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Primary care settings have become a gateway for many individuals with behavioral health and primary care needs.

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To address these needs, many primary care providers are integrating behavioral health care services into their setting. Models have emerged that include the use of care managers, behavioral health consultants, behavioralists, or consultation models. CIHS monitors activities and models around the country in order to share best practices with the primary and behavioral healthcare professionals.

The report, Dissemination of Integrated Care Within Adult Primary Care Settings: The Collaborative Care Model , developed jointly by the American Psychiatric Association APA and Academy of Psychosomatic Medicine APM , reviews the current evidence-base for Collaborative Care, essential implementation elements with detailed examples, lessons learned by those who have implemented the model, and recommendations for how to advance its use to better meet the whole health needs people with mental health conditions. A Family Guide: Integrating Mental Health and Pediatric Primary Care , produced by NAMI, helps family members get involved in the integrated care movement and improve the care their children receive in pediatric primary care settings.

Behavioral Consultation and Primary Care: A Guide to Integrating Services by Patricia J. Robinson

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Behavioral Health in Primary Care

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Behavioral Consultation and Primary Care: A Guide to Integrating Services

The mental health professions have been slow to respond to this problem, but an emerging and promising strategy has been to improve collaboration between mental health and p- mary care by integrating the two services. These efforts have taken a n- ber of forms, but they all share the common goal of better meeting the health care needs of the population. As with any new endeavor, however, confusion about how to proceed is widespread. Individuals and clinics attempting to integrate primary care and behavioral health can easily feel as if they are in a boat adrift without a rudder and sometimes it can feel as if that boat is alone in the middle of a very large sea!

Imagine being the m- ical director of a primary care clinic wanting to develop an integrated se- ice, or the mental health provider hired to do that.


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Where would you start? With whom would you consult? This being a relatively new field, few people have training, and this means that finding guidance for establishing a se- ice can be challenging. Even when knowledgeable consultants are found, the advice given is likely to be discrepant from one consultant to another.