Module D: New Models of Behavioral Healthcare

CE Credits: 1.5

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The last module in this course looks at the intersection of the general medical system and the behavioral health treatment system—and how those two systems can be better integrated. It begins by explaining why such integration is needed—in part, because mental health problems can compound other chronic medical conditions—and the foundations of such a system, such as aligned financial incentives, real-time information-sharing, and transdisciplinary care teams. Next, the module explores how an integrated system affects other parts of a patient’s care (like preventing other illnesses) and how that can manifest itself in different models— such as co-located and coordinated models—as well as different payment models. Last, the module looks at how one can troubleshoot against various barriers to integration.

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Learning objectives: After completing this module case managers will be able to:
» Define integrated behavioral health
» Identify the foundational elements of behavioral health
» Discuss implications of integrated behavioral health models for care delivery
» Identify examples of practical application of behavioral health models
» Discuss fiscal incentives for integrated behavioral health implementation
» Describe realistic factors to address barriers to behavioral health implementation

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Advance your professional practice: Because behavioral health issues, such as depression, can greatly complicate a patient’s medical care, CMs can play an important role in helping to coordinate and integrate these two systems. As a result, patients can get the most effective and efficient care for all of their health issues.

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Improving organizational performance: Behavioral health problems significantly affect a patient’s health and quality of life. Although most treatments for common mental disorders are provided in primary care, there are numerous opportunities for improvement in both processes and outcomes. When patients have access to good behavioral health care, they can mitigate its possible negative effects on their overall health care, and avoid unnecessary and costly doctor’s office visits and hospitalizations.