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Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings - Proceedings of a Workshop (Paperback)
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Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings - Proceedings of a Workshop (Paperback)
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Behavioral health conditions, which include mental health and
substance use disorders, affect approximately 20 percent of
Americans. Of those with a substance use disorder, approximately 60
percent also have a mental health disorder. As many as 80 percent
of patients with behavioral health conditions seek treatment in
emergency rooms and primary care clinics, and between 60 and 70
percent of them are discharged without receiving behavioral health
care services. More than two-thirds of primary care providers
report that they are unable to connect patients with behavioral
health providers because of a shortage of mental health providers
and health insurance barriers. Part of the explanation for the lack
of access to care lies in a historical legacy of discrimination and
stigma that makes people reluctant to seek help and also led to
segregated and inhumane services for those facing mental health and
substance use disorders. In an effort to understanding the
challenges and opportunities of providing essential components of
care for people with mental health and substance use disorders in
primary care settings, the National Academies of Sciences,
Engineering, and Medicine's Forum on Mental Health and Substance
Use Disorders convened three webinars held on June 3, July 29, and
August 26, 2020. The webinars addressed efforts to define essential
components of care for people with mental health and substance use
disorders in the primary care setting for depression, alcohol use
disorders, and opioid use disorders; opportunities to build the
health care workforce and delivery models that incorporate those
essential components of care; and financial incentives and payment
structures to support the implementation of those care models,
including value-based payment strategies and practice-level
incentives. This publication summarizes the presentations and
discussion of the webinars. Table of Contents Front Matter
Proceedings of a Workshop Appendix A: Workshop Statement of Task
Appendix B: Virtual Workshop Agenda
General
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