Provisions of the Affordable Care Act provide unprecedented opportunities for expanded access to behavioral health care and for redesigning the provision of services. Key to these reforms is establishing mental and substance abuse care as essential coverage, extending Medicaid eligibility and insurance parity, and protecting insurance coverage for persons with preexisting conditions and disabilities. Many provisions, including Accountable Care Organizations, health homes, and other structures, provide incentives for integrating primary care and behavioral health services and coordinating the range of services often required by persons with severe and persistent mental health conditions. Careful research and experience are required to establish the services most appropriate for primary care and effective linkage to specialty mental health services. Research providing guidance on present evidence and uncertainties is reviewed. Success in redesign will follow progress building on collaborative care and other evidence-based practices, reshaping professional incentives and practices, and reinvigorating the behavioral health workforce.


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Literature Cited

  1. Ahmedani BK, Solberg LI, Copeland LA, Fang-Hollingsworth Y, Stewart C. et al. 2015. Psychiatric comorbidity and 30-day readmissions after hospitalization for heart failure, AMI, and pneumonia. Psychiatr. Serv. 66:134–40 [Google Scholar]
  2. Alakeson V, Frank RG, Katz RE. 2010. Specialty care medical homes for people with severe, persistent mental disorders. Health Aff. 29:867–73 [Google Scholar]
  3. Alliance Community Health Plans 2015. Getting to more affordable care: how community health plans are leading the way. http://www.achp.org/publications/getting-affordable-care-community-health-plans-leading-way/
  4. Appelbaum PS. 1994. Almost a Revolution: Mental Health Law and the Limits of Change New York: Oxford Univ. Press [Google Scholar]
  5. Assoc. Am. Med. Coll 2012. 2012 Physician Specialty Data Book. Washington, DC: Assoc. Am. Med. Coll. https://www.aamc.org/download/313228/data/2012physicianspecialtydatabook.pdf [Google Scholar]
  6. Beronio K, Glied S, Frank R. 2014. How the Affordable Care Act and Mental Health Parity and Addiction Equity Act greatly expand coverage of behavioral health care. J. Behav. Health Serv. Res. 41:410–28A policy analysis of provisions within ACA and MHPAEA that will expand mental health coverage. [Google Scholar]
  7. Beronio K, Po R, Skopec L, Glied S. 2013. ASPE Issue Brief. Affordable Care Act expands mental health and substance use disorder benefits and federal parity protections for 62 million Americans. Washington, DC: U.S. Dep. Health Hum. Serv., Off. Assist. Secr. Plan. Eval http://www.aspe.hhs.gov/health/reports/2013/mental/rb_mental.cfm [Google Scholar]
  8. Bishop TF, Press MJ, Keyhani S, Pincus HA. 2014. Acceptance of insurance by psychiatrists and the implications for access to mental health care. JAMA Psychiatry 71:176–81 [Google Scholar]
  9. Bockoven JS. 1972. Moral Treatment in Community Mental Health New York: Springer [Google Scholar]
  10. Bond GR, Becker DR, Drake RE, Rapp CA, Meisler N. et al. 2001. Implementing supported employment as an evidence-based practice. Psychiatr. Serv. 52:313–22 [Google Scholar]
  11. Bond GR, Drake RE, Becker DR. 2008. An update on randomized controlled trials of evidence-based supported employment. Psychiatr. Rehabil. J. 31:280–90Comprehensive review of supported employment programs for adults with severe mental illnesses. [Google Scholar]
  12. Bower P, Gilbody S. 2005. Managing common mental health disorders in primary care: conceptual models and evidence base. BMJ 330:839–42 [Google Scholar]
