ABSTRACT
Currently integrating mental health, substance abuse, and health behavior into Patient-Centered Medical Homes (PCMH) is being
advocated with increasing frequency. There are no current reports describing efforts to accomplish this. A theory-based project
was developed to integrate mental health, substance abuse, and health behavior services into the fabric and culture of an
NCQA-certified level-three PCMH using funding from the Vermont legislature. A mixed methods case report of data from the first
34 months reviews planning, development, implementation, care model, information technology (IT), and data collection, and
reports results using the elements of a RE-AIM framework. Early accomplishment of most RE-AIM dimensions is observed. Implementation
remains a struggle, specifically the questions of role responsibilities, form, and financing. This effort is a successful
pilot implementation of the Primary Care Behavioral Health (PCBH) model in the PCMH with the potential for dissemination toward
additional implementation and a model for a comparative effectiveness trial.
advocated with increasing frequency. There are no current reports describing efforts to accomplish this. A theory-based project
was developed to integrate mental health, substance abuse, and health behavior services into the fabric and culture of an
NCQA-certified level-three PCMH using funding from the Vermont legislature. A mixed methods case report of data from the first
34 months reviews planning, development, implementation, care model, information technology (IT), and data collection, and
reports results using the elements of a RE-AIM framework. Early accomplishment of most RE-AIM dimensions is observed. Implementation
remains a struggle, specifically the questions of role responsibilities, form, and financing. This effort is a successful
pilot implementation of the Primary Care Behavioral Health (PCBH) model in the PCMH with the potential for dissemination toward
additional implementation and a model for a comparative effectiveness trial.
- Content Type Journal Article
- Category Case Study
- Pages 1-10
- DOI 10.1007/s13142-012-0148-1
- Authors
- Jessica Young, Fletcher Allen Health Care, Burlington, VT, USA
- Jennifer Gilwee, Fletcher Allen Health Care, Burlington, VT, USA
- Melissa Holman, Fletcher Allen Health Care, Burlington, VT, USA
- Randall Messier, Randy Messier, LLC, Fairfield, VT, USA
- Mark Kelly, University of Vermont College of Medicine, Burlington, VT, USA
- Rodger Kessler, University of Vermont College of Medicine, Burlington, VT, USA
- Journal Translational Behavioral Medicine
- Online ISSN 1613-9860
- Print ISSN 1869-6716