Bower P, Gilbody S, et al. Collaborative care for depression and anxiety problems. Cochrane Database Sys Rev. 2012;10:CD006525 Review of randomised controlled trials (RCTs) that assess the effectiveness of collaborative care for patients with depression or anxiety.Google Scholar
  19. 19.
    • Camacho EM, Davies LM, Hann M, et al. Long-term clinical and cost-effectiveness of collaborative care (versus usual care) for people with mental-physical multimorbidity: cluster-randomised trial. Br J Psychiatry. 2018;213:456–63 Report on long-term clinical and cost-effectiveness of collaborative care for people with depression and physical multimorbidity as part of the Collaborative Interventions for Circulation and Depression (COINCIDE) trial from the perspective of the English National Health Service. PubMedCrossRefGoogle Scholar
  20. 20.
    •• Green C, Richards DA, Hill JJ, et al. Cost-effectiveness of collaborative care for depression in UK primary care: economic evaluation of a randomized controlled trial (CADET). PLoS ONE. 2014.  https://doi.org/10.1371/journal.pone.0104225 Report on results of an economic evaluation of collaborative care versus usual care carried out in the UK alongside the CADET trial.
  21. 21.
    •• Camacho EM, Ntais D, Coventry P, Bower P, Lovell K, Chew-Graham C, et al. Long-term cost-effectiveness of collaborative care (vs usual care) for people with depression and comorbid diabetes or cardiovascular disease: a Markov model informed by the COINCIDE randomised controlled trial. BMJ Open. 2016;6:e012514.PubMedPubMedCentralCrossRefGoogle Scholar
  22. 22.
    McCance-Katz EF, Satterfield J. SBIRT: a key to integrate prevention and treatment of substance abuse in primary care. Am J Addic. 2012;21:176–7.CrossRefGoogle Scholar
  23. 23.
    Saitz R, Palfai TPA, Cheng DM, Alford DP, Bernstein JA, Lloyd-Travaglini CA, et al. Screening and brief intervention for drug use in primary care: the ASPIRE randomized controlled trial. J Am Med Assoc. 2014;312:502–13.CrossRefGoogle Scholar
  24. 24.
    Glass JE, Hamilton AM, Powell BJ, Perron BE, Brown RT, Ilgen MA. Specialty substance use disorder services following brief alcohol intervention: a meta-analysis of randomized controlled trials. Addiction. 2015;110:1404–15.PubMedPubMedCentralCrossRefGoogle Scholar
  25. 25.
    Kaner EFS, Beyer FR, Muirhead C, et al. Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database of Sys Rev. 2018;2:CD004148.Google Scholar
  26. 26.
    Babor TF, Del Boca F, Bray JW. Screening, brief intervention and referral to treatment: implications of SAMHSA's SBIRT initiative for substance abuse policy and practice. Addiction. 2017;112(S2):110–7.PubMedCrossRefGoogle Scholar
  27. 27.
    Platt L, Melendez-Torres GJ, O’Donnell A, et al. How effective are brief interventions in reducing alcohol consumption: do the setting, practitioner group and content matter? Findings from a systematic review and metaregression analysis. BMJ Open. 2016;6:e011473.  https://doi.org/10.1136/bmjopen-2016-011473.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Vendetti J, Gmyrek A, Damon D, Singh M, McRee B, del Boca F. Screening, brief intervention and referral to treatment (SBIRT): implementation barriers, facilitators and model migration. Addiction. 2017;112:23–33.PubMedCrossRefGoogle Scholar
  29. 29.
    Katon W, Unützer J, Wells K, Jones L. Collaborative depression care: history, evolution and ways to enhance dissemination and sustainability. Gen Hosp Psychiatry. 2010;32:456–64.  https://doi.org/10.1016/j.genhosppsych.2010.04.001.CrossRefPubMedGoogle Scholar
  30. 30.
    •• Ramanuj PP, Talley R, Breslau J, Wang SS, Pincus HA. Integrating behavioral health and primary care services for people with serious mental illness: a qualitative systems analysis of integration in New York. Community Ment Health J. 2018.  https://doi.org/10.1007/s10597-018-0251-y A system-wide analysis that challenges the conventional thinking of integration extending from minimal to fully integrated along a single continuum, proposing that integration actually depends on a multitude of factors interacting in a network and along simultaneous, parallel continuums.
  31. 31.
