All states discussed below have highly developed IBHC models that reflect the presence of one or more core elements; (1) pioneering clinics and foundations; (2) legislative victories and productive convening, and (3) a supportive commercial insurance environment.
In many cases, their voyage into the unknown of IBHC was financed by a philanthropic foundation that provided the financial resources to jumpstart these initiatives.
One example of its IBHC footprint is the, Integrated Behavioral Health Project (IBHP).
Colorado's success at developing strong models of IBHC began in Grand Junction at the Marillac Clinic in 1998.
The IBHC model used in the current study, including its frequent use of cognitive-behavioral treatment and symptom matching, evidence of improvement, and ethnically equitable outcomes and usage, is described in detail elsewhere (Bridges et al., 2014; Bridges et al., 2015; Gomez et al., 2014).
In line with the IBHC model, during the first session, clinicians determined the primary diagnosis and provided a brief, evidence-based intervention.
The GAF has been used as a clinician-rated indicator of symptoms improvement in similar studies evaluating IBHC (Bridges et al., 2015) and controlled clinical trials (Bateman & Fonagy, 2009; Forman, Herbert, Moitra, Yeomans, & Geller, 2007; Guastella et al., 2008; Kahn et al., 2008; McIntosh et al., 2005).
The aggregated mean score has previously demonstrated high internal reliability in the IBHC setting (Villalobos et al., 2015).
Preliminary studies have begun to examine patient and provider opinions about IBHC within the college health setting.
Although this study provided preliminary evidence toward patient and provider satisfaction with IBHC, it focused on integrating the screening measure and it did not involve the actual integration of BHPs, which is a fundamental component of IBHC programs.
In sum, IBHC is an emerging approach to health care that can increase access to mental and behavioral health care while reducing the burden on PCPs and specialty mental health centers.
We developed our IBHC program by adapting a common model of integrated health care called the Primary Mental Health Care model described by Strosahl (1998).