  13. Bower P, Gilbody S, Richards D, Fletcher J, Sutton A. 2006. Collaborative care for depression in primary care. Making sense of a complex intervention: systematic review and meta-regression. Br. J. Psychiatry 189:484–93 [Google Scholar]
  14. Bower P, Knowles S, Coventry PA, Rowland N. 2011. Counselling for mental health and psychosocial problems in primary care. Cochrane Database Syst. Rev. 9CD001025 [Google Scholar]
  15. Brief of Health Care Policy History Scholars as Amici Curiae Supporting Respondents 2015. Re: King et al. v. Burwell S. Ct. No. 14-114. Supreme Court United States. http://www.americanbar.org/content/dam/aba/publications/supreme_court_preview/BriefsV5/14-114_amicus_resp_hcp.authcheckdam.pdf [Google Scholar]
  16. Bur. Labor Stat 2015. Occupational employment statistics, occupational employment and wages, May 2014. 19-3031 Clinical, counseling, and school psychologists. Washington, DC: Bur. Labor Stat http://www.bls.gov/oes/current/oes193031.htm [Google Scholar]
  17. Burwell SM. 2015. Setting value-based payment goals. HHS efforts to improve U.S. health care. N. Engl. J. Med. 372:897–99 [Google Scholar]
  18. Butler M, Kane RL, McAlpine D, Kathol RG, Fu SS. et al. 2008. Integration of mental health/substance abuse and primary care Evid. Rep./Technol. Assess. No. 173 (prep. by Minn. Evid.-Based Pract. Cent.). AHRQ Publ. No. 09-E003. Rockville, MD: Agency Healthc. Res. Qual. [Google Scholar]
  19. Casalino LP. 2014a. Accountable Care Organizations—the risk of failure and the risks of success. N. Engl. J. Med. 371:1750–51 [Google Scholar]
  20. Casalino LP. 2014b. Categorizing Accountable Care Organizations: moving toward patient-centered outcomes research that compares health care delivery systems. Health Serv. Res. 49:1875–82 [Google Scholar]
  21. Cent. Medicare Medicaid Serv 2014. Fact Sheets: Medicare ACOs Continue to Succeed in Improving Care, Lowering Cost Growth. Updated Nov. 7, 2014. Baltimore, MD: Cent. Medicare Medicaid Serv. http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2014-Fact-sheets-items/2014-09-16.html [Google Scholar]
  22. Chang ET, Rose DE, Yano EM, Wells KB, Metzger ME. et al. 2013. Determinants of readiness for primary care–mental health integration (PC-MHI) in the VA Health Care System. J. Gen. Intern. Med. 28:353–62 [Google Scholar]
  23. Cummings JR. 2015. Rates of psychiatrists' participation in health insurance networks. JAMA 313:190–91 [Google Scholar]
  24. Cunningham PJ. 2009. Beyond parity: primary care physicians' perspectives on access to mental health care. Health Aff. 28:490–501 [Google Scholar]
  25. Davis K, Abrams M, Stremikis K. 2011. How the Affordable Care Act will strengthen the nation's primary care foundation. J. Gen. Intern. Med. 26:1201–3 [Google Scholar]
  26. Druss BG, von Esenwein SA. 2006. Improving general medical care for persons with mental and addictive disorders: systematic review. Gen. Hosp. Psychiatry 28:145–53 [Google Scholar]
  27. Druss BG, von Esenwein SA, Compton MT, Rask KJ, Zhao L, Parker RM. 2010. A randomized trial of medical care management for community mental health settings: the Primary Care Access, Referral, and Evaluation (PCARE) study. Am. J. Psychiatry 167:151–59 [Google Scholar]
  28. Edwards ST, Bitton A, Hong J, Landon BE. 2014. Patient-centered medical home initiatives expanded in 2009–13: providers, patients, and payment incentives increased. Health Aff. 33:1823–31 [Google Scholar]
  29. Fisher WH, Silver E, Wolff N. 2006. Beyond criminalization: toward a criminologically informed framework for mental health policy and services research. Adm. Policy Ment. Health 33:544–57 [Google Scholar]
  30. Frese FJ, Stanley J, Kress K, Vogel-Scibilia S. 2001. Integrating evidence-based practices and the recovery model. Psychiatr. Serv. 52:1462–68 [Google Scholar]
  31. Friedberg MW, Schneider EC, Rosenthal MB, Volpp KG, Werner RM. 2014. Association between participation in a multipayer medical home intervention and changes in quality, utilization, and costs of care. JAMA 311:815–25 [Google Scholar]
