Introduction: Integrated Care—The Promise and the Challenges

  • William T. O’DonohueEmail author


In the last few decades, integrated care has received a wide amount of favorable comment and even fairly widespread adoption. Histories of our field will likely note that this dramatic shift has been nearly unprecedented in the first century of applied psychology: perhaps only the role of the Veteran Affairs after WWII has behavioral health demonstrated such a significant shift in both the way services are delivered and in the way behavioral health professionals are trained. However, it is also fair to say that the changes brought forth by the rise of integrated care are perhaps even larger as integrated care represents a new paradigm: consultation and brief screening and interventions with a high volume of patients in a primary care setting are simply a new paradigm for the delivery of behavioral health services. To be sure, the traditional behavioral health delivery paradigm is generally fine: in fact, integrated care with its case finding in the primary care setting requires a robust specialty care delivery system to refer more complex or long-term patients. However, there are many unresolved questions about the new integrated care paradigm.


Integrated care Medical cost offset Implementation Evidence based treatment Quality improvement 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Clinical PsychologyUniversity of NevadaRenoUSA

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