TY - JOUR
T1 - Building Behavioral Health Homes
T2 - Clinician and Staff Perspectives on Creating Integrated Care Teams
AU - Anastas, Tracy
AU - Waddell, Elizabeth Needham
AU - Howk, Sonya
AU - Remiker, Mark
AU - Horton-Dunbar, Gretchen
AU - Fagnan, L. J.
N1 - Funding Information:
CMS Adult Medicaid Quality Grant Program. This document was developed using data from a project funded by the grant program outlined under the Catalog of Federal Domestic Assistance Number 93.609 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. However, these contents do not necessarily represent the policy or views of the U.S. Department of Health and Human Services, and you should not assume endorsement by the Federal Government.
Funding Information:
In May 2014, the Oregon Health Authority (OHA) launched the Behavioral Health Home Learning Collaborative (BHH LC) to support BH and addiction treatment agencies working to increase access to PC services for persons with SMI/SUD. The BHH LC was funded through the Adult Medicaid Quality Grant Program as part of a broader improvement project intended to increase the proportion of Medicaid enrollees in Oregon’s patient-centered medical homes, known locally as “Patient Centered Primary Care Homes” (PCPCH). The BHH LC was loosely structured around the Insitute for Healthcare Improvement’s Collaborative Model, in which hospitals or clinics embarked on similar improvement projects participate in a “short-term (6- to 15-month) learning system.” The BHH LC was originally planned as a 1-year project, but the scope of change and breadth of challenges across agencies and implementation models required extensive support, and OHA extended the collaborative for two additional years, with a no-cost extension from the funder.
Publisher Copyright:
© 2018, National Council for Behavioral Health.
PY - 2019/7/15
Y1 - 2019/7/15
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85059669942&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85059669942&partnerID=8YFLogxK
U2 - 10.1007/s11414-018-9622-y
DO - 10.1007/s11414-018-9622-y
M3 - Article
C2 - 29790040
AN - SCOPUS:85059669942
SN - 1094-3412
VL - 46
SP - 475
EP - 486
JO - Journal of Behavioral Health Services and Research
JF - Journal of Behavioral Health Services and Research
IS - 3
ER -