    Scharf DM, Eberhart NK, Hackbarth NS, et al. Evaluation of the SAMHSA primary and behavioral health care integration (PBHCI) Grant program: final report. Rand Health Q. 2014;4:6.PubMedPubMedCentralGoogle Scholar
  32. 32.
    Ramanuj PP, Breslau J, Strathdee G, Spaeth-Rublee B, Pincus HA. Carrots and sticks on opposite sides of the Atlantic: integration incentives for people with serious mental illness in England. Psychiatr Serv. 2017;68:430–2.PubMedCrossRefGoogle Scholar
  33. 33.
    Miskowiec D, Rosenberg L. What is a CCBHC? Washington DC: National Council for Behavioral Health; 2015.Google Scholar
  34. 34.
    Perinatal Mental Health Project, The perinatal mental health mid-year report: January–June 2013. Cape Town, SA; 2013.Google Scholar
  35. 35.
    Sarvet B, Gold J, Bostic JQ, Masek BJ, Prince JB, Jeffers-Terry M, et al. Improving access to mental health care for children: the Massachusetts child psychiatry access project. Pediatrics. 2010;126:1191–200.PubMedCrossRefGoogle Scholar
  36. 36.
    Watkins KE, Ober AJ, Lamp K, Lind M, Setodji C, Osilla KC, et al. Collaborative care for opioid and alcohol use disorders in primary care: the SUMMIT randomized clinical trial. JAMA Intern Med. 2017;177:1480–8.PubMedPubMedCentralCrossRefGoogle Scholar
  37. 37.
    Saitz R, Cheng DM, Winter M, Kim TW, Meli SM, Allensworth-Davies D, et al. Chronic care management for dependence on alcohol and other drugs: the AHEAD randomized trial. JAMA. 2013;310:1156–67.PubMedPubMedCentralCrossRefGoogle Scholar
  38. 38.
    Goldman ML, Spaeth-Rublee B, Pincus HA. The case for severe mental illness as a disparities category. Psychiatr Serv. 2018;69:726–8.  https://doi.org/10.1176/appi.ps.201700138.CrossRefPubMedGoogle Scholar
  39. 39.
    John A, McGregor J, Jones I, Lee SC, Walters JTR, Owen MJ, et al. Premature mortality among people with severe mental illness. Schizophrenia Res. 2018;199:154–62.  https://doi.org/10.1016/j.schres.2018.04.009.CrossRefGoogle Scholar
  40. 40.
    • Osborn D, Burton A, Hunter R, et al. Clinical and cost-effectiveness of an intervention for reducing cholesterol and cardiovascular risk for people with severe mental illness in English primary care: cluster randomised controlled trial. Lancet Psychiatry. 2018.  https://doi.org/10.1016/S2215-0366(18)30007-5 A high-quality cluster RCT examining the impact of a primary care intervention on decreasing cardiovascular disease risk in people with severe mental illnesses which found a potential association between the intervention and reduced psychiatric admissions.
  41. 41.
    McCrone P, Wright S, Zala D, et al. Location of care for people with serious mental illness (LOCAPE): implications for service use and costs using a mixed-methods approach. NIHR Journals Library. Health Services and Delivery Research, No. 4.34. 2016. https://www.ncbi.nlm.nih.gov/books/NBK401613/ Accessed 14 Aug 2018.
  42. 42.
    Healthy London Partnership. A review of the scientific literature informing the development of models of primary care in mental health. 2017. https://www.healthylondon.org/wp-content/uploads/2017/11/Literature-review-Primary-care-mental-health-service-development.pdfAccessed 5 Jul 2018.
  43. 43.
    Röhricht F, Waddon GK, Binfield P, England R, Fradgley R, Hertel L, et al. Implementation of a novel primary care pathway for patients with severe and enduring mental illness. BJPsych Bull. 2017;41:314–9.PubMedPubMedCentralCrossRefGoogle Scholar
  44. 44.
    Unützer J. Late-life depression. New Eng J Med. 2007;357:2269–76.PubMedCrossRefGoogle Scholar
  45. 45.
    Gilbody S, Lewis H, Adamson J, Atherton K, Bailey D, Birtwistle J, et al. Effect of collaborative care vs. usual care on depressive symptoms in older adults with subthreshold depression: the CASPER randomized clinical trial. J Am Med Assoc. 2017;317:728–37.CrossRefGoogle Scholar
  46. 46.
    Barry LC, Abou JJ, Simen AA, Gill TM. Under-treatment of depression in older persons. J Affect Disord. 2012;136:789–96.PubMedCrossRefGoogle Scholar
  47. 47.
