Traditional Mental Health | Integrated Behavioral Health and Primary Care |
---|---|
50-min appointments | Brief, targeted interventions (5 to 30 min) |
Asynchronous communication with other healthcare stakeholders (eg, fax a note, voice message) | Immediate communication with other members of the team: directly or within the shared EHR |
Interventions often focused on mental health | Interventions focused on behavioral health: mental health, substance use, life stressors, health behaviors, and adherence to medical regimens |
Clinical involvement often long term, likely to take a reflective approach | Clinical involvement focused on the moment (eg, problem and/or solution), likely to take a more active and teaching approach |
Patients discharged following completion of care | Patients retained in the EHR as long as they are receiving primary care |
Documentation often in narrative form: focused on telling the person's history and story | Documentation often brief, focused on problem, intervention, and plan, and located either in separate note or imbedded in physicians' notes |
Must document development of thorough knowledge of client | Knowledge of patient developed by PCP in previous relationship |
Assign clinical diagnosis to bill | Diagnosis often resisted or delayed to try to help the patient without a label |
Individuals referred to as “clients,” “consumers,” or other term designed to reduce stigma | Individuals referred to as “patients” or “consumers” |
EHR, electronic health record.