Integrated Primary and Behavioral Care: Role in Medical Homes and Chronic Disease Management

This timely analysis spotlights the concepts and possibilities of the Patient-Centered Medical Home for bringing mental health and other specialties into primary care. Overview chapters present the Patient-Centered Medical Home model, emphasizing how such systems are organized to solve widespread problems with accessibility, affordability, efficiency, and safety. Practitioner roles, boundaries, and opportunities plus applications are clarified, as well as staffing, financial, and technological challenges. And the section on applications describe care models for special populations, such as comprehensive services to the seriously mentally ill and behavioral services to patients with chronic health conditions. Included in the coverage: Integrated care and specialty behavioral health care in the patient-centered medical home. Training the behavioral health workforce for the patient-centered medical home. The importance of stepped care protocols for the redesign of behavioral health care in patient-centered medical homes. Depression management in the medical home. Treating obesity in a primary care setting. Integrating behavioral health in the pediatric medical home. For health and clinical psychologists, primary care and family physicians, and public health professionals, Integrated Primary and Behavioral Care represents the potential for an exciting new frontier in primary care reform. William O'Donohue, Ph.D. is a licensed psychologist and a Professor of Psychology at the University of Nevada, Reno, and an adjunct Professor in the Department of Philosophy and a faculty member of the National Judicial College. He has published over 70 books, and 150 journal articles and book chapters. He holds advanced degrees both in philosophy and psychology. For the past 14 years, he has been director of a free clinic that treats children who have been sexually abused and adults who have been sexually assaulted. Part I: Introduction.- Introduction.- Part II: An Overview of Integrated Health Care and the Patient-Centered Medical Home.- Integrated Care and Specialty Behavioral Health Care in the Patient Centered Medical Home.- Blending Behaviorists Into the Patient-Centered Medical Home.-Training the Behavioral Health Workforce for the Patient-Centered Medical Home.- The Patient-Centered Medical Home (PCMH) Model within an Integrated Primary Care System: Towards a European Model?.- The Importance of Stepped Care Protocols for the Redesign of Behavioral Health Care in Patient Centered Medical Homes.- Planning a cost-effectiveness study.- Part III: Specific Applications of Behavior Health in the Patient-Centered Medical Home.- Depression Management in the Medical Home.- Treating Obesity in a Primary Care.- Primary Health-Behavioral Health Integration (PHBHI) For The Population of Individuals with Serious Mental Illness.- Cardiovascular Disease in Patient Centered Medical Homes: The Trident Approach.- Integrating Behavioral Health in the Pediatric Medical Home: Expanding Clinical Roles to Improve Access and Outcomes.