  32. Galewitz P. 2015. Indiana Medicaid expansion may tempt other GOP-led states. Kaiser Health News Jan. 28. http://www.khn.org/news/indiana-medicaid-expansion-may-tempt-other-gop-led-states/ [Google Scholar]
  33. Gallagher RP. 2012. Thirty years of the national survey of counseling center directors: a personal account. J. Coll. Stud. Psychother. 26:172–84 [Google Scholar]
  34. Garfield RL, Zuvekas SH, Lave JR, Donohue JM. 2011. The impact of national health care reform on adults with severe mental disorders. Am. J. Psychiatry 168:486–94 [Google Scholar]
  35. Gask L, Khanna T. 2011. Ways of working at the interface between primary and specialist mental healthcare. Br. J. Psychiatry 198:3–5 [Google Scholar]
  36. Gerrity M. 2014. Integrating primary care into behavioral health settings: what works for individuals with serious mental illness New York: Milbank Meml. Fund http://www.milbank.org/uploads/documents/papers/Integrating-Primary-Care-Report.pdf [Google Scholar]
  37. Gilbody S, Bower P, Fletcher J, Richards D, Sutton AJ. 2006. Collaborative care for depression: a cumulative meta-analysis and review of longer-term outcomes. Arch. Intern. Med. 166:2314–21 [Google Scholar]
  38. Gilbody S, Whitty P, Grimshaw J, Thomas R. 2003. Educational and organizational interventions to improve the management of depression in primary care: a systematic review. JAMA 289:3145–51 [Google Scholar]
  39. Gilmer TP, Stefancic A, Ettner SL, Manning WG, Tsemberis S. 2010. Effect of full-service partnerships on homelessness, use and costs of mental health services, and quality of life among adults with serious mental illness. Arch. Gen. Psychiatry 67:645–52 [Google Scholar]
  40. Gold J. 2015. Accountable Care Organizations, explained. Kaiser Health News Sept. 14. http://www.khn.org/news/aco-accountable-care-organization-faq [Google Scholar]
  41. Goldberg D, Huxley P. 1980. Mental Illness in the Community: The Pathway to Psychiatric Care London: Tavistock [Google Scholar]
  42. González HM, Vega WA, Williams DR, Tarraf W, West BT, Neighbors HW. 2010. Depression care in the United States: too little for too few. Arch. Gen. Psychiatry 67:37–46 [Google Scholar]
  43. Grace AM, Noonan KG, Cheng TL, Miller D, Verga B. et al. 2014. The ACA's pediatric essential health benefit has resulted in a state-by-state patchwork of coverage with exclusions. Health Aff. 33:2136–43 [Google Scholar]
  44. Greenberg GA, Rosenheck RA. 2008. Jail incarceration, homelessness, and mental health: a national study. Psychiatr. Serv. 59:170–77 [Google Scholar]
  45. Grob GN. 1994. The Mad Among Us: A History of the Care of America's Mentally Ill New York: Free PressAn authoritative history of the treatment of mentally ill in America from colonial days to modern times. [Google Scholar]
  46. Hiday VA, Moloney ME. 2014. Mental illness and the criminal justice system. The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society New York: Wiley [Google Scholar]
  47. Hoff T, Weller W, DePuccio M. 2012. The patient-centered medical home: a review of recent research. Med. Care Res. Rev. 69:619–44 [Google Scholar]
  48. Hoffman B. 2012. Health Care for Some: Rights and Rationing in the United States Since 1930 Chicago: Univ. Chicago Press [Google Scholar]
  49. Jacobs LR, Skocpol T. 2010. Health Care Reform and American Politics: What Everyone Needs to Know New York: Oxford Univ. Press [Google Scholar]
  50. James DJ, Glaze LE. 2006. Mental health problems of prison and jail inmates Washington, DC: US Dep. Justice, Bur. Justice Stat http://www.bjs.gov/content/pub/pdf/mhppji.pdf [Google Scholar]
  51. Jolly P, Erikson C, Garrison G. 2013. US graduate medical education and physician specialty choice. Acad. Med. 88:468–74 [Google Scholar]
