The Patient Protection and Affordable Care Act (ACA) of 2010 offers a comprehensive, integrated health insurance reform program for those who are eligible to enroll. A core feature of the ACA is the integration of primary health, behavioral health, and related services in a new national program for the first time. This article traces the history of past federal services integration efforts and identify varying approaches for implementing them to improve care, especially for underserved populations. The business case for integrated care, reducing escalating health care costs and overcoming barriers to implementation, is also discussed.
Keywords: Affordable Care Act; behavioral health; behavioral health parity; community mental health; essential benefits; integrated care; substance use disorders; underserved populations.
Johnson TJ, Sanders DH, Stange JL. Johnson TJ, et al. J Soc Work Disabil Rehabil. 2014;13(1-2):110-21. doi: 10.1080/1536710X.2013.870517. J Soc Work Disabil Rehabil. 2014. PMID: 24329039
Emmet W, Morgan O, Stange JL. Emmet W, et al. J Soc Work Disabil Rehabil. 2014;13(1-2):4-20. doi: 10.1080/1536710X.2013.870513. J Soc Work Disabil Rehabil. 2014. PMID: 24417648
Manderscheid R, Kathol R. Manderscheid R, et al. Ann Intern Med. 2014 Jan 7;160(1):61-5. doi: 10.7326/M13-1693. Ann Intern Med. 2014. PMID: 24573665
Bartlett J, Manderscheid R. Bartlett J, et al. Psychiatr Clin North Am. 2016 Jun;39(2):331-42. doi: 10.1016/j.psc.2016.01.010. Epub 2016 Mar 8. Psychiatr Clin North Am. 2016. PMID: 27216906 Review.
Tew J, Klaus J, Oslin DW. Tew J, et al. Fam Syst Health. 2010 Jun;28(2):130-45. doi: 10.1037/a0020249. Fam Syst Health. 2010. PMID: 20695671 Review.
Swartz JA, Tabahi S. Swartz JA, et al. Int J Forensic Ment Health. 2017;16(2):104-116. doi: 10.1080/14999013.2016.1255283. Epub 2017 Jan 4. Int J Forensic Ment Health. 2017. PMID: 34234625 Free PMC article.
Chen IQ, Chokron Garneau H, Seay-Morrison T, Mahoney MR, Filipowicz H, McGovern MP. Chen IQ, et al. Addict Sci Clin Pract. 2020 Jul 29;15(1):29. doi: 10.1186/s13722-020-00202-w. Addict Sci Clin Pract. 2020. PMID: 32727589 Free PMC article.
Mann CC, Golden JH, Cronk NJ, Gale JK, Hogan T, Washington KT. Mann CC, et al. Health Soc Work. 2016 Aug 1;41(3):196-200. doi: 10.1093/hsw/hlw027. Health Soc Work. 2016. PMID: 29206953 Free PMC article. No abstract available.
Fleury MJ, Grenier G, Vallée C, Aubé D, Farand L. Fleury MJ, et al. Int J Integr Care. 2017 Mar 10;17(1):3. doi: 10.5334/ijic.2482. Int J Integr Care. 2017. PMID: 29042845 Free PMC article.
Wasserman RM, Anderson BJ, Schwartz DD. Wasserman RM, et al. Diabetes Spectr. 2016 Nov;29(4):202-210. doi: 10.2337/ds16-0037. Diabetes Spectr. 2016. PMID: 27899871 Free PMC article. No abstract available.