Marketing Behavioral Health: Implications of Evidence Assessments for Behavioral Health Care in the United States

2006 ◽  
Vol 35 (2) ◽  
pp. 6-20
Author(s):  
Stephen Leff ◽  
Jeremy Conley ◽  
Kevin Hennessy
Keyword(s):  
United States ◽  
Health Care ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
The United States ◽  
Health Implications

Making Single-Payer Reform Work for Behavioral Health Care: Lessons From Canada and the United States

2020 ◽  
Vol 50 (3) ◽  
pp. 334-349
Author(s):  
David A. Rochefort
Keyword(s):  
United States ◽  
Health Care ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
The United States ◽  
Dramatic Improvement ◽  
Academic Literature ◽  
News Stories ◽  
Single Payer ◽  
Key Policy

The claim is often made that the adoption of single-payer health care in the United States would result in dramatic improvement of services for people with mental health and substance use disorders. Evidence from this sector in countries with such frameworks is mixed, however, presenting both positive and negative lessons for an American audience. Focusing on Canada as an example, this article sheds light on this topic by drawing on sources in the professional and academic literature, government reports, news stories and features, and research on-site by the author. A concluding section highlights key policy issues that American single-payer advocates will need to address for meaningful reform of the behavioral health care sector.

Community and Public Mental Health Services in the United States

2019 ◽  
pp. 417-438
Author(s):  
Anita Everett ◽  
Su Yeon Lee-Tauler ◽  
Tanner Bommersbach
Keyword(s):  
United States ◽  
Health Care ◽  
Behavioral Health ◽  
Public Mental Health ◽  
Behavioral Health Care ◽  
The United States ◽  
Vital Role ◽  
Current Status ◽  
Rehabilitative Services ◽  
Serious Mental Illnesses

This chapter reviews the history and current status of community behavioral health organizations (CBHOs) in the United States. The vast majority of individuals receiving behavioral health care today are served by outpatient community settings, with only a small proportion receiving care in inpatient facilities. This chapter provides an understanding of the vital role CBHOs play in providing both therapeutic and rehabilitative services to some of the nation’s most vulnerable citizens. It outlines the origins of CBHOs within the publicly funded health care system in the United States, provides examples of available programs and services, and delineates the range of challenges faced by contemporary CBHOs as they strive to meet the needs of people with serious mental illnesses.

The Digital Revolution in Behavioral Health

2019 ◽  
Vol 26 (1) ◽  
pp. 102-111 ◽  
Author(s):  
Michael J Hasselberg
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Behavioral Health ◽  
Digital Health ◽  
Behavioral Health Care ◽  
The United States ◽  
Care Providers ◽  
Digital Revolution ◽  
The University

BACKGROUND: Technology is disrupting every modern industry, from supermarkets to car manufacturing, and is now entering the health care space. Technological innovations in psychiatry include the opportunity for conducting therapy via two-way video conferencing, providing electronic consultations, and telementoring and education of community health care providers. Use of mobile health applications is also an expanding area of interest and promise. OBJECTIVE: The purpose of this article is to review the evolution and pros and cons of technology-enabled health care since the digital movement in psychiatry began more than 50 years ago as well as describe the University of Rochester’s innovative digital behavioral health care model. METHODS: A review of the literature and recent reports on innovations in digital behavioral health care was conducted, along with a review of the University of Rochester’s model to describe the current state of digital behavioral health care. RESULTS: Given the lack of access to care and mental health professional shortages in many parts of the United States, particularly rural areas, digital behavioral health care will be an increasingly important strategy for managing mental health care needs. However, there are numerous hurdles to be overcome in adopting digital health care, including provider resistance and knowledge gaps, lack of reimbursement parity, restrictive credentialing and privileging, and overregulation at both the state and federal levels. CONCLUSIONS: Digital health innovations are transforming the delivery of mental health care services and psychiatric mental health nurses can be on the forefront of this important digital revolution.

scholarly journals Development of the NeuroFlow Severity Score and Comparison With Validated Measures for Depression and Anxiety

2021 ◽  
Author(s):  
William Lynch ◽  
Michael L. Platt ◽  
Adam Pardes
Keyword(s):  
Health Care ◽  
Linear Regression ◽  
Behavioral Health ◽  
Severity Score ◽  
Behavioral Health Care ◽  
The United States ◽  
Strong Positive Correlation ◽  
Depression And Anxiety ◽  
Measurement Based Care ◽  
Patient Reported

