A. Integration and Collaborative Care
Integration and collaborative care are often used when discussing health care innovation and delivery. Three levels of collaborative care can be described as coordinated care, co-located care, and integrated care (Hunter, Goodie, Oordt, & Dobmeyer, 2017). In coordinated care the providers will share information at a distance and as needed. In co-located care the providers are in close proximity and collaboration is more common, but each provides services in traditional roles. Truly integrated care has providers working in seamless service delivery models with high level collaboration between disciplines, shared information systems, and common work spaces. Hunter, Goodie, Oordt, and Dobmeyer (2017) use an example of the primary care behavioral health model to provide examples of integrated behavioral health services. This model is a truly integrated behavioral health provider working alongside of primary care providers. The model allows for quick screening and interventions and is specifically designed to not impede the fast pace of primary care. Other models include integration of primary care providers into traditional specialty behavioral health services. Behavioral health providers that have only worked in specialty behavioral health will face new challenges as integration becomes more of a reality (Robinson & Reiter, 2013). Understanding levels of integration, collaboration, co-location, and team-based care will certainly be important tools for clinical supervision. The ability to provide clinical supervision in multiple environments, populations, and varying levels of integrated behavioral health services are crucial as innovation in health care continues.
1. Five Levels of Integration
2. A Quick Start Guide to Behavioral Health Integration for Safety-Net Primary Care Providers
- Hunter, C. L., Goodie, J. L., Oordt, M.S., & Dobmeyer, A. C. (2017). Integrated behavioral health in primary care; Step-by-step guidance for assessment and intervention (2nd ed.). Washington, DC: American Psychological Association.
- Robinson, P. J., & Reiter, J. T. (2013). Behavioral consultation and primary care (2nd ed.). Switzerland: Springer International Publishing.