Table Of ContentIntegrated Primary and Behavioral Care
William O’Donohue • Alexandros Maragakis
Editors
Integrated Primary
and Behavioral Care
Role in Medical Homes and Chronic Disease
Management
1 3
Editors
William O’Donohue Alexandros Maragakis
Department of Psychology University of Nevada
University of Nevada Reno
Reno Nevada
Nevada USA
USA
ISBN 978-3-319-19035-8 ISBN 978-3-319-19036-5 (eBook)
DOI 10.1007/978-3-319-19036-5
Library of Congress Control Number: 2015942823
Springer Cham Heidelberg New York Dordrecht London
© Springer International Publishing Switzerland 2015
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Contents
Part I Introduction
1 Patient-Centered Medical Homes: The Promise and the
Research Agenda ........................................................................................ 3
Alexandros Maragakis and William O’Donohue
Part II An Overview of Integrated Health Care and the
Patient-Centered Medical Home
2 Integrated Care and Specialty Behavioral Health Care in the
Patient-Centered Medical Home .............................................................. 19
Robynne M. Lute and Lesley Manson
3 Blending Behaviorists into the Patient-Centered Medical Home .......... 39
Joel Hornberger and Dennis Freeman
4 Training the Behavioral Health Workforce for the Patient-
Centered Medical Home ............................................................................ 61
William O’Donohue and Alexandros Maragakis
5 The Patient-Centered Medical Home Model within an
Integrated Primary Care System: Towards a European Model? .......... 75
Christos Lionis and Elena Petelos
6 The Importance of Stepped-Care Protocols for the Redesign
of Behavioral Health Care in Patient-Centered Medical Homes ........... 97
Robert E. McGrath and William O’Donohue
7 P lanning a Cost-Effectiveness Study ........................................................ 115
Gayle Hurd and Jeanne Wendel
v
vi Contents
Part III Specific Applications of Behavior Health in the
Patient-Centered Medical Home
8 Depression Management in the Medical Home ..................................... 139
Justin M. Nash, Marisa Sklar and Daniel R. Evans
9 T reating Obesity in a Primary Care ....................................................... 157
Jillian Bailie, Jacob T. Shoenleben and Larry C. James
10 Primary Health–Behavioral Health Integration for the
Population of Individuals with Serious Mental Illness ......................... 171
K. Minkoff and J. Parks
11 C ardiovascular Disease in Patient-Centered Medical Homes:
The Trident Approach.............................................................................. 201
Bridget R. Beachy, David E. Bauman and Jeffrey T. Reiter
12 Integrating Behavioral Health in the Pediatric Medical
Home: Expanding Clinical Roles to Improve Access
and Outcomes ........................................................................................... 227
Roy Grant
Index ................................................................................................................ 257
Contributors
Jillian Bailie School of Professional Psychology, Wright State University, Dayton,
OH, USA
David E. Bauman Central Washington Family Medicine Residency, Yakima, WA,
USA
Selah, WA, USA
Bridget R. Beachy Central Washington Family Medicine Residency, Yakima, WA,
USA
Selah, WA, USA
Daniel R. Evans Warren Alpert Medical School of Brown University, Providence,
RI, USA
Dennis Freeman Cherokee Health Systems, Knoxville, TN, USA
Roy Grant New York, NY, USA
Joel Hornberger Cherokee Health Systems, Knoxville, TN, USA
Gayle Hurd Best Practices Administrator, Rneown Health, Reno, NV, USA
Larry C. James School of Professional Psychology, Wright State University,
Dayton, OH, USA
Christos Lionis Clinic of Social and Family Medicine, School of Medicine,
University of Crete, Heraklion, Crete, Greece
Robynne M. Lute Behavioral Medicine, Midwestern University, Downers Grove,
USA
Lesley Manson Arizona State University, Phoenix, AZ, USA
vii
viii Contributors
Alexandros Maragakis University of Maryland School of Medicine, Maryland,
USA
University of Maryland School of Medicine, Reno, USA
Robert E. McGrath School of Psychology, Fairleigh Dickinson University,
Teaneck, NJ, USA
K. Minkoff ZiaPartners, Inc., San Rafael, CA, USA
Justin M. Nash Departments of Family Medicine and Psychiatry and Human
Behavior, Memorial Hospital of Rhode Island, Warren Alpert Medical School of
Brown University, Pawtucket, RI, USA
William O’Donohue University of Nevada, Reno, Reno, USA
J. Parks Columbia, MO, USA
Elena Petelos Clinic of Social and Family Medicine, School of Medicine,
University of Crete, Heraklion, Crete, Greece
Merck KGaA, Darmstadt, Hesse, Germany
Jeffrey T. Reiter Swedish Medical Group, Seattle, WA, USA
Jacob T. Shoenleben School of Professional Psychology, Wright State University,
Dayton, OH, USA
Marisa Sklar Joint Doctoral Program in Clinical Psychology, San Diego State
University, University of California, San Diego, USA
Jeanne Wendel Department of Economics (0030), University of Nevada, Reno,
NV, USA
Part I
Introduction
Chapter 1
Patient-Centered Medical Homes: The Promise
and the Research Agenda
Alexandros Maragakis and William O’Donohue
What is a Patient-Centered Medical Home?
To address numerous problems with costly, unsafe, and inefficient fragmented care
in the US health-care system, primary care reform has become a major area of
interest. Proposed reforms have been centered around goals first articulated in the
Institute of Medicine’s (IOM’s) Crossing the Quality Chasm (2001), namely re-
ducing medical errors, controlling cost, increasing patient-centered care, improving
access, increasing the use of evidence-based care, including preventative services,
and overall improving both the quality and the efficiency of the health-care deliv-
ery. A new model that is fair to say has gained the most attention by professional
organizations, and many health-care stakeholders are the patient-centered medical
home (PCMH) (Rittenhouse and Shortell 2009). The PCMH is defined by five core
functions (AHRQ 2014):
1. Comprehensive care
2. Patient-centered care
3. Coordinated care
4. Accessible services
5. Quality and safety
While not new, the term “medical home” was first used in 1967 to describe a sys-
tem of care to meet the needs of children with special health-care needs. In 1992,
this system of care was recommended by the American Academy of Pediatrics to
be expanded into general care of children, including an emphasis on accessibility,
comprehensiveness, coordination, and compassion (Kilo and Wasson 2010). From
there, the concept of medical homes had been discussed for general use in the pri-
A. Maragakis ()
University of Maryland School of Medicine, Maryland, USA
e-mail: [email protected]
W. O’Donohue
University of Nevada, Reno, USA
© Springer International Publishing Switzerland 2015 3
W. O’Donohue, A. Maragakis (eds.), Integrated Primary and Behavioral Care,
DOI 10.1007/978-3-319-19036-5_1
