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Integrated Care

Why Integrated Care?

Our nation’s healthcare system is plagued by many problems, but principal among them is the problem of fragmentation, particularly of the so-called physical from the so-called mental.

This separation began almost 400 years ago and has now grown into entirely separate systems of care that hardly communicate with one another.

Integrated Care Physician Parent Child

This artificial separation of mental from physical problems consign the clinicians in each arm of this dichotomy to a misconceived and incomplete clinical reality that produces duplication of effort, undermines comprehensiveness of care, hamstrings clinicians with incomplete data, and ensures that the patient cannot be completely understood.

Integrated care seeks to close the division between mind and body. It imposes the patient’s perspective as the organizing principle of service delivery and makes redundant old supply-driven models of care provision. Integrated care enables physical and mental health provision that is flexible, personalized, and seamless.

Benefits of Integrated Care in the Medical Home

Financial Benefits of Integrated Care

Key Results

The Patient-Centered Primary Care Collaborative supported by the several primary care associations, includes 14 state health home projects with solid results: Benefits of Implementing the Primary Care Patient-Centered Medical Home: A Review of Cost & Quality Results, 2012.

Studies indicate that the North Carolina health home program saved the state $60 million in Medicaid costs in 2003 and savings increased to $154 million in 2007.

Key results from the Missouri Community Mental Community Mental Health Center (CMHC) Health Home initiative include:

Key outcomes for behavioral health clients included:

Recommended Reading

Bringing Behavioral Health into the Care Continuum: Opportunities to Improve Quality, Costs and Outcomes (American Hospital Association, January 2012)

Gold SB, Green LA, Editors. Integrated Behavioral Health in Primary Care: Your Patients Are Waiting. Springer Nature, 2018