Valenstein Marcia, Dalack Gregory W, Simoncic Teague, Metzger Karla, Deneke D Edward, Richardson Caroline R, Hopper John A, Rion Ray, Williams Brent C, Miller Adam, Ryan Patricia, Cuson Sara, McLaughlin Melissa, Spangler Kristyn, LePlatte-Ogini Dayna, Baum Nancy, Rheingans Carrie, Udow-Phillips Marianne
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail:
Psychiatr Serv. 2016 May 1;67(5):476-8. doi: 10.1176/appi.ps.201600029. Epub 2016 Feb 29.
This column describes the planning and implementation of an integrated behavioral health project which was facilitated and endorsed by a developing accountable health community, the Washtenaw Health Initiative (WHI). The WHI is a voluntary countywide coalition of academic, community, health system, and county government agencies dedicated to improving access to high-quality health care for low-income, uninsured, and Medicaid populations. When lack of access to mental health services was identified as a pressing concern, the WHI endorsed pilot testing of collaborative care, an evidence-based treatment model, in county safety-net clinics. Challenges, outcomes, and relevance of this initiative to other counties or regional entities are discussed.
本专栏介绍了一个综合行为健康项目的规划与实施情况，该项目由一个不断发展的责任医疗社区——沃什特瑙健康倡议组织（WHI）推动并认可。WHI是一个全县范围的自愿联盟，成员包括学术机构、社区组织、医疗系统和县政府机构，致力于改善低收入、未参保和医疗补助人群获得高质量医疗服务的机会。当获得心理健康服务的机会不足被确定为一个紧迫问题时，WHI认可在县安全网诊所对基于证据的治疗模式——协作式护理进行试点测试。本文讨论了该倡议面临的挑战、成果以及与其他县或地区实体的相关性。