ABSTRACTPurposeAlthough depression and anxiety are the leading causes of disability in the United States, respectively, fewer than half of people diagnosed with these conditions receive appropriate treatment, and fewer than 10% receive measurement-based care (MBC), which is defined as behavioral health care based on and adapted in response to patient outcomes data collected throughout treatment. The NeuroFlow platform was developed with the goal of making MBC easier to deliver and more accessible within integrated behavioral health care. Data from over 3,000 users of the NeuroFlow platform were used to develop the NeuroFlow Severity Score (NFSS), a potential new measure for depression and anxiety. To begin evaluating the potential usefulness of this new measure, NFSSs were compared with validated measures for depression and anxiety, the Personal Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) scale, and clinician assessment.MethodsThe NFSS platform is used to record patient-reported and passively collected data related to behavioral health. An artificial-intelligence derived algorithm was developed that condenses this large number of measurements into a single score for longitudinal tracking of an individual’s depression and anxiety symptoms. Linear regression and Bland-Altman analyses were used to evaluate relationships and differences between NFSS and PHQ-9 or GAD-7 scores from over 35,000 NeuroFlow users. The NFSS was also compared to assessment by a panel of expert clinicians for a subset of 250 individuals.ResultsLinear regression results showed a strong correlation between NFSS and PHQ-9 (r=.74, P<.001) and GAD-7 (r=.80, P<.001) changes. There was also a strong positive correlation between the NFSS and expert panel clinical assessment (r=.80-.84, P<.001). Bland-Altman analysis and evaluation of outliers on regression analysis, however, show that the NFSS has significant differences from the PHQ-9.ConclusionsClinicians can reliably use the NFSS as a proxy measure for monitoring symptoms of depression and anxiety longitudinally. The NFSS may identify at-risk individuals who are not identified by the PHQ-9. Further research is warranted to evaluate the sensitivity and specificity of the NFSS.

Using mobile apps in social work behavioral health care service: The case for China

2021 ◽  
pp. 002087282110319
Author(s):  
Julian Chun-Chung Chow ◽  
Laura Elizabeth Pathak ◽  
Shang Tzu (Trish) Yeh
Keyword(s):  
Health Care ◽  
Social Work ◽  
Behavioral Health ◽  
Mobile Apps ◽  
Care Service ◽  
Health Care Service ◽  
Well Being ◽  
Behavioral Health Care ◽  
The United States ◽  
Social Work Practice

Mobile apps have increasingly become an innovative tool that can provide information and resources to those who have service needs but often lack access to and knowledge about how to improve their well-being in today’s society. In China, although the number of Internet users has increased substantively, there has been little discussion on how mobile apps can help social workers in their delivery of behavioral health services. This article features three highly used apps that facilitate behavioral health care service delivery in the United States and provides recommendations for developing apps for social work practice in China.

scholarly journals Integrated Behavioral Health Care in Family Medicine Residencies

2018 ◽  
Vol 50 (5) ◽  
pp. 380-384 ◽  
Author(s):  
Christine Jacobs ◽  
Jay A. Brieler ◽  
Joanne Salas ◽  
Renée M. Betancourt ◽  
Peter F. Cronholm
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Family Medicine ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Program Directors ◽  
The United States ◽  
Training Methods ◽  
Significant Difference

Background and Objectives: Behavioral health integration (BHI) in primary care settings is critical to mental health care in the United States. Family medicine resident experience in BHI in family medicine residency (FMR) continuity clinics is essential preparation for practice. We surveyed FMR program directors to characterize the status of BHI in FMR training. Methods: Using the Council of Academic Family Medicine Educational Research Alliance (CERA) 2017 survey, FMR program directors (n=478, 261 respondents, 54.6% response rate) were queried regarding the stage of BHI within the residency family medicine center (FMC), integration activities at the FMC, and the professions of the BH faculty. BHI was characterized by Substance Abuse and Mental Health Services Agency (SAMHSA) designations within FMRs, and chi-square or ANOVA with Tukey honest significant difference (HSD) post hoc testing was used to assess differences in reported BHI attributes. Results: Program directors reported a high level of BHI in their FMCs (44.1% full integration, 33.7% colocated). Higher levels of BHI were associated with increased use of warm handoffs, same day consultation, shared health records, and the use of behavioral health (BH) professionals for both mental health and medical issues. Family physicians, psychiatrists, and psychologists were most likely to be training residents in BHI. Conclusions: Almost half of FMR programs have colocated BH care or fully integrated BH as defined by SAMHSA. Highly integrated FMRs use a diversity of behavioral professionals and activities. Residencies currently at the collaboration stage could increase BH provider types and BHI practices to better prepare residents for practice. Residencies with full BHI may consider focusing on supporting BHI-trained residents transitioning into practice, or disseminating the model in the general primary care community.

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