A high-performance framework to integrate primary care and behavioural health

Roshini Moodley Naidoo, Kailey Love, George Runger, Cameron Adams, Michael Franczak and William Riley
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Roshini Moodley Naidoo: College of Health Solutions, USA
Kailey Love: College of Health Solutions, USA
George Runger: School of Computing and Augmented Intelligence, USA
Cameron Adams: Targeted Investment Program, USA
Michael Franczak: Copa Health, USA
William Riley: College of Health Solutions, USA

Management in Healthcare: A Peer-Reviewed Journal, 2024, vol. 9, issue 1, 33-45

Abstract: This paper describes a large statewide initiative in Arizona led by the Arizona Medicaid programme to integrate the delivery of primary care and behavioural services. Healthcare in the USA remains fragmented, as reflected in no small measure by the separation of primary care and mental health services, in both structure and delivery. The fact that this historical separation continues to be perpetuated is detrimental to the goals of the Triple Aim. The fragmentation between both clinical service lines is further compounded by the high rate of co-occurring physical and mental illness, shortage of mental health professionals, under-skilling of primary care providers in the management of mental health, and stigma associated with mental illness. Underserved communities, where trust deficits of healthcare systems are commonplace, are especially vulnerable to the untoward effects of fragmented services. In this paper a framework is described to integrate primary care and behavioural health, implemented as a multi-year, multi-stakeholder programme at microsystem level, with policy implications for improving access, outcomes, costs and disparities.

Keywords: Multisector alignment; primary care and behavioural health integration; value-based contracting (search for similar items in EconPapers)
JEL-codes: I1 I10 (search for similar items in EconPapers)
Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:aza:mih000:y:2024:v:9:i:1:p:33-45

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