Measurement-Based Care: A Practical Strategy Toward Improving Behavioral Health Through Primary Care.

Autor: Carlo AD; Meadows Mental Health Policy Institute, Dallas, TX, USA. acarlo@mmhpi.org.; Northwestern University Feinberg School of Medicine, Chicago, IL, USA. acarlo@mmhpi.org., Scott KS; Northwestern University Feinberg School of Medicine, Chicago, IL, USA., McNutt C; Meadows Mental Health Policy Institute, Dallas, TX, USA.; The George Washington University, Washington, DC, USA., Talebi H; Meadows Mental Health Policy Institute, Dallas, TX, USA., Ratzliff AD; University of Washington School of Medicine, Seattle, WA, USA.; Advancing Integrated Mental Health Solutions (AIMS) Center, University of Washington, Seattle, WA, USA.
Jazyk: angličtina
Zdroj: Journal of general internal medicine [J Gen Intern Med] 2024 Oct 08. Date of Electronic Publication: 2024 Oct 08.
DOI: 10.1007/s11606-024-08877-6
Abstrakt: Behavioral health care access is inadequate and new primary care-based strategies are needed to meet the rising demand. Behavioral health integration (BHI) models, such as collaborative care (CoCM) or the primary care behavioral health (PCBH) model, are often touted as actionable and sustainable solutions. The intent of such models is to bring behavioral health expertise into medical settings with the aims of improving outcomes, increasing treatment capacity, and reducing stigma. BHI models differ across several parameters, though measurement-based care (MBC) is a key component of virtually all effective approaches. MBC employs the repeated and timely use of validated instruments to inform medical decision-making for individual patients at the point of care and has a demonstrated association with improved outcomes. MBC generally has more flexibility for workflow development and fewer financial, staffing, and IT requirements than CoCM, PCBH, or other models. It can also be implemented by primary medical providers independently. Recent encouraging developments include technical assistance opportunities for MBC implementation and emerging payment models that emphasize MBC. However, concerns remain surrounding the limitations of existing MBC billing codes. Ultimately, with continued advocacy and thoughtful policy decision-making, MBC has the potential to be a solution to the current behavioral health crisis.
(© 2024. The Author(s), under exclusive licence to Society of General Internal Medicine.)
Databáze: MEDLINE
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