Behavioral health conditions are common, costly, and often chronic. They are
also among the most undertreated medical conditions. In fact, only about one third of people with behavioral health conditions receive the treatment they need.
There are many reasons why people don’t get the help they need. Some people
may not realize they have a problem. Others may be embarrassed or ashamed to
seek help. And some may not have access to quality care.
But there is hope. Many behavioral health conditions can be effectively managed
with early identification and treatment. The Integration of mental health
practitioners into primary care is a key step in making treatment more accessible
The Disconnect Between Physical and Behavioral Health
According to the National Institutes of Health, one in five adults in the United
States lives with a mental illness. Mental health conditions are associated with a
number of chronic physical health problems, including heart disease, stroke, and
diabetes. People with mental health conditions are also more likely to smoke and
be obese. They are also more likely to have problems with substance abuse.
Mental health conditions can make chronic physical health problems worse. For
example, people with depression are less likely to follow treatment plans for
heart disease or diabetes. Conversely, chronic physical health problems can
make mental health conditions worse. For example, people with heart disease
are more likely to develop depression.
Unfortunately, there is often a disconnect between physical and behavioral
health. One reason for this disconnect is that patients may not receive
comprehensive care when they only see one type of provider. For example, a
patient with depression who only sees a primary care doctor may not receive the
full range of care they need to manage their condition.
Another disconnect between physical and behavioral health is that providers may
not have the training or knowledge to address behavioral health conditions. A primary care doctor who is not trained in behavioral health may not be able to
diagnose and treat a patient with a mental illness properly.
The disconnect between physical and behavioral health can have severe
consequences for patients. When a person’s physical and behavioral health are
not both addressed, the person is at risk for poorer overall health, more frequent
hospitalizations, and increased mortality.
What is Integrated Care?
Integrated care is a model of care that focuses on the whole person. In this
model, behavioral health and primary care providers work together to address
patients’ physical and mental health needs. This type of care can help to improve
patient outcomes and address the underlying causes of physical and
psychological health conditions.
Integrated care is an essential step in closing the gap between physical and
behavioral health. This type of care can help patients receive comprehensive
care to manage their conditions. Additionally, integrated care can help providers
gain the knowledge and skills they need to address behavioral health conditions.
The Benefits of Integrated Care for Patients
Integrated care can provide many benefits for patients. When physical and
behavioral health providers work together, patients can receive:
Improved Access to Care
Integrated care can improve access to care by making it easier for patients to
see the right provider at the right time. In the traditional model of care, patients
may have to visit multiple providers in different locations. This can be difficult for
patients, especially if they have transportation problems or difficulty taking time
off from work. In an integrated care model, physical and behavioral health
providers are located in the same facility. This can make it easier for patients to
get the care they need.
Improved Coordination of Care
Integrated care can also improve coordination of care by ensuring that all of a
patient’s providers know the patient’s condition and treatment plan. In the
traditional model of care, patients may have to repeat their medical history to
multiple providers. This can lead to confusion and errors. In an integrated care
model, providers have access to the same electronic health record. This allows
them to share information and coordinate care easily.
Improved Quality of Care
Integrated care can also improve the quality of care by providing comprehensive
services to address all patients’ needs. In the traditional model of care, patients
may only receive care for their physical health or their behavioral health. This can
lead to gaps in care. In an integrated care model, patients can receive care for
both their physical and behavioral health needs.
Integrated care can also improve patient outcomes by providing early
intervention and treatment for problems. In the traditional model of care, patients
may not see a provider until their condition has worsened. In an integrated care
model, providers can work with patients to prevent worsening problems.
The Benefits of Integrated Care for Providers
Integrated care can also provide benefits for providers. When providers work
together, they can:
Gain New Skills and Knowledge
When providers work together in an integrated care setting, they have the
opportunity to learn from each other. For example, primary care providers can
learn about behavioral health conditions and how to treat them. Behavioral health
providers can also learn about physical health conditions and how they can
affect a person’s mental health. This exchange of knowledge can help to improve
the quality of care that providers are able to provide.
Improve Communication and Collaboration
Integrated care can also help to improve communication and collaboration
between providers. When providers work together, they can share information about a patient’s condition and treatment. This can help to ensure that the patient is getting the care they need and avoid duplicate tests or procedures. It can also help to improve communication between providers and patients. When providers work together, they can provide patients with a more coordinated and comprehensive approach to their care.
Integrated care can make it easier for providers to make referrals to other
services. In the traditional model of care, providers may have to make referrals to
other providers in different locations. This can be time-consuming and difficult to
coordinate. In an integrated care model, providers can easily refer patients to
other services within the same facility. This can save time and help to ensure that
patients get the care they need.
Improved Job Satisfaction
Integrated care can also improve job satisfaction for providers. When providers
are working together in an integrated care setting, they can feel like they are part
of a team. This team-based approach can improve communication and
collaboration between providers. It can also lead to a feeling of satisfaction with
the care that providers can provide.
Mental health is essential to overall well-being, but access to mental health care
can be difficult, especially in rural and underserved communities. Primary care
providers are often the first point of contact for patients seeking mental health
services, but they may not have the time or training to provide adequate care. The
integration of mental health practitioners into primary care can benefit both
patients and providers. Patients will have better access to the care they need,
and providers will be able to better manage their patients’ overall health. In an
integrated care model, everyone wins.