Working toward financial sustainability of integrated behavioral health services in a public health care system

Families, Systems & Health : the Journal of Collaborative Family Healthcare
Samantha Pelican MonsonAbbie O Beacham

Abstract

The need, benefit, and desirability of behavioral health integration in primary care is generally accepted and has acquired widespread positive regard. However, in many health care settings the economics, business aspects, and financial sustainability of practice in integrated care settings remains an unsolved puzzle. Organizational administrators may be reluctant to expand behavioral health services without evidence that such programs offer clear financial benefits and financial sustainability. The tendency among mental health professionals is to consider positive clinical outcomes (e.g., reduced depression) as being globally valued indicators of program success. Although such outcomes may be highly valued by primary care providers and patients, administrative decision makers may require demonstration of more tangible financial outcomes. These differing views require program developers and evaluators to consider multiple outcome domains including clinical/psychological symptom reduction, potential cost benefit, and cost offset. The authors describe a process by which a pilot demonstration project is being implemented to demonstrate programmatic outcomes with a focus on the following: 1) clinician efficiency, 2) improved health...Continue Reading

Citations

Jun 7, 2014·Health Research Policy and Systems·Qiang YaoZhi-yong Liu
Dec 20, 2015·Journal of Substance Abuse Treatment·Howard PadwaDarren Urada
Dec 10, 2015·Journal of Clinical Psychology in Medical Settings·Lisa K KearneyAndrew S Pomerantz
Oct 4, 2016·Journal of Behavioral Medicine·Mark E VogelJeffrey L Goodie
Aug 25, 2016·Nursing·Maryann E Robinson
Feb 27, 2018·Journal of Clinical Psychology in Medical Settings·Jeffrey T ReiterChristopher L Hunter
Aug 23, 2018·Primary Health Care Research & Development·Blake LancasterKelly A Orringer
Oct 16, 2018·Journal of Health Psychology·Heather ReppetoChristopher Smith
Oct 31, 2019·Administration and Policy in Mental Health·Ashley Palmer, Anne Rossier Markus
Aug 21, 2019·The Journal of Behavioral Health Services & Research·Azeesat BabajideCristiane S Duarte
Mar 8, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Jonathan D Brown
Feb 23, 2020·The Journal of Behavioral Health Services & Research·Bill WrightNatalie Royal Kenton
Aug 9, 2020·Translational Behavioral Medicine·Alison C ShmerlingBenjamin F Miller
Aug 1, 2016·Health & Social Work·C Corinne MannKarla T Washington
Jul 28, 2017·Nursing Management·Maryann E Robinson
May 29, 2021·Pediatric Clinics of North America·Keshav PatelJessica Campbell

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