Summary of The Evolution of Behavioral Primary Care
Gray, Brody, and Johnson (2005) described changes in the financing, organization, and delivery of behavioral health care over the historical few decades; they stated that in the 1980s the counseling of behavioral health by a specialty organization kinda than a health insurance company, which is known as a carve-out, was introduced. Although Gray, Brody, and Johnson (2005) felt that carve-outs were initially successful, they stated that the increase in patients twist to primary care physicians (PCP) for mental health care has caused carve-outs to extend unfeasible for insurance companies. Therefore, Gray, Brody, and Johnson (2005) suggest that insurance companies began turning to carve-ins, the management of mental health by a special region within the health insurance companys organization.
Gray, Brody, and Johnson (2005) to a fault pointed out that while carve-ins somewhat close the gap betwixt primary care and behavioral health, there are several(prenominal) issues that still exist.
Their article referenced that a lack of educational activity by PCPs has resulted in over prescribing psychotropic medication and the mischance to recognize depression in about 30%-60% of patients (Gray, Brody, & adenine; Johnson, 2005). Gray, Brody, and Johnson (2005) concluded that the health care system needs to be reorganized into a collaborative system including both PCPs and behavioral health practitioners.
References
Gray, G., Brody, D., & Johnson, D. (2005). The Evolution of Behavioral Primary Care.
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