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An increasing number of studies have demonstrated that integrating behavioral health into primary care can result in better access to care, improvements in health outcomes for patients, and less stress for providers (Katon et al., N Engl J Med 363(27):2611–2620, 2010; Solberg et al., Implement Sci 8:135, 2013; Unützer et al., JAMA 288(22):2836–2845, 2002; https://effectivehealthcare.ahrq.gov/products/strategies-integrating-behavioral-health/protocol#field_report_title_5 . Accessed 22 Nov 2024). Health inequities, which can occur at multiple points of the spectrum of care, for mental and behavioral healthcare lead to higher rates of health disparities experienced by sub-groups of children and adolescents that come from racial, ethnic, and sexual and gender minority groups. In addition, children and adolescents with autism spectrum disorders (ASDs) and other developmental disorders and who live in rural and under-resourced communities or who are involved with the child welfare or juvenile justice system experience worse outcomes. The disparities seen are related to a continuum of factors, which can include limited access, decreased quality and availability of care from a licensed MBH provider, lack of prevention services, and early initial screening and treatment (Alegria et al., Child Adolesc Psychiatr Clin N Am 19(4):759–774, 2010; Maenner et al., MMWR Surveill Summ 70(11):1–16, 2021; Marrast et al., Int J Health Serv 46(4):810–824, 2016; Malik-Soni et al., Pediatr Res 91(5):1028–1035, 2022; Mcdermott et al., Subst Abuse 34(4):371–380, 2013). Primary care is a critical access point for patients to receive adequate mental healthcare; integrating mental and behavioral healthcare into the primary care medical home can support primary care providers in multiple ways and mitigate mental health outcomes disparities for vulnerable children and youth in these sub-groups.

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Improving Health Equity in Primary Care by Integrating Behavioral Health

  • 章节

  • 发表日期：

    2025年

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  • Cheryl A. Dickson,
  • Nickoli Nickerson

摘要

An increasing number of studies have demonstrated that integrating behavioral health into primary care can result in better access to care, improvements in health outcomes for patients, and less stress for providers (Katon et al., N Engl J Med 363(27):2611–2620, 2010; Solberg et al., Implement Sci 8:135, 2013; Unützer et al., JAMA 288(22):2836–2845, 2002; https://effectivehealthcare.ahrq.gov/products/strategies-integrating-behavioral-health/protocol#field_report_title_5 . Accessed 22 Nov 2024). Health inequities, which can occur at multiple points of the spectrum of care, for mental and behavioral healthcare lead to higher rates of health disparities experienced by sub-groups of children and adolescents that come from racial, ethnic, and sexual and gender minority groups. In addition, children and adolescents with autism spectrum disorders (ASDs) and other developmental disorders and who live in rural and under-resourced communities or who are involved with the child welfare or juvenile justice system experience worse outcomes. The disparities seen are related to a continuum of factors, which can include limited access, decreased quality and availability of care from a licensed MBH provider, lack of prevention services, and early initial screening and treatment (Alegria et al., Child Adolesc Psychiatr Clin N Am 19(4):759–774, 2010; Maenner et al., MMWR Surveill Summ 70(11):1–16, 2021; Marrast et al., Int J Health Serv 46(4):810–824, 2016; Malik-Soni et al., Pediatr Res 91(5):1028–1035, 2022; Mcdermott et al., Subst Abuse 34(4):371–380, 2013). Primary care is a critical access point for patients to receive adequate mental healthcare; integrating mental and behavioral healthcare into the primary care medical home can support primary care providers in multiple ways and mitigate mental health outcomes disparities for vulnerable children and youth in these sub-groups.