Building Behavioral Health Homes

Clinician and Staff Perspectives on Creating Integrated Care Teams

Tracy Anastas, Elizabeth Waddell, Sonya Howk, Mark Remiker, Gretchen Horton-Dunbar, Lyle Fagnan

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Adults with serious mental illness and substance use disorders have elevated risk of mortality and higher healthcare costs compared to the general population. As these disparities have been linked to poor management of co-occurring chronic conditions in primary care, the behavioral health setting may be a preferred setting for routine medical screening and treatment. This qualitative study describes early stages of integrating care teams in emerging medical homes based in mental health and addiction treatment settings. Clinicians and staff from ten agencies engaged in the Behavioral Health Home Learning Collaborative participated in qualitative interviews exploring local definitions of "behavioral health home" and initial barriers and facilitators to integration. Facilitators included clear staff roles, flexible scheduling, and interdisciplinary huddles and staff trainings. Challenges included workforce, limited use of electronic health records, and differing professional cultures. Participants advocated for new workflows and payment structures to accommodate scheduling demands and holistic case management.

Original languageEnglish (US)
Pages (from-to)475-486
Number of pages12
JournalThe journal of behavioral health services & research
Volume46
Issue number3
DOIs
StatePublished - Jul 1 2019

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staff
Patient-Centered Care
Workflow
Electronic Health Records
Health
Case Management
health
Health Care Costs
Substance-Related Disorders
scheduling
Primary Health Care
Mental Health
Learning
Interviews
Mortality
case management
workflow
qualitative interview
addiction
mental illness

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Building Behavioral Health Homes : Clinician and Staff Perspectives on Creating Integrated Care Teams. / Anastas, Tracy; Waddell, Elizabeth; Howk, Sonya; Remiker, Mark; Horton-Dunbar, Gretchen; Fagnan, Lyle.

In: The journal of behavioral health services & research, Vol. 46, No. 3, 01.07.2019, p. 475-486.

Research output: Contribution to journalArticle

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