Integrated Care in Psychiatry

1. Front Matter

   Pages i-xv

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2. A Vision of Integrated Psychiatric and Medical Care for 2023

   • Paul Summergrad, Roger G. Kathol

   Pages 1-4

3. Prevalence of Psychiatric Symptoms/Syndromes in Medical Settings

   • Sarah K. Rivelli, Kristen G. Shirey

   Pages 5-27

4. Access to and Engagement in Evidence-Based Integrated Care

   • Susan T. Azrin, David A. Chambers, Philip Sung-En Wang

   Pages 29-53

5. Payment Barriers and Potential Solutions to Psychiatric Service Delivery in the Medical Setting

   • Stuart A. Anfang, Benjamin Liptzin

   Pages 55-68

6. Psychiatrist’s Changing Role in a Reformed Delivery System: Adding Value in Accountable Care Organizations

   • Bruce J. Schwartz, Michelle A. Blackmore, Scott Wetzler, Henry Chung

   Pages 69-85

7. Working with Integrated Case Managers to Improve Health Outcomes and Reduce High Cost in Patients with Health Complexity

   • Cheri Lattimer

   Pages 87-102

8. Building Value-Added Teams to Care for Behavioral Health Needs in Primary Care

   • Anna D. H. Ratzliff, Catherine L. Christensen, Jürgen Unützer

   Pages 103-126

9. Integrating Care in the Public Sector

   • Silke A. von Esenwein, Benjamin Druss

   Pages 127-141

10. Integrating Child Psychiatric Care

    • Barry Sarvet, John Sargent

    Pages 143-156

11. Proactive Psychiatric Consultation Services for the General Hospital of the Future

    • Paul H. Desan, Paula C. Zimbrean, Hochang B. Lee, William H. Sledge

    Pages 157-181

12. Transitioning to Psychiatric Service Delivery in the Medical Setting

    • Marshall R. Thomas, Alexis A. Giese, Jeanette A. Waxmonsky

    Pages 183-196

13. Training the Next Generation of Psychiatrists in Integrated Medical–Psychiatric Care

    • Robert M. McCarron, Sarah K. Rivelli, Virginia O’Brien, John Onate

    Pages 197-210

14. Research in Integrated Psychiatric Care

    • Grayson S. Norquist

    Pages 211-227

15. Back Matter

    Pages 229-235

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Integrated Care in Psychiatry: Redefining the Role of Mental Health Professionals in the Medical Setting is a landmark title in the field, offering a clear, detailed, and cohesive call by leading experts for coordinated care for patients with concurrent psychiatric and medical conditions. The renowned editors and authors argue that what is slowly occurring, and greatly needed at a faster pace, is nothing less than a sea change in the way that psychiatric care will be delivered. The current, mostly segregated, medical and psychiatric model of care has led to the development of competing medical and psychiatric subcultures that have resulted in a lack of dialog among health providers, administrators, and payers – and thus in less than optimal patient outcomes. To remedy this problem, the book offers a practical, insightful road map to achieving the central tenet of health reform – truly coordinated, patient-centered care where the care experience for the patient, the medical care itself, and the cost outcomes improve as the system changes from fee-for-service to population-based health. An invaluable reference for all clinicians, policy makers, payers, administrators, and others interested in the debate surrounding healthcare systems, Integrated Care in Psychiatry: Redefining the Role of Mental Health Professionals in the Medical Setting is a major contribution to the literature and a gold standard resource.

• Integrated Care
• Mental health disorders
• Psychiatry
• Substance use disorders

“I highly recommend this book for its snapshot of current practice and its glimpse of a future that has already begun to arrive in full force. … the benefits to patients, society, and ultimately even to our profession make a strong case in support of our shift to integrated care.” (James M. Ellison, Journal of Clinical Psychiatry, Vol. 77 (2), February, 2016)

“This book exploring the integration of medicine and psychiatry is edited by two persons who are dually trained in these interrelated disciplines. … It is written for psychiatrists to aid in their transition to collaborative care models. … This book will be helpful for behavioral healthcare providers who have an interest in integrating medical and psychiatric care, as well as those who wish to train residents in this area.” (Alyson Myers, Doody’s Book Reviews, October, 2014)

• School of Medicine, Tufts University, Boston, USA

  Paul Summergrad

• Cartesian Solutions, Inc., University of Minnesota, Burnsville, USA

  Roger G. Kathol

Roger G. Kathol, MD, CPE, President of Cartesian Solutions, Inc.™, is an innovative health strategist in the development of integrated programs and systems for patients with health complexity, many of whom have concurrent general medical and mental health/substance use disorders. He is board certified in internal medicine, psychiatry, and medical management with extensive clinical and administrative experience as a physician/teacher/researcher and as an international health complexity consultant. Dr. Kathol serves as strategy and healthcare advisor to several national and international organizations and foundations. Since leaving the University of Iowa after 22 years of direct patient care, research, and teaching, he worked to integrate physical and mental health business practices as Medical Director at Blue Cross Blue Shield of Minnesota and has completed over 125 integrated care consultations. Dr. Kathol is currently adjunct professor of internal medicine and psychiatry at the University of Minnesota. Paul Summergrad, MD, is the Dr Francis S. Arkin Professor and Chairman of the Department of Psychiatry at the Tufts University School of Medicine, where he is also Professor of Medicine, and Psychiatrist-in-Chief of the Tufts Medical Center all in Boston, Massachusetts. Dr. Summergrad also serves as Chairman of the Tufts Medical Center Physicians Organization.

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