The behavioral health laboratory: Building a stronger foundation for the patient-centered medical home.
Abstract
The Veterans Health Affairs is in the process of implementing a new model for the delivery of primary care: The Patient-Centered Medical Home (PCMH). One critical challenge of any PCMH model will be the integration of basic mental health treatment into primary care. Such a mental health integration program must be flexible enough to incorporate new evidence-based treatments as patient demographics and health care needs evolve over time. This paper summarizes the Behavioral Health Laboratory (BHL) care management model, a program already in place in more than 20 Veterans Affairs facilities along with private sector insurance providers, as ideally suited to fill this role in the PCMH. The BHL uses a platform of standardized, software-aided mental health assessments and clinical care managers to deliver evidence-based treatments for depression, anxiety, and substance abuse in primary care settings. The authors review this comprehensive program of screening, assessment, treatment, and referral to specialty care when needed. The BHL program is consistent with the guiding principles of the Patient-Centered Medical Home: applying chronic illness disease management principles to provide more continuous, coordinated, and efficient primary care services to patients with diverse needs. Just as importantly, the authors review how this standardized platform for delivering integrated mental health services provides the flexibility to incorporate novel interventions for a changing populatio…
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The care manager role also includes brief intervention (e.g., behavioral activation in depression care management).
“but the role also includes brief intervention (e.g., behavioral activation in depression care management)”
From Barriers to and Facilitators of Using Evidence-Based, Cognitive–Behavioral Anxiety Interventions in Integrated Primary Care Practice (2023) · cites this paper as Tew et al., 2010
Care managers' role is to provide assessment, education, support, and triage.
“Indeed, care managers' role is to provide those functions (Tew et al., 2010)”
From Barriers to and Facilitators of Using Evidence-Based, Cognitive–Behavioral Anxiety Interventions in Integrated Primary Care Practice (2023) · cites this paper as Tew et al., 2010
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- Authors
- Tew, J., Klaus, J., & Oslin, D. W.
- Affiliations
- VA Pittsburgh Healthcare System (US)
- Philadelphia VA Medical Center (US)
- ORCID
- Oslin, David W.
- Venue
- Families, Systems, & Health
- Published
- 2010-06
- Volume
- 28
- Issue
- 2
- Pages
- 130-145
- ISSN
- 1091-7527 (ISSN-L)
- 1939-0602
- OpenAlex
- W2030594905
- Cited by
- 87
- References
- 27
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 5 · 2023: 2 · 2022: 4 · 2021: 6 · 2020: 5 · 2019: 6 · 2018: 9 · 2017: 5 · 2016: 4 · 2015: 6 · 2014: 8 · 2013: 7 · 2012: 9
- FWCI
- 13.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Families Systems & Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- patient-centered medical home, integrated mental health care, primary care, Veterans Health Administration, care management, depression, anxiety, substance abuse, care coordination, evidence-based treatment
- MeSH terms
- Mental Disorders, Cooperative Behavior, Humans, Mental Health Services, Patient Care Management, Patient Care Team, Triage, United States, United States Department of Veterans Affairs, Patient Selection, Patient-Centered Care, Delivery of Health Care, Integrated, Interdisciplinary Communication, Patient Preference
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