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Care Coordination and Population Health Management Strategies and Challenges in a Behavioral Health Home Model

Bibliographic Data

ID9102089
AuthorsGail L Daumit (0000-0003-0717-0216, Division of General Internal Medicine, Johns Hopkins School of Medicine, corresponding author), Elizabeth M Stone (0000-0001-5676-1499, Division of General Internal Medicine, Johns Hopkins School of Medicine, corresponding author), Alene Kennedy‐Hendrick (0000-0001-5747-0538, Johns Hopkins University), Alene Kennedy-Hendricks (Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD), Seema Choksy (Division of General Internal Medicine, Johns Hopkins School of Medicine, corresponding author), Jill Ann Marsteller (0000-0002-8458-954X, Johns Hopkins University), Emma E Mcginty (0009-0003-5095-9308, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD)
Year2019
Volume57
Issue1
Pages79-84
Publication date2019-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001023
PMID30439791
OpenAlexW2900789892
LanguageEN
Citations received4
References cited16

OBJECTIVES: Behavioral health home (BHH) models have been developed to integrate physical and mental health care and address medical comorbidities for individuals with serious mental illnesses. Previous studies identified population health management capacity and coordination with primary care providers as key barriers to BHH implementation. This study examines the BHH leaders' perceptions of and organizational capacity to conduct these functions within the community mental health programs implementing BHHs in Maryland. METHODS: Interviews and surveys were conducted with 72 implementation leaders and 627 front-line staff from 46 of 48 Maryland BHH programs. In-depth coding of the population health management and primary care coordination themes identified subthemes related to these topics. RESULTS: BHH staff described cultures supportive of evidence-based practices, but limited ability to effectively perform population health management or primary care coordination. Tension between population health management and direct, clinical care, lack of experience, and state regulations for service delivery were identified as key challenges for population health management. Engaging primary care providers was the primary barrier to care coordination. Health information technology and staffing were barriers to both functions. CONCLUSIONS: BHHs face a number of barriers to effective implementation of core program elements. To improve programs' ability to conduct effective population health management and care coordination and meaningfully impact health outcomes for individuals with serious mental illness, multiple strategies are needed, including formalized protocols, training for staff, changes to financing mechanisms, and health information technology improvements

Environmental health · Health care · Mental health · Population · Population health · Psychiatry · Public health · Staffing · Geriatric Care and Nursing Homes · Medicine · Mental Health Treatment and Access · Nursing · Schizophrenia research and treatment

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    Open Access•Teresa Winning Verry, Seth Eisen et al.•Community Mental Health Journal•2026

  • Strengthening the Delivery of Physical Healthcare for Adults Living With Serious Mental Illness – A Qualitative Description of Patient and Family Member Perspectives

    Open Access•Munazzah Ambreen, Christopher Canning et al.•Health Expectations•2025

  • Staff Perceptions of Barriers and Facilitators to Implementation of Behavioral Health Homes at Community Mental Health Provider Settings

    Open Access•Cara Nikolajski, Kelly Williams et al.•Community Mental Health Journal•2021

  • Implementing a Learning Collaborative for Population-Based Physical and Behavioral Health Integration

    Open Access•Jaspreet S Brar, Amanda A Maise et al.•Community Mental Health Journal•2021

  • Assessing organizational readiness for change

    Open Access•Wayne E K Lehman, Jack M Greener et al.•Journal of Substance Abuse…•2002

Unique citing works4
Citations per year0,8
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3
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