Evidence map›Paper›PMID 40268319›Full record

ArticleJournal of the American Board of Family Medicine : JABFM2025

Successful Implementation of Integrated Behavioral Health.

W Perry Dickinson, Mark Gritz, Kyle E Knierim, Stephanie Kirchner, Douglas H Fernald, Allyson Gottsman, Kimberly Wiggins, L Miriam Dickinson

Abstract read
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Implementation science in integrated behavioral health: Charting the road ahead.Families, systems & health : the journal of collaborative family healthcare · 2025
    Article
  2. Research on the Social Context of Medicine and the Modern Family Physician.Journal of the American Board of Family Medicine : JABFM
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

W Perry DickinsonFrom the University of Colorado School of Medicine, Department of Family Medicine, Aurora, CO, USA (WPD, MG, KEK, SK, DHF, AG, KW, LMD); University of Colorado School of Medicine, Department of Medicine, Aurora, CO, USA (MG). perry.dickinson@cuanschutz.edu).
Mark GritzFrom the University of Colorado School of Medicine, Department of Family Medicine, Aurora, CO, USA (WPD, MG, KEK, SK, DHF, AG, KW, LMD); University of Colorado School of Medicine, Department of Medicine, Aurora, CO, USA (MG).
Kyle E KnierimFrom the University of Colorado School of Medicine, Department of Family Medicine, Aurora, CO, USA (WPD, MG, KEK, SK, DHF, AG, KW, LMD); University of Colorado School of Medicine, Department of Medicine, Aurora, CO, USA (MG).
Stephanie KirchnerFrom the University of Colorado School of Medicine, Department of Family Medicine, Aurora, CO, USA (WPD, MG, KEK, SK, DHF, AG, KW, LMD); University of Colorado School of Medicine, Department of Medicine, Aurora, CO, USA (MG).
Douglas H FernaldFrom the University of Colorado School of Medicine, Department of Family Medicine, Aurora, CO, USA (WPD, MG, KEK, SK, DHF, AG, KW, LMD); University of Colorado School of Medicine, Department of Medicine, Aurora, CO, USA (MG).
Allyson GottsmanFrom the University of Colorado School of Medicine, Department of Family Medicine, Aurora, CO, USA (WPD, MG, KEK, SK, DHF, AG, KW, LMD); University of Colorado School of Medicine, Department of Medicine, Aurora, CO, USA (MG).
Kimberly WigginsFrom the University of Colorado School of Medicine, Department of Family Medicine, Aurora, CO, USA (WPD, MG, KEK, SK, DHF, AG, KW, LMD); University of Colorado School of Medicine, Department of Medicine, Aurora, CO, USA (MG).
L Miriam DickinsonFrom the University of Colorado School of Medicine, Department of Family Medicine, Aurora, CO, USA (WPD, MG, KEK, SK, DHF, AG, KW, LMD); University of Colorado School of Medicine, Department of Medicine, Aurora, CO, USA (MG).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Colorado State Innovation Model (SIM) initiative aimed to support primary care practices in implementing behavioral health integration and other aspects of advanced primary care. This project evaluated implementation of behavioral health integration and the Building Blocks of High Performing Primary Care in primary care practices.

methodsA total of 334 practices participated in SIM in 3 cohorts for 1 year (cohort 3) or 2 years (cohorts 1 and 2). Practice transformation support for implementation of advanced primary care and behavioral health integration was provided. Measures included 1) Comprehensive Primary Care Practice Monitor, completed at baseline, 12, and 24 months to assess implementation of the building blocks of primary care and behavioral integration, and 2) Behavioral health clinical quality measures, reported quarterly.

resultsPractices improved on implementation of all building blocks, including leadership, data driven improvement, empanelment, team-based care, patient-team partnerships, population management, continuity of care access to care, care coordination, resource utilization, behavioral health integration, and general behavioral health improvement (all DISCUSSION: Practices in the SIM initiative successfully implemented behavioral health integration and the building blocks of high performing primary care, yielding improved behavioral clinical quality measures. Implementation of the building blocks mediated improvements in clinical quality measures.

Indexed as

Delivery of Health Care, IntegratedMental Health ServicesPrimary Health CareColoradoHumansOrganizational InnovationQuality ImprovementBehavioral MedicineColoradoEvaluation StudiesFamily MedicineIntegrated Health Care SystemsMedical HomeMental HealthOrganizational ChangePrimary Health CareQuality Improvement

Identifiers

PMID40268319
PMCPMC12096373

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.