ArticleThe journal of behavioral health services & research2021
Implementation of Integrated Behavioral Health Care in a Large Medical Center: Benefits, Challenges, and Recommendations.
Article in The journal of behavioral health services & research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Teamwork and implementation of innovations in healthcare and human service settings: a systematic review.Implementation science : IS · 2024Pooled it
- Implementing the Primary Care Behavioral Health model into routine practice in Swedish primary care: a pilot trial.BMC health services research · 2026Trial
- Integrating Behavioral Health Services for Individuals With Rheumatic Diseases: A Quantitative Analysis of a Pilot Study.ACR open rheumatology · 2026Article
- Clinicians' Decisions to Screen for Intimate Partner Violence Use and Experience and Observed Impacts: Qualitative Study.JMIR formative research · 2026Article
- Startup activities and challenges implementing an integrated care model for pregnant and postpartum individuals with substance use disorders: a qualitative study.Substance abuse treatment, prevention, and policy · 2026Observational
- Understanding patterns of behavioral health referrals for chronic disease in integrated care settings.BMC primary care · 2026Article
- Behavioral health needs of newcomer patients in a pediatric emergency department.International journal for equity in health · 2026Article
- A practice-based implementation strategy bundle for integrating behavioral health in primary care: a matrixed multiple case study.Implementation science communications · 2026Article
- Factors Affecting South and East Asian Immigrants' Access to Mental Health Services in Canada: A Scoping Review.Journal of immigrant and minority health · 2026Article
- Cross-Sectional Associations of Depressive Symptoms, Anxiety Symptoms, and Emotional Support Seeking with Lower Urinary Tract Symptoms and Bladder Health.International urogynecology journal · 2025Article
- A Qualitative Investigation of Characteristics Impacting Clinical Decision-Making in Integrated Behavioral Health Care.The journal of behavioral health services & research · 2024Article
- Family strain, but not family support, is linked to worse pain interference among midlife adults reporting new chronic pain.Families, systems & health : the journal of collaborative family healthcare · 2023Article
- Formative evaluation prior to implementation of a brief treatment for posttraumatic stress disorder in primary care.Implementation science communications · 2023Article
- Toward a Personalized Psychological Counseling Service in Assisted Reproductive Technology Centers: A Qualitative Analysis of Couples' Needs.Journal of personalized medicine · 2022Article
- Associations Between Mental Health and Social Needs Among Black Patients in Primary Care Settings.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Integrated behavioral health care (IBHC) models in primary care are positioned to address the unmet needs of traditional behavioral health models. However, research support is limited to specific populations, settings, and behavioral health conditions. Empirical evidence is lacking for expansion to larger health systems and diverse behavioral health conditions. This study examines perspectives on IBHC implementation in a large medical center. Semi-structured interviews were conducted with 24 health providers and administrators in two primary care clinics with IBHC. Thematic analysis demonstrated that participants had an overall favorable perception of IBHC, but also perceived implementation challenges, including difficulties with access, underutilization, team dynamics, and financial and interdepartmental issues. The findings suggest that IBHC implementation barriers in existing large health systems risk diminishing potential benefits and successful adoption. These barriers can be combated by incorporating systems change strategies into implementation frameworks, with a focus on barrier prevention and detection and long-term sustainability.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.