  52. Kaiser Family Found 2013. Summary of the Affordable Care Act http://www.kff.org/health-reform/fact-sheet/summary-of-the-affordable-care-act/ [Google Scholar]
  53. Kaiser Family Found 2015. Kaiser Health Tracking Poll: The Public's Views on the ACA http://kff.org/interactive/tracking-opinions-aca/#?response=Favorable–Unfavorable&aRange=twoYear [Google Scholar]
  54. Kaiser Comm. Medicaid Uninsured 2013. How Is the Affordable Care Act Leading to Changes in Medicaid Long-Term Services and Supports (LTSS) Today? State Adoption of Six LTSS Options. http://www.kaiserfamilyfoundation.files.wordpress.com/2013/04/8079-02.pdf [Google Scholar]
  55. Kaiser Comm. Medicaid Uninsured 2014. An Overview of Delivery System Reform Incentive Payment (DSRIP) Waivers. http://www.kff.org/medicaid/issue-brief/an-overview-of-delivery-system-reform-incentive-payment-waivers/ [Google Scholar]
  56. Kaiser Comm. Medicaid Uninsured 2015. Status of State Action on the Medicaid Expansion Decision. http://www.kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/ [Google Scholar]
  57. Katon WJ, Lin EHB, Von Korff M, Ciechanowski P, Ludman EJ. et al. 2010. Collaborative care for patients with depression and chronic illnesses. N. Engl. J. Med. 363:2611–20A randomized clinical trial demonstrating collaborative care significantly improved control of medical diseases and depression. [Google Scholar]
  58. Katon WJ, Russo J, Lin EHB, Schmittdiel J, Ciechanowski P. et al. 2012. Cost-effectiveness of a multicondition collaborative care intervention: a randomized controlled trial. Arch. Gen. Psychiatry 69:506–14 [Google Scholar]
  59. Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M. et al. 1994. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch. Gen. Psychiatry 51:8–19 [Google Scholar]
  60. Kiesler CA, Sibulkin AE. 1987. Mental Hospitalization: Myths and Facts About a National Crisis Newbury Park, CA: Sage [Google Scholar]
  61. Kilbourne AM, Goodrich D, Miklowitz DJ, Austin K, Post EP, Bauer MS. 2010. Characteristics of patients with bipolar disorder managed in VA primary care or specialty mental health care settings. Psychiatr. Serv. 61:500–7 [Google Scholar]
  62. Killaspy H, Kingett S, Bebbington P, Blizard R, Johnson S. et al. 2009. Randomised evaluation of assertive community treatment: 3-year outcomes. Br. J. Psychiatry 195:81–82 [Google Scholar]
  63. Levy J. 2015. In U.S., uninsured rate dips to 11.9% in first quarter. http://www.gallup.com/poll/182348/uninsured-rate-dips-first-quarter.aspx
  64. Lewis VA, Colla CH, Tierney K, Van Citters AD, Fisher ES, Meara E. 2014. Few ACOs pursue innovative models that integrate care for mental illness and substance abuse with primary care. Health Aff. 33:1808–16An evaluation of the extent to which ACOs are integrating behavioral treatment and primary care. [Google Scholar]
  65. Mancini MA, Hardiman ER, Lawson HA. 2005. Making sense of it all: consumer providers' theories about factors facilitating and impeding recovery from psychiatric disabilities. Psychiatr. Rehabil. J. 29:48–55 [Google Scholar]
  66. Marshall T, Rapp CA, Becker DR, Bond GR. 2008. Key factors for implementing supported employment. Psychiatr. Serv. 59:886–92 [Google Scholar]
  67. McGrath RE. 2010. Prescriptive authority for psychologists. Annu. Rev. Clin. Psychol. 6:21–47 [Google Scholar]
  68. McHugh RK, Whitton SW, Peckham AD, Welge JA, Otto MW. 2013. Patient preference for psychological versus pharmacologic treatment of psychiatric disorders: a meta-analytic review. J. Clin. Psychiatry 74:595–602 [Google Scholar]
  69. Mechanic D. 1997. Approaches for coordinating primary and specialty care for persons with mental illness. Gen. Hosp. Psychiatry 19:395–402 [Google Scholar]
  70. Mechanic D. 2003. Physician discontent: challenges and opportunities. JAMA 290:941–46 [Google Scholar]
