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Integrating Physical and Behavioral Health Care: Promising Medicaid Models

Issue Brief
  1. Parks J et al., Mortality and Morbidity in People with Serious Mental Illness, National Association of State Mental Health Program Directors, October 2006. http://www.dsamh.utah.gov/docs/mortality-morbidity_nasmhpd.pdf

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  2. Kronick R et al., The Faces of Medicaid III: Refining the Portrait of People with Multiple Chronic Conditions, Center for Health Care Strategies, October 2009. http://www.chcs.org/publications3960/publications_show.htm?doc_id=1058416

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  3. Mental Health Financing in the United States: A Primer, Kaiser Commission on Medicaid and the Uninsured, April 2011.

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  4. Kronick et al. Op. cit.

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  5. Smith V et al., Medicaid Today, Preparing for Tomorrow: A Look at State Medicaid Program Spending, Enrollment, and Policy Trends, Kaiser Commission on Medicaid and the Uninsured, October 2012.

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  6. Heath B et al., A Standard Framework for Levels of Integrated Healthcare, SAMHSA-HRSA Center for Integrated Health Solutions, March 2013.

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  7. Integrated Publicly Funded Physical and Behavioral Health Services: A Description of Selected Initiatives, Final Report, prepared by Health Management Associates for the Robert Wood Johnson Foundation, February 2007

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  8. Screening, Brief Intervention and Referral to Treatment in Behavioral Healthcare, SAMHSA White Paper, April, 2011.

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  9. See Oregon CCO Incentive Measures, Oregon Health Authority website, http://www.oregon.gov/oha/Pages/CCO-Baseline-Data.aspx

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  10. Achieving the Promise: Transforming Mental Health Care in America, The President’s New Freedom Commission on Mental Health, Final Report, July 2003.

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  11. Kelleher I et al., Identification and Characterization of Prodromal Risk Syndromes in Young Adolescents in the Community: A Population-Based Clinical Interview Study, Schizophrenia Bulletin 38 (2), March 2012.

    http://www.ncbi.nlm.nih.gov/pubmed/22101962

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  12. McGorry P et al., Early Intervention in Psychosis: Concepts, Evidence and Future Directions, World Psychiatry 7(3), October 2008.  http://onlinelibrary.wiley.com/doi/10.1002/j.2051-5545.2008.tb00182.x/full

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  13. This pilot was developed through a collaborative effort between the state Medicaid program and the Office of Mental Health and Substance Abuse Services, Montgomery County Office of Behavioral Health, and its managed care partner, Magellan Behavioral Health of Pennsylvania.

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  14. “'Peers' Seen Easing Mental Health Worker Shortage,” Kaiser Health News, September 11, 2013.

    http://www.kaiserhealthnews.org/stories/2013/september/11/peer-mental-health-workers.aspx?referrer=search

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  15. Druss B et al., The Health and Recovery Peer Program: A Peer-Led Intervention to Improve Medical Self-Management for Persons with Serious Mental Illness, Schizophrenia Research 118(1-3), May 2010.

     http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2856811/

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  16. http://bphc.hrsa.gov/healthcenterdatastatistics/index.html

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  17. Public Law 111-148, The Patient Protection and Affordable Care Act, Section 10503 (a) and (b).

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  18. Lardiere M et al., NACHC 2010 Assessment of Behavioral Health Services Provided in Federally Qualified Health Centers, National Association of Community Health Centers, January 2011.  http://www.nachc.com/client/NACHC%202010%20Assessment%20of%20Behavioral%20Health%20Services%20in%20FQHCs_1_14_11_FINAL.pdf

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  19. Brolin M et al., Financing of Behavioral Health Services within Federally Qualified Health Centers, SAMHSA/HRSA, July 23, 2012. http://www.integration.samhsa.gov/Financing_BH_Services_at_FQHCs_Final_7_23-12.pdf

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  20. Recovery Navigation Teams, The Hope Network Diversion Program Report, 2013.

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  21. Joint Principles of the Patient-Centered Medical Home, American Academy of Family Physicians,  American Academy of Pediatrics, American College of Physicians, and American Osteopathic Association, February 2007. http://www.aafp.org/dam/AAFP/documents/practice_management/pcmh/initiatives/PCMHJoint.pdf

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  22. P.L. 111-148, The Patient Protection and Affordable Care Act, Section 2703.

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  23. October 29, 2013 PowerPoint document provided by Dr. Joseph Parks, Chief Clinical Officer, Missouri Department of Mental Health. 

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