    Cuijpers P, Smit F. Excess mortality in depression: a meta-analysis of community studies. J Affect Disord. 2002;72:227–36.PubMedCrossRefGoogle Scholar
  48. 48.
    Schulz R, Drayer RA, Rollman BL. Depression as a risk factor for non-suicide mortality in the elderly. Biol Psychiatry. 2002;52:205–25.PubMedCrossRefGoogle Scholar
  49. 49.
    Coventry P, Lovell K, Dickens C, Bower P, Chew-Graham C, McElvenny D, et al. Integrated primary care for patients with mental and physical multimorbidity: cluster randomised controlled trial of collaborative care for patients with depression comorbid with diabetes or cardiovascular disease. BMJ. 2015;350:h638.PubMedPubMedCentralCrossRefGoogle Scholar
  50. 50.
    • Naylor C, Taggart H, Charles A. Mental health and new models of care: lessons from the vanguards. London: The King’s Fund; 2017. https://www.rcpsych.ac.uk/pdf/MH_new_models_care_Kings_Fund_May_2017.pdf Accessed 11 August 2018. A useful summary of the adoption (or lack thereof) of integrated care in English integrated care systems. It provides case examples of good practice as well as key learning points as integrated care is rolled out from pilot sites to across the National Health Service in England and Wales. Google Scholar
  51. 51.
    Rahman A, Surkan PJ, Cayetano CE, Rwagatare P, Dickson KE. Grand challenges: integrating maternal mental health into maternal and child health programmes. PLoS Med. 2013;10:e1001442.PubMedPubMedCentralCrossRefGoogle Scholar
  52. 52.
    Schor EL. Maternal depression screening as an opening to address social determinants of children's health. JAMA Pediatr. 2018;172:717–9.  https://doi.org/10.1001/jamapediatrics.2018.1038.CrossRefPubMedGoogle Scholar
  53. 53.
    Stephens S, Ford E, Paudyal P, Smith H. Effectiveness of psychological interventions for postnatal depression in primary care: a meta-analysis. Ann Fam Med. 2016;14:463–72.PubMedPubMedCentralCrossRefGoogle Scholar
  54. 54.
    Asarnow JR, Kolko DJ, Miranda J, Kazak AE. The pediatric patient centered medical homes: innovative models for behavioural health. Am Psychol. 2017;72:13–27.PubMedCrossRefGoogle Scholar
  55. 55.
    Richardson LP, Ludman E, McCauley E, Lindenbaum J, Larison C, Zhou C, et al. Collaborative care for adolescents with depression in primary care: a randomized clinical trial. JAMA. 2014;312:809–16.PubMedPubMedCentralCrossRefGoogle Scholar
  56. 56.
    Rapp AM, Chavira DA, Sugar CA, Asarnow JR. Integrated primary medical-behavioral health care for adolescent and young adult depression: predictors of service use in the youth partners in care trial. J Pediatr Psychol. 2017;42:1051–64.PubMedPubMedCentralCrossRefGoogle Scholar
  57. 57.
    Kolko DJ, Campo J, Kilbourne AM, Hart J, Sakolsky D, Wisniewski S. Collaborative care outcomes for pediatric behavioral health problems: a cluster randomized trial. Pediatrics. 2014;133:e981–92.PubMedPubMedCentralCrossRefGoogle Scholar
  58. 58.
    Asarnow JR, Rozenman M, Wiblin J, Zeltzer L. Integrated medical-behavioral care compared with usual primary care for child and adolescent behavioral health: a meta-analysis. JAMA Pediatr. 2015;169:929–37.PubMedCrossRefGoogle Scholar
  59. 59.
    Kinchin I, Tsey K, Heyeres M, Cadet-James Y. Systematic review of youth mental health service integration research. Aust J Prim Health. 2016;22:304–15.PubMedCrossRefGoogle Scholar
  60. 60.
    Asarnow JR, Jaycox LH, Tang L, et al. Long-term benefits of short-term quality improvement interventions for depressed youths in primary care. Am J Psychiatry. 2009;166:1002–10.PubMedCrossRefGoogle Scholar
  61. 61.
    Kolko DJ. Options for the delivery of mental health services. In: McInerny TK, Adam HM, Campbell DE, Kamat DM, Kelleher KJ, editors. American Academy of Pediatrics textbook of pediatric care. Elk Grove Village: American Academy of Pediatrics; 2008. p. 1168–76.Google Scholar
  62. 62.
