Article Figures & Data
Figures
- Figure 1.
Observed type 1 layout: primary care and behavioral health clinicians located in separate work areas.
- Figure 2.
Observed type 2 layout: primary care and behavioral health clinicians located in shared work areas.
- Figure 3.
Recommended floor plan example, open pod arrangement. BHC, behavioral health clinician; Case Mgr, case manager; MA, medical assistant; PCC, primary care clinician; RN, registered nurse; Sched, Scheduler.
- Figure 4.
Recommended floor plan example, closed pod arrangement. BHC, behavioral health clinician; Case Mgr, case manager; EVS, environmental services; MA, medical assistant; PCC, primary care clinician; RN, registered nurse; Sched, Scheduler.
Tables
- Table 1. Practice Characteristics, Layout of Physical Space, and Observed Patterns of Integrated Care Delivery (N = 19)
Practice ID 1 4 6 7 11 12 13 14 15 17 18 2 5 3 8 9 10 16 19 Layout typea 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 Practice characteristics Primary care/mental health Both Primary care Primary care Primary Care Primary care Primary care Primary care Primary care Both Mental health Mental health Both Primary care Both Primary Care Primary care Primary care Primary care Mental health Geographic location Urban Suburban Suburban Suburban Rural Suburban Urban Suburban Urban Rural Suburban Suburban Urban Urban Urban Rural Suburban Suburban Rural Ownership Private, not for profit Private, not for profit Private, not for profit Clinician Hospital system Hospital system Clinician Hospital system, HMO Government Private, not for profit Private, not for profit Private, not for profit Hospital system Private Private, not for profit Clinician Clinician Hospital system Private, not for profit Funding designation FQHC/CMHC FQHC FQHC None None FQHC None None Government CMHC CMHC FQHC/CMHC None Government FQHC None None FQHC CMHC Physical layout build/modifications New construction X X X Remodeled space X X X Existing spaceb X X X X X X X X X X X X X Functional characteristics BHC and PCC office locations Separate Floors Variabled Same floor Separate Locations Same Floor Same Floor Same Floor Variable Variable Same Floor Variable Pods Same floor Same Floor Same floor Same Floor Same Floor Same Floor Same Floor BHC and PCC shared office Workflow pathway (BHC in proximity) X X X X X X X X X X X Treatment spacec Exam room X X X X X X X X Private office X X X X X X X X X X Both X X X X X X Accessibility of BHC Crisis Sometimes Sometimes Rare Sometimes Rare Sometimes Rare Sometimes X X X Integrated care type Rare Rare Always Always Most Sometimes Sometimes Sometimes Sometimes Sometimes Bidirectional (CMHC-FQHC hybrid) X BH in PC X X X X X X X X X PC in BH X X X X X X Integrated care model X X X Fully integrated X X X Partially integrated X X X X X Colocated X X X X X Referral only X X X X X BH, behavioral health; BHC, behavioral health clinician; CMHC, community mental health center; FQHC, federally qualified health center; HMO, health maintenance organization; PC, primary care; PCC, primary care clinician.
↵a Type 1 nuances: separate floors or same floor, both options (same floor preferred, if not available other floor), another location. Type 2 nuances: all providers/staff in one space; some providers in one space with medical assistants separate; teams organized into pods.
↵b Existing space is defined as clinic existing prior to integration efforts commencing, with only minor changes to accommodate new model of care delivery.
↵c Where the new clinician sees patients.
↵d Variable (primary, same floor; backup, separate locations).
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