Mind and Body Reunited Improving Care at the Behavioral and.PDF

Mind and Body Reunited: Improving Care at the Behavioral and Primary Healthcare Interface Sponsors: American College of Mental Health Administration National Council for Community Behavioral Healthcare Carter Center Mental Health Program Prepared for: American College of Mental Health Administration Summit, March 2007 Barbara J. Mauer, MSW CMC Benjamin G. Druss, MD, MPH Table of Contents Executive Summary 1 General Introduction 2 The Growth and Evolution of the Primary Healthcare and Behavioral Healthcare Safety Net 3 Where Do Persons Receive Care at the Primary Care/Behavioral Health Interface? ..4 Improving Outcomes at the Primary Care/Behavioral Health Interface 4 Efforts to Improve Treatment for Substance Use in Primary Care 4 Efforts to Improve Treatment for Depression in Primary Care 5 Addressing Morbidity and Mortality in People with Serious Mental Illness 5 Frameworks for Discussion: Models and Their Application 7 The Continuum of Collaboration, Coordination, and Integration 7 Cultures of Primary Care and Mental Health Services 7 Integration of MH/SU Services 8 National Council for Community Behavioral Healthcare Four Quadrant Model 8 Stepped Care 10 Communities and Populations Are Unique 11 Quality Improvement Activities 12 Research Efforts and National Initiatives Across Systems 12 Improving the Treatment of Substance Use in Primary Care 12 Improving the Treatment of Depression in Primary Care 13 Improving Healthcare for Persons with MH/SU Dis