    Straus JH, Sarvet B. Behavioral health care for children: the Massachusetts child psychiatry access project. Health Aff. 2014;33:2153–61.CrossRefGoogle Scholar
  63. 63.
    Watkins KE, Paddock SM, Hudson TJ, Ounpraseuth S, Schrader AM, Hepner KA, et al. Association between quality measures and mortality in individuals with co-occurring mental health and substance use disorders. J Subst Abus Treat. 2016;69:1–8.CrossRefGoogle Scholar
  64. 64.
    Rehm J, Anderson P, Manthkey J, et al. Alcohol use disorders in primary health care: what do we know and where do we go? Alcohol Alcohol. 2016;51:422–7.PubMedCrossRefGoogle Scholar
  65. 65.
    Anderson P, O’Donnell A, Kaner E. Managing alcohol use disorder in primary health care. Curr Psychiatry Rep. 2017;19:79.PubMedPubMedCentralCrossRefGoogle Scholar
  66. 66.
    O’Donnell A, Anderson P, Newbury-Birch D, et al. The impact of brief alcohol interventions in primary healthcare: a systematic review of reviews. Alcohol Alcohol. 2014;49:66–78.PubMedCrossRefGoogle Scholar
  67. 67.
    Hargraves D, White C, Frederick R, Cinibulk M, Peters M, Young A, et al. Implementing SBIRT (screening, brief intervention and referral to treatment) in primary care: lessons learned from a multi-practice evaluation portfolio. Public Health Rev. 2017;38:31.PubMedPubMedCentralCrossRefGoogle Scholar
  68. 68.
    Bradley KA, Bobb JF, Ludman EJ, Chavez LJ, Saxon AJ, Merrill JO, et al. Alcohol-related nurse care management in primary care: a randomized clinical trial. JAMA Intern Med. 2018;178:613–21.PubMedCrossRefGoogle Scholar
  69. 69.
    Oslin DW, Lynch KG, Maisto SA, Lantinga LJ, McKay JR, Possemato K, et al. A randomized clinical trial of alcohol care management delivered in Department of Veterans Affairs primary care clinics versus specialty addiction treatment. J Gen Int Med. 2014;29:162–8.CrossRefGoogle Scholar
  70. 70.
    Ober AJ, Watkins KE, Hunter SB, Ewing B, Lamp K, Lind M, et al. Assessing and improving organizational readiness to implement substance use disorder treatment in primary care: findings from the SUMMIT study. BMC Fam Pract. 2017;18:107.PubMedPubMedCentralCrossRefGoogle Scholar
  71. 71.
    Donald M, Dower J, Kavanagh D. Integrated versus non-integrated management and care for clients with co-occurring mental health and substance use disorders: a qualitative systematic review of randomised controlled trials. Soc Sci Med. 2005;60:1371–83.PubMedCrossRefGoogle Scholar
  72. 72.
    Delgadillo J, Kay-Lambkin F. Closing the science-practice gap: introduction to the special issue on psychological interventions for comorbid addictions and mental health problems. Adv Dual Diag. 2016.  https://doi.org/10.1108/ADD-06-2016-0013.
  73. 73.
    Storholm ED, Ober AJ, Hunter SB, Becker KM, Iyiewuare PO, Pham C, et al. Barriers to integrating the continuum of care for opioid and alcohol use disorders in primary care: a qualitative longitudinal study. J Subst Abus Treat. 2017;83:45–54.CrossRefGoogle Scholar
  74. 74.
    Ducharme LJ, Chandler RK, Harris AH. Implementing effective substance abuse treatments in general medical settings: mapping the research terrain. J Subst Abus Treat. 2016;60:110–8.CrossRefGoogle Scholar
  75. 75.
    Savic M, Best D, Manning V, Lubman DI. Strategies to facilitate integrated care for people with alcohol and other drug problems: a systematic review. Subst Abuse Treat Prev Policy. 2017;12:19.PubMedPubMedCentralCrossRefGoogle Scholar
  76. 76.
    Hunt GE, Siegfried N, Morley K, et al. Psychosocial interventions for people with both severe mental illness and substance misuse. Cochrane Database Syst Rev. 2013;10:CD001088.Google Scholar
  77. 77.
