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The Behavioral Health Laboratory: building a stronger foundation for the patient-centered medical home.
Fam Syst Health. 2010 Jun; 28(2):130-45.FS

Abstract

The Veterans Health Affairs is in the process of implementing a new model for the delivery of primary care: The Patient-Centered Medical Home (PCMH). One critical challenge of any PCMH model will be the integration of basic mental health treatment into primary care. Such a mental health integration program must be flexible enough to incorporate new evidence-based treatments as patient demographics and health care needs evolve over time. This paper summarizes the Behavioral Health Laboratory (BHL) care management model, a program already in place in more than 20 Veterans Affairs facilities along with private sector insurance providers, as ideally suited to fill this role in the PCMH. The BHL uses a platform of standardized, software-aided mental health assessments and clinical care managers to deliver evidence-based treatments for depression, anxiety, and substance abuse in primary care settings. The authors review this comprehensive program of screening, assessment, treatment, and referral to specialty care when needed. The BHL program is consistent with the guiding principles of the Patient-Centered Medical Home: applying chronic illness disease management principles to provide more continuous, coordinated, and efficient primary care services to patients with diverse needs. Just as importantly, the authors review how this standardized platform for delivering integrated mental health services provides the flexibility to incorporate novel interventions for a changing population.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Tew J
Mental Illness Research, Education and Clinical Center, Pittsburgh VA Medical Center, Pittsburgh, PA, USA. Johanna.Klaus@va.gov
Klaus J
No affiliation info available
Oslin DW
No affiliation info available

MeSH

Cooperative BehaviorDelivery of Health Care, IntegratedHumansInterdisciplinary CommunicationMental DisordersMental Health ServicesPatient Care ManagementPatient Care TeamPatient PreferencePatient SelectionPatient-Centered CareTriageUnited StatesUnited States Department of Veterans Affairs

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

20695671

Citation

Tew, James, et al. "The Behavioral Health Laboratory: Building a Stronger Foundation for the Patient-centered Medical Home." Families, Systems & Health : the Journal of Collaborative Family Healthcare, vol. 28, no. 2, 2010, pp. 130-45.
Tew J, Klaus J, Oslin DW. The Behavioral Health Laboratory: building a stronger foundation for the patient-centered medical home. Fam Syst Health. 2010;28(2):130-45.
Tew, J., Klaus, J., & Oslin, D. W. (2010). The Behavioral Health Laboratory: building a stronger foundation for the patient-centered medical home. Families, Systems & Health : the Journal of Collaborative Family Healthcare, 28(2), 130-45. https://doi.org/10.1037/a0020249
Tew J, Klaus J, Oslin DW. The Behavioral Health Laboratory: Building a Stronger Foundation for the Patient-centered Medical Home. Fam Syst Health. 2010;28(2):130-45. PubMed PMID: 20695671.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Behavioral Health Laboratory: building a stronger foundation for the patient-centered medical home. AU - Tew,James, AU - Klaus,Johanna, AU - Oslin,David W, PY - 2010/8/11/entrez PY - 2010/8/11/pubmed PY - 2010/10/13/medline SP - 130 EP - 45 JF - Families, systems & health : the journal of collaborative family healthcare JO - Fam Syst Health VL - 28 IS - 2 N2 - The Veterans Health Affairs is in the process of implementing a new model for the delivery of primary care: The Patient-Centered Medical Home (PCMH). One critical challenge of any PCMH model will be the integration of basic mental health treatment into primary care. Such a mental health integration program must be flexible enough to incorporate new evidence-based treatments as patient demographics and health care needs evolve over time. This paper summarizes the Behavioral Health Laboratory (BHL) care management model, a program already in place in more than 20 Veterans Affairs facilities along with private sector insurance providers, as ideally suited to fill this role in the PCMH. The BHL uses a platform of standardized, software-aided mental health assessments and clinical care managers to deliver evidence-based treatments for depression, anxiety, and substance abuse in primary care settings. The authors review this comprehensive program of screening, assessment, treatment, and referral to specialty care when needed. The BHL program is consistent with the guiding principles of the Patient-Centered Medical Home: applying chronic illness disease management principles to provide more continuous, coordinated, and efficient primary care services to patients with diverse needs. Just as importantly, the authors review how this standardized platform for delivering integrated mental health services provides the flexibility to incorporate novel interventions for a changing population. SN - 1091-7527 UR - https://www.unboundmedicine.com/medline/citation/20695671/The_Behavioral_Health_Laboratory:_building_a_stronger_foundation_for_the_patient_centered_medical_home_ DB - PRIME DP - Unbound Medicine ER -