  71. Mechanic D. 2006. The Truth About Health Care: Why Reform Is Not Working in America New Brunswick, NJ: Rutgers Univ. Press [Google Scholar]
  72. Mechanic D. 2012. Seizing opportunities under the Affordable Care Act for transforming the mental and behavioral health system. Health Aff. 31:376–82 [Google Scholar]
  73. Mechanic D. 2014. More people than ever before are receiving behavioral health care in the United States, but gaps and challenges remain. Health Aff. 33:1416–24 [Google Scholar]
  74. Mechanic D, Grob GN. 2006. Rhetoric, realities, and the plight of the mentally ill in America. History and Health Policy in the United States: Putting the Past Back In RA Stevens, CE Rosenberg, LR Burns 229–49 New Brunswick, NJ: Rutgers Univ Press [Google Scholar]
  75. Mechanic D, McAlpine DD, Olfson M. 1998. Changing patterns of psychiatric inpatient care in the United States, 1988–1994. Arch. Gen. Psychiatry 55:785–91 [Google Scholar]
  76. Mechanic D, McAlpine DD, Rochefort DA. 2013. Mental Health and Social Policy: Beyond Managed Care Upper Saddle River, NJ: Pearson, 6th ed..Comprehensive review of mental health policy issues and the role of safety net programs. [Google Scholar]
  77. Menchetti M, Rucci P, Bortolotti B, Bombi A, Scocco P. et al. 2014. Moderators of remission with interpersonal counselling or drug treatment in primary care patients with depression: randomised controlled trial. Br. J. Psychiatry 204:144–50 [Google Scholar]
  78. Mergl R, Henkel V, Allgaier A, Kramer D, Hautzinger M. et al. 2011. Are treatment preferences relevant in response to serotonergic antidepressants and cognitive-behavioral therapy in depressed primary care patients? Results from a randomized controlled trial including a patients' choice arm. Psychother. Psychosom. 80:39–47 [Google Scholar]
  79. Michalski DS, Kohout JL. 2011. The state of the psychology health service provider workforce. Am. Psychol. 66:825–34 [Google Scholar]
  80. Mojtabai R, Olfson M. 2008. National trends in psychotherapy by office-based psychiatrists. Arch. Gen. Psychiatry 65:962–70 [Google Scholar]
  81. Mojtabai R, Olfson M. 2011. Proportion of antidepressants prescribed without a psychiatric diagnosis is growing. Health Aff. 30:1434–42 [Google Scholar]
  82. Nardone M, Snyder S, Paradise J. 2014. Integrating physical and behavioral health care: promising Medicaid models Kaiser Family Found. Issue Brief, Febr. 12. http://www.kff.org/report-section/integrating-physical-and-behavioral-health-care-promising-medicaid-models-issue-brief/ [Google Scholar]
  83. Natl. Comm. Qual. Assur 2013. Improving Quality and Patient Experience: The State of Health Care Quality 2013. http://www.ncqa.org/Portals/0/Newsroom/SOHC/2013/SOHC-web_version_report.pdf [Google Scholar]
  84. Natl. Inst. Health 2015. Diseases of the mind: highlights of American psychiatry through 1900. Early psychiatric hospitals and asylums. Bethesda, MD: US Natl. Libr. Med http://www.nlm.nih.gov/hmd/diseases/early.html [Google Scholar]
  85. Natl. Resid. Matching Program 2014. Results and Data: 2014 Main Residency Match. Washington, DC: Natl. Resid. Matching Program http://www.nrmp.org/wp-content/uploads/2014/04/Main-Match-Results-and-Data-2014.pdf [Google Scholar]
  86. Norcross JC, Karpiak CP. 2012. Clinical psychologists in the 2010s: 50 years of the APA Division of Clinical Psychology. Clin. Psychol. Sci. Pract. 19:1–12 [Google Scholar]
  87. Norcross JC, Rogan JD. 2013. Psychologists conducting psychotherapy in 2012: current practices and historical trends among division 29 members. Psychotherapy 50:490–95 [Google Scholar]
  88. O'Hara A. 2007. Housing for people with mental illness: update of a report to the President's New Freedom Commission. Psychiatr. Serv. 58:907–13 [Google Scholar]
