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Integrated Care

A Guide for Effective Implementation

Edited by Lori E. Raney, M.D., Gina B. Lasky, Ph.D., M.A.P.L., and Clare Scott, L.C.S.W.

  • ISBN 978-1-61537-054-2
  • Item #37054

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Integrated Care: A Guide for Effective Implementation provides a detailed, thoughtful, and experience-based guide to the complex and potentially overwhelming process of implementing an integrated care program. The advantages of integrated care from both the clinical and administrative perspectives are many, including better detection of illness, improvement in overall health outcomes, a better patient care experience, flexibility in responding to policy and financial changes, and an emphasis on return on investment. The book addresses the emerging framework of core principles for effective integrated care, reviews the most up-to-date research on implementation, and presents practice-based experience to serve as a guide. This information is useful in both traditional integration of behavioral health into general medical settings (often primary care) or integrating general medical care into a specialty mental health or substance use treatment setting. Because administrators, clinicians, policy makers, payers and others need guidance in determining what effective implementation looks like, the authors offer a three-part examination of the key components of an implementation strategy and explore the elements essential for success.

The book is grounded in the authors' real-world expertise and offers readers practical, accessible information and support:

  • Often efforts to implement an integrated care program fail because the model is more than just plug and play. To address this misconception, the authors explore the successful implementation from every angle—from leadership, primary care, therapist, psychiatric provider, and policy perspectives.
  • As procedural and institutional hurdles are being overcome, codes for integrated care have been adopted. Accordingly, the book provides in-depth coverage of finance and funding models, challenges to billing, and emerging payment models. Each of the chapter authors were selected for their direct clinical experience in various integrated environments, their leadership in ushering teams through these initiatives, and/or their deep knowledge of payment and policy barriers.

Impediments to the widespread implementation of evidence-based programs include payment and regulatory barriers, lack of a workforce trained in effective collaboration, and cultural differences between the worlds of primary care and behavioral health care. Integrated Care: A Guide for Effective Implementation helps health care leaders and providers overcome these obstacles to implement a successful, patient-centered integrated care program.


  • Contributors
  • Foreword
  • Introduction
  • Acknowledgments
  • Part I: A Design for SuccessContributors
  • Forward
  • Introduction/Preface
  • Acknowledgements
  • Part I: Setting the Model Up For Success
  • Chapter 1. The Core Elements of Effective Design and Implementation
  • Chapter 2. Organizational Leadership and Culture Change
  • Chapter 3. Team Dynamics and Culture
  • Part II: The Provider Role: Changing Practice
  • Chapter 4. Behavioral Health Provider Essentials
  • Chapter 5. Primary Care Providers in Integrated Settings
  • Chapter 6. The Psychiatric Consultant
  • Part III: Operational Considerations
  • Chapter 7. Policy and Regulatory Environment
  • Chapter 8. Financing Integrated Care
  • Supplement – Performance and Outcome Measures


    D. Anton Bland, M.D.
    Lydia Chwastiak, M.D., M.P.H.
    Benjamin G. Druss, M.D., M.P.H.
    Robert Hilt, M.D.
    Wayne Katon, M.D.
    John S. Kern, M.D.
    Kristen Lambert, J.D., M.S.W., LICSW, FASHRM
    Gina Lasky, Ph.D.
    Joseph Parks, M.D.
    Marcella Pascualy, M.D.
    Anna H. Ratzliff, M.D., Ph.D.
    Barry Sarvet, M.D.
    Clare Scott, LCSW
    Jurgen Unutzer, M.D., M.P.H., M.A.
    Martha C. Ward, M.D.
    Erik R. Vanderlip, M.D., M.P.H.

About the Authors

Lori E. Raney, M.D., is Principal at Health Management Associates in Dolores, Colorado.

Gina B. Lasky, Ph.D., M.A.P.L., is Senior Consultant at Health Management Associates in Denver, Colorado.

Clare Scott, L.C.S.W., is Consultant at Collaborative Care Consulting in Lafayette, Colorado.

The integration of behavioral health with general health care improves outcomes, lowers costs, and leads to a better experience of care. But how to achieve this Triple Aim effectively and efficiently? This how-to book is essential for practitioners and policy makers who want to make collaborative care a reality everywhere.—Steven S. Sharfstein, M.D., President Emeritus, Sheppard Pratt Health System, Clinical Professor of Psychiatry, University of Maryland, and former President of APA

This book will be helpful for both primary care and behavioral health organizations on the path to integration, regardless of what stage they are in. The focus on the specifics of implementation will be very helpful for all disciplines.—Virna Little, PsyD, LCSW-r, MBA, CCM, SAP, Senior Vice President Psychosocial Services/Community Affairs

Integrated Care: A Guide for Effective Implementation covers a broad range of topics related to making behavioral health integration work in the reader's setting. It covers clinical, operational, and financial aspects of integration. This book is full of practical advice from people who have worked in integrated settings and understand the potential benefits and the challenges of providing integrated care.—Neil Korsen, Physician Scientist, Center for Outcomes Research and Evaluation Maine Medical Center

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