Simoun Alya, Fleet Alexa, Scharf Deborah, Pope Leah, Spaeth-Rublee Brigitta, Goldman Matthew L, Pincus Harold Alan
Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, NY, USA.
Department of Gerontology, Gerontology, University of Massachusetts Boston, Boston, MA, USA.
Transl Behav Med. 2025 Jan 16;15(1). doi: 10.1093/tbm/ibae043.
Behavioral health integration (BHI) encompasses the integration of general health, mental health, and substance use care. BHI has promise for healthcare improvement, yet several challenges limit its uptake and successful implementation. Translational Behavioral Medicine published the Continuum-Based Framework by Goldman et al., 2020 to create comprehensive guidance for BHI within primary care settings. Technology can help advance BHI and provide evidence to support it. This commentary describes challenges and illustrative use cases in which technology solutions help organizations achieve BHI through the Continuum-Based Framework domains. Two rounds of semi-structured interviews with field leaders, practice sites, and technology stakeholders identified key barriers in BHI amenable to technology solutions, applications of technologies, and how they facilitate BHI. Findings showed that technology can facilitate the implementation and scaling of BHI by reducing care fragmentation and improving patient engagement, accountability and financial sustainability, provider experience and support, and equitable access to culturally competent care. Continued efforts by stakeholders to address legacy policy and implementation issues (e.g. incentives, investment, privacy, and workforce) are needed to optimize the impact of technology on BHI.
行为健康整合（BHI）涵盖了普通医疗、心理健康和物质使用护理的整合。BHI有望改善医疗保健，但一些挑战限制了其采用和成功实施。《转化行为医学》发表了戈德曼等人于2020年提出的基于连续体的框架，为初级保健环境中的BHI创建全面指导。技术可以帮助推进BHI并提供支持它的证据。本评论描述了挑战和说明性用例，其中技术解决方案通过基于连续体的框架领域帮助组织实现BHI。对领域领导者、实践场所和技术利益相关者进行的两轮半结构化访谈确定了BHI中适合技术解决方案的关键障碍、技术的应用以及它们如何促进BHI。研究结果表明，技术可以通过减少护理碎片化、改善患者参与度、问责制和财务可持续性、提供者体验和支持以及公平获得具有文化能力的护理来促进BHI的实施和推广。利益相关者需要继续努力解决遗留的政策和实施问题（如激励措施、投资、隐私和劳动力），以优化技术对BHI的影响。
