HSC 3015 Week 3 Assignment 2 The Business of Behavioral Health
A central tenet of the Patient Centered Medical Home (PCMH) Model is holistic and comprehensive
primary care. Primary care providers have always known that behavioral health is a major public health
issue and a primary or co-morbid diagnosis of many of the patients seen by the primary care team. The
literature suggests that the incidence of depression as a comorbidity with chronic disease ranges from
24% to 40% in a normalized population. Health Centers that have implemented universal screening of
their chronically ill patients are finding the incidence as high as 70%. Unfortunately, reimbursement for
behavioral health related conditions has been fragmented and structural barriers (such as regulatory
guidelines precluding billing for a behavioral visit on the same day as a primary care visit when providers
use the same provider number) have resulted in a lack of integration of behavioral health services and
primary care. This monograph addresses the business case for integration of behavioral health and
provides guidance on how to evaluate this business case at an individual Health Center.
Behavioral Health Services Integrated in Primary Care
A fully integrated behavioral health model includes resources for a number of services required by those
with mental health conditions:
• universal screening for behavioral health issues (including substance and alcohol abuse,
depression and other mental health conditions);
• self-management support and brief interventions by a behaviorist;
• treatment of the behavioral health condition by the care team; and
• appropriate referral for treatment to a psychologist or psychiatrist, as warranted.
As you know there are several models for integration of behavioral health and primary care. One model
is a fully integrated staff working as a multi-disciplinary care team. A colocation of behavioral health
providers and primary care providers working for the same organization can facilitate warm handoffs
and facilitate access. Integration can also be achieved through a purposively designed co-location model
where staffs from partnering organizations collaborate in the care of individuals. Variations of these are
being pursued in this collaborative.
For patients with severe behavioral health conditions where the patient is being seen frequently in a
behavioral health setting the behavioral health organization may serve as the individual’s health home,
working with a primary care team to address issues of physical health and prevention for a particular
patient. A third approach is use of tele-health services supporting the primary care team. The major
challenge faced by most primary care organizations working to integrate behavioral health in the PCMH
is finding the resources required to provide universal screening and a basic level of intervention.
Attention to the business case can help mitigate this challenge.
Discussion Questions (DQ)
• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.
• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.
• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
• Communication is so very important. There are multiple ways to communicate with me:
o Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
o Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.