    Barrowclough C, Haddock G, Wykes T, et al. Integrated motivational interviewing and cognitive behavioural therapy for people with psychosis and comorbid substance misuse: randomised controlled trial. BMJ. 2010;341:c6325.PubMedPubMedCentralCrossRefGoogle Scholar
  78. 78.
    Hunter SB, Ober AJ, McCullough CM, et al. Sustaining alcohol and opioid use disorder treatment in primary care: a mixed methods study. Implement Sci. 2018;13:83.PubMedPubMedCentralCrossRefGoogle Scholar
  79. 79.
    Cameron A, Lart R, Bostock L, Coomber C. Factors that promote and hinder joint and integrated working between health and social care services: a review of research literature. Health Soc Care Community. 2014;22:225–33.PubMedCrossRefGoogle Scholar
  80. 80.
    Beers A, Spencer A, Moses K, Hamblin A. Center for Health Care Strategies. Promoting better health beyond health care: state-level multi-sector actions for addressing the social, economic, and environmental factors that impact health. Hamilton: Center for Health Care Strategies, Inc.; 2018.Google Scholar
  81. 81.
    Shim RS, Compton MT. Addressing the social determinants of mental health: if not now, when? If not us, who? Psychiatr Serv. 2018;69:844–6.PubMedCrossRefGoogle Scholar
  82. 82.
    Winfield L, DeSalvo K, Muhlestein D. Social determinants matter, but who is responsible? Salt Lake City: Leavitt Partners; 2018.Google Scholar
  83. 83.
    Chazin S,Freda B, Kozick D, Spencer A. Bridging community-based human services and health care: case study series. Partnership for Healthy Outcomes, coordinated by the Nonprofit Finance Fund, the Center for Health Care Strategies, and the Alliance for Strong Families and Communities. 2017. https://www.chcs.org/resource/bridgingcommunity-based-human-services-health-care-case-studies/. Accessed 14 Aug 2018.
  84. 84.
    Bonney J, Chang DI. Community care coordination systems: connecting patients to community services. AcademyHealth and Nemours Children’s Health Systems . 2018. https://www.academyhealth.org/sites/default/files/community_care_coordination_systems_may2018.pdf Accessed 14 Aug 2018.
  85. 85.
    Murphy SME, Hough DE, Sylvia ML, Sherry M, Dunbar LJ, Zollinger R, et al. Going beyond clinical care to reduce health care spending: findings from the J-CHIP community-based population health management program evaluation. Med Care. 2018;56:603–9.PubMedCrossRefGoogle Scholar
  86. 86.
    Miller E, Nath T, Line L. Working together toward better health outcomes. Partnership for healthy outcomes, coordinated by the nonprofit finance fund, the Center for Health Care Strategies, and the Alliance for Strong Families and Communities. 2017. https://www.chcs.org/resource/working-together-toward-better-health-outcomes/ Accessed 14 Aug 2018.
  87. 87.
    Bao Y, McGuire T, Chan Y-F, Eggman AA, Ryan AM, Bruce ML, et al. Value based payment in implementing evidence-based care: the mental health integration program in Washington State. Am J Manag Care. 2017;23:48–53.PubMedPubMedCentralGoogle Scholar
  88. 88.
    Lewis VA, Colla CH, Tierney K, van Citters AD, Fisher ES, Meara E. Few ACOs pursue innovative models that integrate care for mental illness and substance abuse with primary care. Health Aff. 2014;33:1808–16.CrossRefGoogle Scholar
  89. 89.
    Kessler R, Miller BF, Kelly M, Graham D, Kennedy A, Littenberg B, et al. Mental health, substance abuse, and health behavior services in patient-centered medical homes. J Am Board Fam Med. 2014;27:637–44.PubMedCrossRefGoogle Scholar
  90. 90.
    NHS England. Report of the review of the Quality and Outcomes Framework in England. 2018 https://www.england.nhs.uk/wp-content/uploads/2018/07/05-a-i-pb-04-07-2018-qof-report.pdf Accessed 5 Jul 2018.
  91. 91.
    Wilding A, Kontonpantelis E, Munford L, Sutton M. Impact of removing indicators from the Quality and Outcomes Framework: retrospective study using individual patient data in England. Report to NHS England. Policy Research Unit in Commissioning and the Healthcare System . 2018. http://blogs.lshtm.ac.uk/prucomm/files/2018/07/QOF-Removal-report-2-July-2018-.pdf Accessed 14 Aug 2018.
  92. 92.