  89. Olfson M, Fireman B, Weissman MM, Leon AC, Sheehan DV. et al. 1997. Mental disorders and disability among patients in a primary care group practice. Am. J. Psychiatry 154:1734–40 [Google Scholar]
  90. Olfson M, Marcus SC. 2010. National trends in outpatient psychotherapy. Am. J. Psychiatry 167:1456–63A description of patterns and trends of psychotherapy use by the US general population. [Google Scholar]
  91. Oosterbaan DB, Verbraak MJ, Terluin B, Hoogendoorn AW, Peyrot WJ. et al. 2013. Collaborative stepped care v. care as usual for common mental disorders: 8-month, cluster randomised controlled trial. Br. J. Psychiatry 203:132–39 [Google Scholar]
  92. Paradise J, Nardone M. 2014. Medicaid health homes: a profile of newer programs. Kaiser Family Found. Issue Brief, Aug. 6. http://www.kff.org/report-section/medicaid-health-homes-a-profile-of-newer-programs-issue-brief/
  93. Pear R. 2014. Feared costs kept some states from expanding Medicaid Programs. New York Times Oct. 27, p. A17 [Google Scholar]
  94. Pear R. 2015a. Budget office slashes estimated cost of health coverage. New York Times Jan. 26. http://www.nytimes.com/2015/01/27/us/politics/budget-office-slashes-estimated-cost-of-health-coverage.html [Google Scholar]
  95. Pear R. 2015b. Number of uninsured has declined by 15 million since 2013, administration says. New York Times Aug. 12, p. A11. http://www.nytimes.com/2015/08/12/us/number-of-uninsured-has-declined-by-15-million-since-2013-administration-says.html?_r=0 [Google Scholar]
  96. Pear R. 2015c. Health care gains, but income remains stagnant, the White House reports. New York Times Sept. 17, p. A22. http://www.nytimes.com/2015/09/17/us/politics/census-bureau-poverty-rate-uninsured.html [Google Scholar]
  97. Phillips SD. 2012. The Affordable Care Act: Implications for Public Safety and Corrections Populations Washington, DC: Sentencing Proj http://www.sentencingproject.org/doc/publications/inc_Affordable_Care_Act.pdf [Google Scholar]
  98. Pres. New Freedom Comm. Ment. Health 2003. Achieving the Promise: Transforming Mental Health Care in America, Final Report. DHHS Publ. No. SMA-03-3832. Rockville, MD: US Dep. Health Hum. Serv. [Google Scholar]
  99. Quadagno J. 2005. One Nation, Uninsured: Why the U.S. Has No National Health Insurance. New York: Oxford Univ. Press [Google Scholar]
  100. Quealy K, Sanger-Katz M. 2014. Obama's health law: who was helped most. New York Times Oct. 29. http://www.nytimes.com/interactive/2014/10/29/upshot/obamacare-who-was-helped-most.html?abt=0002&abg=1 [Google Scholar]
  101. Richards DA. 2012. Stepped care: a method to deliver increased access to psychological therapies. Can. J. Psychiatry 57:210–15 [Google Scholar]
  102. Rosenbaum S. 2000. Legal report: the Olmstead decision: implications for state health policy. Health Aff. 19:228–32 [Google Scholar]
  103. Roy-Byrne P. 2013. Collaborative care at the crossroads. Br. J. Psychiatry 203:86–87 [Google Scholar]
  104. Saitz R, Cheng DM, Winter M, Kim TW, Meli SM. et al. 2013. Chronic care management for dependence on alcohol and other drugs: the AHEAD randomized trial. JAMA 310:1156–67 [Google Scholar]
  105. Sanger-Katz M. 2014. Number of Americans without health insurance is down by about 25 percent. New York Times Oct. 27, p. A16 [Google Scholar]
  106. Schnurr PP, Friedman MJ, Oxman TE, Dietrich AJ, Smith MW. et al. 2013. RESPECT-PTSD: re-engineering systems for the primary care treatment of PTSD, a randomized controlled trial. J. Gen. Intern. Med. 28:32–40 [Google Scholar]
  107. Shortell SM, Wu FM, Lewis VA, Colla CH, Fisher ES. 2014. A taxonomy of Accountable Care Organizations for policy and practice. Health. Serv. Res. 49:1883–99 [Google Scholar]
  108. Siegwarth AW, Blyler C. 2014. How the Affordable Care Act can support employment for people with mental illness. ASPE Issue Brief May 2014. http://www.aspe.hhs.gov/daltcp/reports/2014/ACAmiesIB.pdf [Google Scholar]
