Table 4. Barriers to Primary Care and Behavioral Health Integration
BarrierPCP (n = 88)BHP (n = 49)Odds Ratio (95% CI)P
No champion18 (20)12 (24)0.8 (0.3–1.8).58
Lack of payment for BHP54 (61)18 (37)2.7 (1.3–5.6)<.01
Limited resources to develop BHP services38 (43)15 (31)1.7 (0.8–3.6).15
No community support12 (14)16 (33)0.3 (0.1–0.8)<.01
PCP recruitment19 (22)7 (14)1.6 (0.6–4.3).29
PCP retention22 (25)6 (12)2.4 (0.9–6.4).08
BHP recruitment46 (52)11 (22)3.8 (1.7–8.3)<.001
BHP retention46 (52)14 (29)2.7 (1.3–5.8)<.001
  • Data are n (%) unless otherwise indicated.

  • BHP, behavioral health provider; CI, confidence interval; PCP, primary care provider.