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实施基于人群的身体和行为健康综合学习协作。

Implementing a Learning Collaborative for Population-Based Physical and Behavioral Health Integration.

机构信息

Community Care Behavioral Health, UPMC Insurance Services Division, 339 Sixth Ave., Suite 1300, Pittsburgh, PA, 15222, USA.

UPMC Center for High-Value Health Care, 600 Grant Street, 40th fl, Pittsburgh, PA, 15219, USA.

出版信息

Community Ment Health J. 2021 Oct;57(7):1361-1373. doi: 10.1007/s10597-020-00769-3. Epub 2021 Jan 16.

DOI:10.1007/s10597-020-00769-3
PMID:33452948
Abstract

Behavioral health home models are increasingly being utilized to provide physical-behavioral health integration for individuals with mental illness. The Behavioral Health Home Plus model (BHHP) is a phased approach designed to instill a culture of wellness, provide wellness coaching, and offer care coordination for individuals with serious mental illness. The present study utilized a 12-month Learning Collaborative to implement scaling of BHHP in two cohorts totaling 24 community mental health provider organizations in Pennsylvania to include population-wide screening and intervention for tobacco use and hypertension. Providers reported increases in screening rates and wellness goals related to tobacco use and hypertension, as well as reductions in tobacco use and blood pressure readings among participating individuals. Evidence presented indicates that a Learning Collaborative of community mental health providers is a feasible quality improvement approach to scale integration of physical and behavioral health care for individuals with serious mental illness.

摘要

行为健康居家模式越来越多地被用于为患有精神疾病的个体提供身心整合服务。行为健康居家加强模式(BHHP)是一种分阶段的方法,旨在培养健康文化,提供健康指导,并为患有严重精神疾病的个体提供护理协调。本研究利用为期 12 个月的学习合作,在宾夕法尼亚州的两个队列中实施 BHHP 的扩展,共涉及 24 个社区心理健康服务机构,包括对烟草使用和高血压进行全人群筛查和干预。提供者报告说,与烟草使用和高血压相关的筛查率和健康目标有所增加,参与个体的烟草使用和血压读数有所减少。提供的证据表明,社区心理健康服务提供者的学习合作是一种可行的质量改进方法,可以扩大对患有严重精神疾病的个体的身心保健服务的整合。

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Implementing Trauma-Informed Care Through a Learning Collaborative: A Theory-Driven Analysis of Sustainability.

本文引用的文献

1
Community-Based Learning Collaboratives and Participant Reports of Interprofessional Collaboration, Barriers to, and Utilization of Child Trauma Services.基于社区的学习协作以及跨专业协作、儿童创伤服务障碍与利用情况的参与者报告
Child Youth Serv Rev. 2018 Nov;94:306-314. doi: 10.1016/j.childyouth.2018.09.038. Epub 2018 Sep 29.
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Care Coordination and Population Health Management Strategies and Challenges in a Behavioral Health Home Model.行为健康之家模式中的医疗协调和人口健康管理策略及挑战。
Med Care. 2019 Jan;57(1):79-84. doi: 10.1097/MLR.0000000000001023.
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A Payer-Guided Approach To Widespread Diffusion Of Behavioral Health Homes In Real-World Settings.
通过学习合作实现创伤知情护理:可持续性的理论驱动分析。
Community Ment Health J. 2023 Jul;59(5):881-893. doi: 10.1007/s10597-022-01072-z. Epub 2023 Jan 6.
支付方引导的方法在真实环境中广泛推广行为健康之家。
Health Aff (Millwood). 2018 Feb;37(2):248-256. doi: 10.1377/hlthaff.2017.1115.
4
Explication of a Behavioral Health-Primary Care Integration Learning Collaborative and Its Quality Improvement Implications.行为健康与初级保健整合学习协作组织的阐释及其对质量改进的启示。
Community Ment Health J. 2018 Nov;54(8):1109-1115. doi: 10.1007/s10597-017-0230-8. Epub 2018 Jan 11.
5
Mind the Gap: Developing an Integrated Behavioral Health Home to Address Health Disparities in Serious Mental Illness.关注差距:构建综合性行为健康家庭,以解决严重精神疾病中的健康不平等问题。
Psychiatr Serv. 2017 Dec 1;68(12):1217-1224. doi: 10.1176/appi.ps.201700063. Epub 2017 Aug 1.
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Smoking, Mental Illness, and Public Health.吸烟、精神疾病与公共卫生。
Annu Rev Public Health. 2017 Mar 20;38:165-185. doi: 10.1146/annurev-publhealth-031816-044618. Epub 2016 Dec 16.
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The Social Determinants of Chronic Disease.慢性病的社会决定因素
Am J Prev Med. 2017 Jan;52(1S1):S5-S12. doi: 10.1016/j.amepre.2016.09.010.
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A Successful Implementation Strategy to Support Adoption of Decision Making in Mental Health Services.一项支持在精神卫生服务中采用决策的成功实施策略。
Community Ment Health J. 2017 Apr;53(3):251-256. doi: 10.1007/s10597-016-0027-1. Epub 2016 Jun 4.
9
Using a Theory-Guided Learning Collaborative Model to Improve Implementation of EBPs in a State Children's Mental Health System: A Pilot Study.运用理论指导的学习协作模型改善州立儿童心理健康系统中循证实践的实施:一项试点研究。
Adm Policy Ment Health. 2016 Nov;43(6):978-990. doi: 10.1007/s10488-016-0735-4.
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Turnover among Community Mental Health Workers in Ohio.俄亥俄州社区心理健康工作者的人员更替情况。
Adm Policy Ment Health. 2017 Jan;44(1):115-122. doi: 10.1007/s10488-015-0706-1.