  109. Silverstein SM, Bellack AS. 2008. A scientific agenda for the concept of recovery as it applies to schizophrenia. Clin. Psychol. Rev. 28:1108–24 [Google Scholar]
  110. Skocpol T. 1996. Boomerang: Health Care Reform and the Turn Against Government New York: Norton [Google Scholar]
  111. Sledge WH, Lawless M, Sells D, Wieland M, O'Connell MJ, Davidson L. 2011. Effectiveness of peer support in reducing readmissions of persons with multiple psychiatric hospitalizations. Psychiatr. Serv. 62:541–44 [Google Scholar]
  112. Starfield B. 1998. Primary Care: Balancing Health Needs, Services, and Technology New York: Oxford Univ. Press [Google Scholar]
  113. Starfield B, Shi L, Macinko J. 2005. Contribution of primary care to health systems and health. Milbank Q. 83:457–502 [Google Scholar]
  114. Starr P. 1982. The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry New York: Basic Books [Google Scholar]
  115. Subst. Abuse Ment. Health Serv. Admin 2013. Behavioral Health, United States, 2012.SMA 13–4797 Rockville, MD: Subst. Abuse Ment. Health Serv. Admin. [Google Scholar]
  116. Sytema S, Jörg F, Nieboer R, Wunderink L. 2014. Adding evidence-based interventions to assertive community treatment: a feasibility study. Psychiatr. Serv. 65:689–92 [Google Scholar]
  117. Torrey EF. 2014. American Psychosis: How the Federal Government Destroyed the Mental Illness Treatment System New York: Oxford Univ Press [Google Scholar]
  118. Unützer J, Chan YF, Hafer E, Knaster J, Shields A. et al. 2012. Quality improvement with pay-for-performance incentives in integrated behavioral health care. Am. J. Public Health 102:e41–45 [Google Scholar]
  119. Unützer J, Katon W, Callahan CM, Williams JW, Hunkeler E. et al. 2002. Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. JAMA 288:2836–45Key clinical trial demonstrating effectiveness of collaborative care for older depressed primary care patients. [Google Scholar]
  120. Unützer J, Patrick DL, Simon G, Grembowski D, Walker E. et al. 1997. Depressive symptoms and the cost of health services in HMO patients aged 65 years and older: a 4-year prospective study. JAMA 277:1618–23 [Google Scholar]
  121. Vanderlip ER, Cerimele JM, Monroe-Devita M. 2013. A comparison of assertive community treatment fidelity measures and patient-centered medical home standards. Psychiatr. Serv. 64:1127–33 [Google Scholar]
  122. Wang PS, Demler O, Olfson M, Pincus HA, Wells KB, Kessler RC. 2006. Changing profiles of service sectors used for mental health care in the United States. Am. J. Psychiatry 163:1187–98 [Google Scholar]
  123. West JC, Rae DS, Mojtabai R, Duffy FF, Kuramoto J. et al. 2015. Planning patient-centered health homes for Medicaid psychiatric patients at greatest risk for intensive service use. Community Ment. Health J. 51:513–22 [Google Scholar]
  124. Wiechers IR, Leslie DL, Rosenheck RA. 2013. Prescribing of psychotropic medications to patients without a psychiatric diagnosis. Psychiatr. Serv. 64:1243–48 [Google Scholar]
  125. Wittink MN, Cary M, Tenhave T, Baron J, Gallo JJ. 2010. Towards patient-centered care for depression: conjoint methods to tailor treatment based on preferences. Patient 3:145–57 [Google Scholar]
  126. Woltmann E, Grogan-Kaylor A, Perron B, Georges H, Kilbourne AM, Bauer MS. 2012. Comparative effectiveness of collaborative chronic care models for mental health conditions across primary, specialty, and behavioral health care settings: systematic review and meta-analysis. Am. J. Psychiatry 169:8790–804A meta-analysis of clinical trials on collaborative care for several different mental disorders. [Google Scholar]
  127. Zafar W, Mojtabai R. 2011. Chronic disease management for depression in US medical practices: results from the Health Tracking Physician Survey. Med. Care 49:634–40 [Google Scholar]
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