scholarly journals Empowering Patients in Integrated Behavioral Health-Care Settings: A Narrative Approach to Medical Family Therapy

2019 ◽  
Vol 28 (1) ◽  
pp. 48-55 ◽  
Author(s):  
Afarin Rajaei ◽  
Jakob F. Jensen
Keyword(s):  
Health Care ◽  
Family Therapy ◽  
Behavioral Health ◽  
Narrative Therapy ◽  
Health Care Systems ◽  
Behavioral Health Care ◽  
Cultural Humility ◽  
Medical Family Therapy ◽  
Patient Centered ◽  
Integrated Behavioral Health

Integrated behavioral health care (IBHC) provides patient-centered care, which assures full considerations of patients’ needs and promotes patients having a voice in decisions about their own health care. In this article, we consider narrative therapy as an empowering, nonpathologizing, and collaborative approach for medical family therapists and behavioral health practitioners to better help patients, families, and health-care systems in IBHC settings. Clinical examples are provided for effectively utilizing narrative therapy in IBHC settings across various stages of treatment. Using narrative medical family therapy informed by cultural humility, therapists can empower patients, help them reauthor their story through the lens of their experience, and validate their worldviews.

scholarly journals Practical Approaches for Achieving Integrated Behavioral Health Care in Primary Care Settings

2016 ◽  
Vol 32 (2) ◽  
pp. 117-121 ◽  
Author(s):  
Anna Ratzliff ◽  
Kathryn E. Phillips ◽  
Jonathan R. Sugarman ◽  
Jürgen Unützer ◽  
Edward H. Wagner
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Behavioral Health ◽  
National Policy ◽  
Behavioral Health Care ◽  
Safety Net ◽  
Patient Centered ◽  
Integrated Behavioral Health ◽  
Behavioral Health Integration ◽  
Primary Care Settings

Behavioral health problems are common, yet most patients do not receive effective treatment in primary care settings. Despite availability of effective models for integrating behavioral health care in primary care settings, uptake has been slow. The Behavioral Health Integration Implementation Guide provides practical guidance for adapting and implementing effective integrated behavioral health care into patient-centered medical homes. The authors gathered input from stakeholders involved in behavioral health integration efforts: safety net providers, subject matter experts in primary care and behavioral health, a behavioral health patient and peer specialist, and state and national policy makers. Stakeholder input informed development of the Behavioral Health Integration Implementation Guide and the GROW Pathway Planning Worksheet. The Behavioral Health Integration Implementation Guide is model neutral and allows organizations to take meaningful steps toward providing integrated care that achieves access and accountability.

scholarly journals Payment reform in the patient-centered medical home: Enabling and sustaining integrated behavioral health care.

2017 ◽  
Vol 72 (1) ◽  
pp. 55-68 ◽  
Author(s):  
Benjamin F. Miller ◽  
Kaile M. Ross ◽  
Melinda M. Davis ◽  
Stephen P. Melek ◽  
Roger Kathol ◽  
...  
Keyword(s):  
Health Care ◽  
Behavioral Health ◽  
Medical Home ◽  
Behavioral Health Care ◽  
Patient Centered Medical Home ◽  
Payment Reform ◽  
Patient Centered ◽  
Integrated Behavioral Health

Integrated Behavioral Health Care

2021 ◽  
Vol 68 (3) ◽  
pp. 519-531
Author(s):  
Donald E. Greydanus ◽  
Roger W. Apple ◽  
Summer S. Chahin
Keyword(s):  
Health Care ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Integrated Behavioral Health

scholarly journals Patient Views of Behavioral Health Providers in Primary Care: A Qualitative Study of 2 Southeastern Clinics

2019 ◽  
Vol 7 (4) ◽  
pp. 527-533
Author(s):  
Aubry N Koehler ◽  
Grisel Trejo ◽  
Joanne C Sandberg ◽  
Brittany H Swain ◽  
Gail S Marion ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Behavioral Health ◽  
Care Delivery ◽  
Behavioral Health Care ◽  
Patient Care Team ◽  
Care Team ◽  
Care Practice ◽  
Health Providers ◽  
Integrated Behavioral Health

Background: Limited research is available around patient experience of integrated behavioral health care in primary care settings. Objective: We sought to identify the major themes through which patients described their integrated behavioral health care experiences as a means of informing and improving clinic processes of integrated health care delivery. Methods: We captured viewpoints from 16 patients who experienced an integrated behavioral health care model from 2 primary care clinics and completed at least 3 visits with a behavioral health provider (BHP). Using grounded theory analyses, we coded and analyzed transcriptions for emergent themes. Analysis: The interview process yielded 3 major themes related to the BHP including (a) the BHPs’ clinic presence made behavioral health care more convenient and accessible, (b) BHPs worked within time and program limitations, and (c) BHPs helped with coping, wellness, and patient-care team communication. Conclusion: The BHPs serving in a large primary care practice and a Federally Qualified Health Center played an important role in connecting patients with behavioral health care and improving care team collaboration, both in terms of communication within the team and between the team and the patient/family.

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