TY - JOUR
T1 - Implementation of Integrated Behavioral Health Care in a Large Medical Center
T2 - Benefits, Challenges, and Recommendations
AU - Prom, Maria C.
AU - Canelos, Victoria
AU - Fernandez, Pedro J.
AU - Gergen Barnett, Katherine
AU - Gordon, Cindy M.
AU - Pace, Christine A.
AU - Ng, Lauren C.
N1 - Funding Information:
The authors declare that they have no conflict of interest. Research reported in this publication was supported by the National Institute of Mental Health of the National Institutes of Health under award number R25MH094612 and T32MH116140 and the Health Resources and Services Administration under award number K02HP308140100. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or HRSA.
Publisher Copyright:
© 2020, National Council for Behavioral Health.
PY - 2021/7
Y1 - 2021/7
N2 - Integrated behavioral health care (IBHC) models in primary care are positioned to address the unmet needs of traditional behavioral health models. However, research support is limited to specific populations, settings, and behavioral health conditions. Empirical evidence is lacking for expansion to larger health systems and diverse behavioral health conditions. This study examines perspectives on IBHC implementation in a large medical center. Semi-structured interviews were conducted with 24 health providers and administrators in two primary care clinics with IBHC. Thematic analysis demonstrated that participants had an overall favorable perception of IBHC, but also perceived implementation challenges, including difficulties with access, underutilization, team dynamics, and financial and interdepartmental issues. The findings suggest that IBHC implementation barriers in existing large health systems risk diminishing potential benefits and successful adoption. These barriers can be combated by incorporating systems change strategies into implementation frameworks, with a focus on barrier prevention and detection and long-term sustainability.
AB - Integrated behavioral health care (IBHC) models in primary care are positioned to address the unmet needs of traditional behavioral health models. However, research support is limited to specific populations, settings, and behavioral health conditions. Empirical evidence is lacking for expansion to larger health systems and diverse behavioral health conditions. This study examines perspectives on IBHC implementation in a large medical center. Semi-structured interviews were conducted with 24 health providers and administrators in two primary care clinics with IBHC. Thematic analysis demonstrated that participants had an overall favorable perception of IBHC, but also perceived implementation challenges, including difficulties with access, underutilization, team dynamics, and financial and interdepartmental issues. The findings suggest that IBHC implementation barriers in existing large health systems risk diminishing potential benefits and successful adoption. These barriers can be combated by incorporating systems change strategies into implementation frameworks, with a focus on barrier prevention and detection and long-term sustainability.
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U2 - 10.1007/s11414-020-09742-0
DO - 10.1007/s11414-020-09742-0
M3 - Article
C2 - 33241465
AN - SCOPUS:85096557354
SN - 1094-3412
VL - 48
SP - 346
EP - 362
JO - Journal of Behavioral Health Services and Research
JF - Journal of Behavioral Health Services and Research
IS - 3
ER -