Moving from the Sidelines to the Main Ring: Integrating Behavioral Health, Health, and Social Services
This lecture will trace long-term and recent developments in the mental health field leading up to present efforts to integrate mental health care with primary care and social services.
From almshouses, to state mental hospitals, to modern community based programs, care of persons with mental illness has always been separated from other health care. This separation has permitted the field to develop in unique ways, and has produced challenges. Frequently, the health conditions of persons receiving specialty mental health care are not addressed; and, conversely, the mental health conditions of persons who seek care in primary care settings are often overlooked or inadequately treated. Many people receive no care at all.
In the modern period, we have rediscovered the seriousness of the health conditions of persons who also have mental illness, and have quantified its effects in terms of years of life lost. These stark findings have become a major motivating factor in promoting national policy and efforts to integrate care.
As we go forward, integration efforts will continue in care settings, through medical homes and health homes, and they also will “move upstream” to encompass community and population prevention and early intervention initiatives.
he current period is one of much anticipation and hope.
Learning Areas:Administer health education strategies, interventions and programs
Advocacy for health and health education
Provision of health care to the public
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health
Qualified on the content I am responsible for because: I am the 2014 Taube Awardee and Executive Director, NACBHDD & Adjunct Professor, Department of Mental Health, JHSPH
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.