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BHN Spring 2017 Issue
"System Reform: Progress Report” Articles in This...
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Helping Kids Make Real Progress: A Systems Approach
There is a set of givens supported by years of research and the evolution of Children’s Systems of Care that informs the development of effective care for children with intellectual and behavioral challenges: (A) The earlier services begin the better; (B) Services need to be tailored to the...
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Early Identification of Childhood Disorders in Primary Care
Primary care providers are usually the first clinicians to identify behavioral health problems in children. Children with disruptive behavioral problems show symptoms during their primary care visits and their families rely on their primary providers for information, resources and...
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The NYSPA Report: DSRIP Made Easy
New York State’s Delivery System Reform Incentive Payment (DSRIP) program is a five-year plan to disburse a total of $8 billion in federal funding in order to comprehensively transform the way that Medicaid services are provided and paid for, with the aim of reducing avoidable hospitalizations by...
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Addressing the Social Determinants of Health: Steps to Achieving Service Integration
Mental health is a vital part of every person's overall health and well-being. Every adult, child, youth and family should receive essential services and support regardless of how they enter the healthcare system. According to the Social Equity Report (Yale Global Health Leadership, 2015), there is...
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The Promise and Peril of Value Based Behavioral Health Care
By aligning payment with value, we can achieve the triple aim of better outcomes and better experience of the healthcare system at a lower cost IF we define value in terms of wellness, recovery and improved quality of life. In this case as with almost everything in our healthcare system today, the...
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Helping Moms and Kids
Health care delivery is generally complicated, but it doesn’t always have to be. Change can occur through a simple step. Take the case of maternal depression. It is undisputed that depression is a highly treatable medical condition, especially if identified and treated early. It is also...
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From Neighboring Institutions to Collaborators: A Joint Effort to Improve Integrated Care
The integration of primary and behavioral health has become a major focus of healthcare restructuring across the country in the past several decades. New partnerships, emerging from a historically siloed system, share the triple aim of improving health status, containing costs and enhancing service...
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The Emerging Role of Nursing in the Delivery of Psychiatric Care
Although we have always known that mind and body are connected, there is now increased understanding that mental and physical health are closely intertwined. Recent studies indicate an interaction between symptoms of mood and anxiety with exercise, diet, and overall health, as well as chronic...
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Increasing the Addiction Workforce: Fellowship Training in Addiction Medicine
Substance use is one of the most significant public health issues in the United States. Annual costs related to crime, lost work productivity and health care due to use of tobacco, alcohol, and illicit drugs exceeds $700 million annually (http://www.drugabuse.gov/related-topics/trends-statistics)....