    The Working Party Group on Integrated Behavioral Healthcare. Joint principles: integrating behavioral health care into the patient-centered medical home. Ann Fam Med. 2014;12:183–5.PubMedCentralCrossRefPubMedGoogle Scholar
  93. 93.
    • Pincus HA, Li M, Scharf DM, et al. Prioritizing quality measure concepts at the interface of behavioral and physical healthcare. Int J Qual Health Care. 2017;29:557–63 Delphi study which identifies candidate measure concepts to guide future healthcare quality measures development at the interface of behavioral and physical health care.PubMedPubMedCentralCrossRefGoogle Scholar
  94. 94.
    Goldman ML, Spaeth-Rublee B, Pincus HA. Quality indicators for physical and behavioral health care integration. J Am Med Assoc. 2015;314:769–70.CrossRefGoogle Scholar
  95. 95.
    Kilbourne AM, Beck K, Spaeth-Rublee B, Ramanuj P, O'Brien RW, Tomoyasu N, et al. Measuring and improving the quality of mental health care: a global perspective. World Psychiatry. 2018;17:30–8.PubMedPubMedCentralCrossRefGoogle Scholar
  96. 96.
    Goldman ML, Spaeth-Rublee B, Nowels AD, Ramanuj PP, Pincus HA. Quality measures at the interface of behavioral health and primary care. Curr Psychiatry Rep. 2016;18:39.PubMedPubMedCentralCrossRefGoogle Scholar
  97. 97.
    Ramanuj PP, Scharf DM, Ferenchik E, et al. Measuring efficiency at the interface of behavioral and physical health care. J Ment Health Policy Econ. 2018;21:79–86.PubMedGoogle Scholar
  98. 98.
    Osborn R, Moulds D, Schneider EC, Doty MM, Squires D, Sarnak DO. Primary care physicians in ten countries report challenges caring for patients with complex health needs. Health Aff. 2015;34:2104–12.CrossRefGoogle Scholar
  99. 99.
    Sudak D, Roy A, Sudak H, Lipschitz A, Maltsberger J, Hendin H. Deficiencies in suicide training in primary care specialties: a survey of training directors. Acad Psychiatry. 2007;31:345–9.PubMedCrossRefGoogle Scholar
  100. 100.
    Chung H, Rostanski N, Glassberg H, Pincus HA. Advancing integration of behavioural health into primary care: a continuum-based framework. United Hospital Fund, New York City, NY; 2016. https://uhfnyc.org/publications/881131 Accessed on: 13 August 2018.
  101. 101.
    •• Chapman E, Chung H, Pincus HA. Using a continuum-based framework for heath integration into primary care in New York State. Psychiatr Serv. 2017;68:756–8 This article posits a practical framework to help providers integrate behavioral health into primary care settings and delineates clear steps as practices move from beginning to intermediate to advanced stages of integrated care.. PubMedCrossRefGoogle Scholar
  102. 102.
    Williams AB. Issue brief: behavioral health and health IT. Washington DC: The Office of the National Coordinator for Health Information Technology; 2013. https://www.healthit.gov/sites/default/files/bhandhit_issue_brief.pdf Accessed on: 13 August 2018.Google Scholar
  103. 103.
    Miller BF, Petterson S, Burke BT, Phillips RL, Green LA. Colocating behavioral health and primary care and the prospects for an integrated workforce. Am Psychol. 2014;69:443–51.PubMedCrossRefGoogle Scholar
  104. 104.
    Bates DW, Saria S, Ohno-Machado L, Shah A, Escobar G. Big data in health care: using analytics to identify and manage high-risk and high-costs patients. Health Aff. 2014;33:1123–31.CrossRefGoogle Scholar
  105. 105.
    Schofield P. Big data in mental health research–do the ns justify the means? Using large data-sets of electronic health records for mental health research. BJPsych Bull. 2017;41:129–32.PubMedPubMedCentralCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Parashar Ramanuj
    • 1
    Email author
  • Erin Ferenchik
    • 2
  • Mary Docherty
    • 3
  • Brigitta Spaeth-Rublee
    • 4
  • Harold Alan Pincus
    • 4
  1. 1.Imperial College Health PartnersLondonUK
  2. 2.Center for Family and Community MedicineColumbia University Medical CenterNew YorkUSA
  3. 3.Department of Psychological MedicineSouth London and Maudsley NHS Foundation TrustLondonUK
  4. 4.New York State Psychiatric InstituteNew YorkUSA

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