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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Special Article

The Medical Home and Integrated Behavioral Health: Advancing the Policy Agenda

Jeremy Ader, Christopher J. Stille, David Keller, Benjamin F. Miller, Michael S. Barr and James M. Perrin
Pediatrics May 2015, 135 (5) 909-917; DOI: https://doi.org/10.1542/peds.2014-3941
Jeremy Ader
aYale School of Medicine, New Haven, Connecticut;
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Christopher J. Stille
bUniversity of Colorado School of Medicine, Aurora, Colorado;
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David Keller
bUniversity of Colorado School of Medicine, Aurora, Colorado;
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Benjamin F. Miller
bUniversity of Colorado School of Medicine, Aurora, Colorado;
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Michael S. Barr
cNational Committee for Quality Assurance, Washington, District of Columbia; and
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James M. Perrin
dHarvard Medical School, Boston, Massachusetts
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Abstract

There has been a considerable expansion of the patient-centered medical home model of primary care delivery, in an effort to reduce health care costs and to improve patient experience and population health. To attain these goals, it is essential to integrate behavioral health services into the patient-centered medical home, because behavioral health problems often first present in the primary care setting, and they significantly affect physical health. At the 2013 Patient-Centered Medical Home Research Conference, an expert workgroup convened to determine policy recommendations to promote the integration of primary care and behavioral health. In this article we present these recommendations: Build demonstration projects to test existing approaches of integration, develop interdisciplinary training programs to support members of the integrated care team, implement population-based strategies to improve behavioral health, eliminate behavioral health carve-outs and test innovative payment models, and develop population-based measures to evaluate integration.

  • delivery of health care
  • patient-centered care
  • primary health care
  • pediatrics
  • mental health
  • substance-related disorders
  • Accepted January 30, 2015.
  • Copyright © 2015 by the American Academy of Pediatrics

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Pediatrics
Vol. 135, Issue 5
1 May 2015
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The Medical Home and Integrated Behavioral Health: Advancing the Policy Agenda
Jeremy Ader, Christopher J. Stille, David Keller, Benjamin F. Miller, Michael S. Barr, James M. Perrin
Pediatrics May 2015, 135 (5) 909-917; DOI: 10.1542/peds.2014-3941

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The Medical Home and Integrated Behavioral Health: Advancing the Policy Agenda
Jeremy Ader, Christopher J. Stille, David Keller, Benjamin F. Miller, Michael S. Barr, James M. Perrin
Pediatrics May 2015, 135 (5) 909-917; DOI: 10.1542/peds.2014-3941
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  • Article
    • Abstract
    • Test Selected Approaches of Behavioral Health and PCMH Integration Through Demonstration Projects and Evaluate Using a Common Conceptual Framework
    • Identify Critical Members of Integrated PCMH Teams That Are Necessary to Implement Best Practices and Develop Interdisciplinary Professional Training Programs for All Team Members
    • Improve Population Health by Implementing Population-Based Practices and Establishing Linkages With Community Resources
    • Eliminate Behavioral Health Carve-Outs and Align and Test Innovative Payment Strategies With Integrated Approaches
    • Develop a New Generation of Measures That Are Population-Focused and Attuned to Detecting the Societal Impact of Behavioral Health Integration
    • Conclusions
    • Acknowledgments
    • Footnotes
    • References
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  • Info & Metrics
  • Comments

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  • Integrating Psychological Screening Into Medical Care for Youth With Abdominal Pain
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  • Evolving Federal and State Health Care Policy: Toward a More Integrated and Comprehensive Care-Delivery System for Children With Medical Complexity
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  • Enrolling Minors in COVID-19 Vaccine Trials
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