We are working on a public health project in the U.S. wherein the clinic has integrated behavioral health and primary care, to include addressing substance abuse. A key issue in the U.S. is linking high-risk patients with stable housing and employment to help them on the road to recovery. We are interested in what is going on internationally, particularly the degree to which additional social services are integrated into the care delivery model: housing, employment, food banks, etc.
You might be looking for examples in peer (developed) countries, but I have knowledge about the situation in Pakistan. Healthcare (hospital care) is for the most part government responsibility and so is public health. Therefore the public clinics provide both preventive screening, and general connectivity with the social determinants of health. The resources are scarce so there is not much to go about. The clinical care is mostly private enterprise where care is available for nominal price. Because of this model, public health crises are less prominent.
Please let me know if this reference/site is helpful to you:
Adherence to long-term therapies: evidence for action - World Health ...
apps.who.int/medicinedocs/pdf/s4883e/s4883e.pdf
copies (pdf format only) should be sent to: [email protected] ... It provides analysis and solutions, it recommends that more research be ... associations, in particular the International Society of Behavioural Medicine, the ..... ous health- related behaviours that extend beyond taking prescribed ..... Neurologic Clinics,. 1996 ...
Dennis
Dennis Mazur
Perhaps these references may be of help to you:
1. Bringing Behavioral Health into the Care Continuum
www.aha.org/research/reports/tw/12jan-tw-behavhealth.pdfCached
from the behavior and a lack of aware- ness of the ... example, behavioral health conditions ... Behavioral Health Disorders and Medical Conditions Often Co- occur, Raising .... The presence of a mental health disorder raises treatment costs for .... including hospitals, outpatient clinics ... provide care to patients with mental .
2. Mental Health Care Services in Primary Care - Center for American ...
https://www.americanprogress.org/wp-
content/uploads/issues/.../pdf/mentalhealth.pdfCached
The responsibility for providing mental health care is falling increasingly to ... The barriers to early diagnosis, treatment, and care are many: a shortage of mental ... An Institute of Medicine report in 2005 concluded that the only way to achieve ... disorders are not only highly prevalent medical conditions but they are also.
Dennis
Dennis Mazur
Dear Suzanne, I think this reference is useful for your project: http://publications.jrc.ec.europa.eu/repository/bitstream/JRC94484/jrc94484.pdf
It is case study on an integrated care organization in Spain. Best
You may want to have a look to this publication on IJHPM.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553215/pdf/ijhpm-6-467.pdf
Although it is referred to elderly care (mainly elderly Long Term Care) it explains the difference between health care funding and community care, social care funding in Italy.
Thank you all for your excellent suggestions. Our population is low income and mostly Medicaid, which provides health coverage for the poor (and, therefore, uninsured) in the U.S. One of the big issues is that, within the clinic, three separate public or non-profit entities provide service. Each has a different financial model; hence, behavioral health patients are almost exclusively covered by Medicaid. We're running into problems when patients have other health insurance and cannot be seen by our behavioral health and primary care teams concurrently because the payment mechanisms differ.
Dear Dr. Wood,
As we have found from our researches that when you intreprete "Applied Genomics" in a String Theoretic way in a medium where actions (bounded rational psychological scientific) decisions on consumption and investment (including investment in good life and good health) are made independantly of each other by current patients and potential patients on cybernetic computer mechanisms which are integrated by learning protocols, insurance and medicine get integrated over the spacextime of public health and social medicine (thereby resulting in public health actions consequent to medicalisation and/or epedemiology vectors or their sample paths. While this is an application of our invented Mallick-Hamburger-Mallick Dbranes String Functor Algebra Calculus (Mallick, Hamburger, Mallick (2016, 2017)) in the space of Computer Networked neighbourhoods, it proves that insurance medicine can be resolved by Systems Classification and Systems Integrated approaches of disease vectors taxonomy say. While we do not want to press for a microbiology explanation at this point ( Sandipan Mallick has some student like ideas) we have established at least experimentally and mathematically and physically that both social medicine approaches as well as Public Health approaches share the insurance-medicine systems integrated approach especially since genomics can be developed on string theory at least in differentiation in Lie Algebras (like space medicine). We hope we make some sense to you and the other readers on this string.
Soumitra K Mallick
for Soumitra K Mallick, Nick Hamburger, Sandipan Mallick
Dear Suzanne,
In Australia, there are many health and welfare services provided through a number of private and non profit organisations, In relation to health and well-being programs, many services are referred from General Practitioners through Medical Divisions of Practice which are located in geographical areas. The collective practices work in unison to provide a range of services for patients, In addition, many General Medical Practices also have range of services such as Mental Health Nurse Practitioners who compliment mental health care and connections with the mental health system. Individual Patients can access Medicare locals for referrals for counselling and other welfare programs through the Mental Health Plans funded by the Australian Governments Medicare Program.
In relation to homelessness, there are a number of not for profit organisations who provide social housing, food vans and other social welfare supports for those living in poverty or socially disadvantaged, These organisations include the Salvation Army, St Vincent de Paul and other crisis accommodation providers.
The Info Xchange is a good source of social and community information which is used widely by social and welfare professionals.
Good luck with your project. James
Info Xchange
https://www.infoxchange.org/au
The Western Health Collective
http://www.westernhealthcollective.com.au/
General Practice Statistics
http://www.health.gov.au/internet/main/publishing.nsf/content/General+Practice+Statistics-1
Homelessness in Australia
http://www.homelessnessaustralia.org.au/fact-sheets
Mission Australia
https://www.missionaustralia.com.au/what-we-do/homelessness-social-housing
Primary Healthcare Research and Information Services.
http://www.phcris.org.au/guides/about_divs.php
Australian Health Directory
http://www.healthdirectory.com.au/Health_industry_resources/Divisions_of_General_Practice/search
Primary Health Networks – Life After Medicare Locals
http://www.mccullough.com.au/icms_docs/213814_Health_Industry_Group_-_Bulletin_2.pdf
Australian College of Nurse Practitioners
http://www.acnp.org.au/about/about-nurse-practitioners/
Australian College of Nursing - NURSING IN GENERAL PRACTICE
https://www.acn.edu.au/sites/default/files/education/handbooks/Nursing_in_General_Practice_C20.pdf
Australian Institute of Health and Welfare. Australia’s Health 2016.
https://www.aihw.gov.au/getmedia/9844cefb-7745-4dd8-9ee2-f4d1c3d6a727/19787-AH16.pdf.aspx?inline=true
Australian Institute of Health and Welfare. Australia’s Welfare 2015.
https://www.aihw.gov.au/getmedia/692fd1d4-0e81-41da-82af-be623a4e00ae/18960-aw15.pdf.aspx?inline=true
Australian Broadcasting Corporation. Will the federal budget launch a new era in social and affordable housing?
http://www.abc.net.au/news/2017-04-29/will-the-budget-launch-a-new-era-in-social-housing/8480630
Australian Council of Social Services
http://www.acoss.org.au/
Food Bank Victoria
https://www.foodbankvictoria.org.au/