Ryan A. Crowley, BSJ; Neil Kirschner, PhD; for the Health and Public Policy Committee of the American College of Physicians (*)
Financial Support: Financial support for the development of this guideline comes exclusively from the ACP operating budget.
Disclosures: Authors have disclosed no conflicts of interest. Authors followed the policy regarding conflicts of interest described at www.annals.org/article.aspx?articleid=745942. Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-0510.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that she has no financial relationships or interests to disclose. Darren B. Taichman, MD, PhD, Executive Deputy Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Deborah Cotton, MD, MPH, Deputy Editor, reports that she has no financial relationships or interest to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Catharine B. Stack, PhD, MS, Deputy Editor for Statistics, reports that she has stock holdings in Pfizer.
Requests for Single Reprints: Ryan A. Crowley, BSJ, American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001; e-mail, email@example.com.
Current Author Addresses: Mr. Crowley and Dr. Kirschner: American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001.
Author Contributions: Conception and design: R.A. Crowley, N. Kirschner, D. DeLong, M. Beachy, A. Minaei.
Analysis and interpretation of the data: R.A. Crowley, N. Kirschner, S. Bornstein, J. Bush, T. Henry, A. Minaei.
Drafting of the article: R.A. Crowley, N. Kirschner.
Critical revision of the article for important intellectual content: R.A. Crowley, D. DeLong, G. Hood, R. Lohr, A. Minaei, S. Rehman.
Final approval of the article: R.A. Crowley, N. Kirschner, T. Tape, D. DeLong, M. Beachy, S. Bornstein, G. Kane, R. Lohr, A. Minaei, K. Olive, S. Rehman.
Provision of study materials or patients: R.A. Crowley.
Statistical expertise: R.A. Crowley.
Administrative, technical, or logistic support: R.A. Crowley, T. Henry, S. Rehman.
Collection and assembly of data: R.A. Crowley, N. Kirschner.
Crowley RA, Kirschner N, for the Health and Public Policy Committee of the American College of Physicians. The Integration of Care for Mental Health, Substance Abuse, and Other Behavioral Health Conditions into Primary Care: Executive Summary of an American College of Physicians Position Paper. Ann Intern Med. 2015;163:298-299. doi: 10.7326/M15-0510
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Published: Ann Intern Med. 2015;163(4):298-299.
Behavioral health care includes care for patients around mental health and substance abuse conditions, health behavior change, life stresses and crises, and stress-related physical symptoms. Mental and substance use disorders alone are estimated to surpass all physical diseases as a major cause of worldwide disability by 2020. The literature recognizes the importance of the health care system effectively addressing behavioral health conditions. Recently, there has been a call for the use of the primary care delivery platform and the related patient-centered medical home model to effectively address these conditions.
This position paper focuses on the issue of better integration of behavioral health into the primary care setting. It provides an environmental scan of the current state of conditions included in the concept of behavioral health and examines the arguments for and barriers to increased integration into primary care. It also examines various approaches of integrated care delivery and offers a series of policy recommendations that are based on the reviewed information and evidence to inform the actions of the American College of Physicians and its members regarding advocacy, research, and practice.
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Tobacco, Alcohol, and Other Substance Abuse.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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