Behavioral Health Care Delivery Models and Examples: Contractual to Functional Integration

2000 ◽  
Author(s):  
Kris Truong ◽  
Michell Dolfini-Reed
2016 ◽  
Vol 27 (2) ◽  
pp. 510-526 ◽  
Author(s):  
Bruce A. Christiansen ◽  
David R. Macmaster ◽  
Eric L. Heiligenstein ◽  
Randal L. Glysch ◽  
Donna M. Riemer ◽  
...  

Author(s):  
Bianca Reis ◽  
Jenny Hsin-Chun Tsai

OBJECTIVE This practice improvement project sought to determine the prevalence of psychiatric diagnoses among patients admitted to a community hospital’s inpatient medical units and which diagnoses were serviced by the hospital’s psychiatric consultation service. METHOD Electronic medical record data on adult patients of five medical units admitted with a psychiatric condition between October 1, 2019, and December 31, 2019, were used. Psychiatric ICD-10 ( International Classification of Diseases, 10th Revision) codes and diagnosis names extracted were categorized into seven major diagnostic groups. A total of 687 adult patients with 82 psychiatric ICD-10 codes were analyzed using descriptive statistics. RESULTS Substance-related and addictive disorders were the most prevalent psychiatric diagnoses. Ninety-six percent ( n = 658) of patients residing on medical floors with psychiatric disorders were hospitalized for a principal medical problem. Seventy-three cases received psychiatric consultations during their stay. Sixty percent ( n = 44) of those cases had psychiatric disorders from two or more diagnostic categories. CONCLUSIONS Multidisciplinary, team-based health care delivery models that include a psychiatric nurse can provide an effective approach to treat patients in community hospitals with multiple psychiatric and medical comorbidities. Hospitals could take a significant role in providing substance use disorder treatment and equipping medical nurses with training to competently care for patients with psychiatric disorders on medical units. Further research into the prevalence and impact of patients with co-occurring and multiple psychiatric diagnoses in community hospitals is needed to implement effective health care delivery models and provide appropriate treatment options in the community.


2019 ◽  
Vol 7 (4) ◽  
pp. 527-533
Author(s):  
Aubry N Koehler ◽  
Grisel Trejo ◽  
Joanne C Sandberg ◽  
Brittany H Swain ◽  
Gail S Marion ◽  
...  

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.


2008 ◽  
Vol 11 (3) ◽  
pp. A101
Author(s):  
X Burbano-Levy ◽  
JI Valenzuela ◽  
A Bryon ◽  
T Tono ◽  
G Garzon ◽  
...  

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