Moving Toward Integrated Health: An Opportunity for Social Work

With the passage of the Patient Protection and Affordable Care Act (PPACA) and ongoing health care reform efforts, this is a critical time for the social work profession. The approaches and values embedded in health care reform are congruent with social work. One strategy is to improve care for people with co-morbid and chronic illnesses by integrating primary care and behavioral health services. This paper defines integrated health and how the PPACA promotes integrated health care through system redesign and payment reform. We consider how social workers can prepare for health care reform and discuss the implications of these changes for the future of the profession.

[1]  J. Kennedy,et al.  Health Care Reform and the Behavioral Health Workforce , 2014 .

[2]  Elizabeth Horevitz,et al.  Professional Competencies and Training Needs of Professional Social Workers in Integrated Behavioral Health in Primary Care , 2013, Social work in health care.

[3]  W. Spitzer,et al.  Future Trends in Health and Health Care: Implications for Social Work Practice in an Aging Society , 2013, Social work in health care.

[4]  S. Gehlert,et al.  Social work and implementation of the Affordable Care Act. , 2013, Health & social work.

[5]  Craig W. Colton,et al.  Congruencies in Increased Mortality Rates, Years of Potential Life Lost, and Causes of Death Among Public Mental Health Clients in Eight States , 2006, Preventing chronic disease.

[6]  M. Hegel,et al.  Role of behavioral health professionals in a collaborative stepped care treatment model for depression in primary care: Project IMPACT. , 2002 .

[7]  Shauna P. Acquavita,et al.  Interprofessional Leadership Training in MCH Social Work , 2013, Social work in health care.

[8]  M. Rowe,et al.  The Individual Mandate, Mental Health Parity, and the Obama Health Plan , 2013, Administration and Policy in Mental Health and Mental Health Services Research.

[9]  M. Takach.  About half of the states are implementing patient-centered medical homes for their Medicaid populations. , 2012, Health affairs.

[10]  E. Schwarz,et al.  Fifty years of progress in community mental health in US: the growth of evidence-based practices , 2013, Epidemiology and Psychiatric Sciences.

[11]  D. Blumenthal,et al.  Patient Protection and Affordable Care Act , 2010 .

[12]  T. Bodenheimer,et al.  Care management of patients with complex health care needs. , 2009, The Synthesis project. Research synthesis report.

[13]  David Stoesz.  Accountability in Higher Education and the Educational Policy and Accreditation Standards, 2008 , 2013 .

[14]  P. Cuff.  Interprofessional Education for Collaboration: Learning How to Improve Health from Interprofessional Models Across the Continuum of Education to Practice: Workshop Summary , 2013 .

[15]  France Légaré,et al.  Risk communication in practice: the contribution of decision aids , 2003, BMJ : British Medical Journal.

[16]  V. Guilamo-Ramos,et al.  Potential for Using Online and Mobile Education with Parents and Adolescents to Impact Sexual and Reproductive Health , 2014, Prevention Science.

[17]  Steven H. Woolf,et al.  U.S. Health in International Perspective: Shorter Lives, Poorer Health. , 2016, Military medicine.

[18]  E. Gambrill.  Educational Policy and Accreditation Standards , 2001 .

[19]  B. Druss,et al.  Mental disorders and medical comorbidity. , 2011, The Synthesis project. Research synthesis report.

[20]  L. Aiken,et al.  The care span: The importance of transitional care in achieving health reform. , 2011, Health affairs.

[21]  E. Goplerud,et al.  Mental health and addiction workforce development: federal leadership is needed to address the growing crisis. , 2013, Health affairs.

[22]  W. Baine,et al.  The Agency for Healthcare Research and Quality , 2006, Italian Journal of Public Health.

[23]  Brian T. Austin,et al.  Organizing care for patients with chronic illness. , 1996, The Milbank quarterly.

[24]  A. Gawande,et al.  The hot spotters: can we lower medical costs by giving the neediest patients better care? , 2011, New Yorker.

[25]  Shelley L. Craig,et al.  Making the Invisible Visible: Are Health Social Workers Addressing the Social Determinants of Health? , 2013, Social work in health care.

[26]  Making "time" for preventive services. , 1994, Mayo Clinic proceedings.

[27]  T. Ten Have,et al.  Outcomes of a telehealth intervention for homebound older adults with heart or chronic respiratory failure: a randomized controlled trial. , 2012, The Gerontologist.

[28]  D. Berwick.  A user's manual for the IOM's 'Quality Chasm' report. , 2002, Health affairs.

[29]  D. Berwick,et al.  The triple aim: care, health, and cost. , 2008, Health affairs.

[30]  Robin D. Krause,et al.  Alcohol Screening, Evaluation, and Referral for Veterans , 2010 .

[31]  The Affordable Care Act: Overview and Implications for County and City Behavioral Health and Intellectual/Developmental Disability Programs , 2014, Journal of social work in disability & rehabilitation.

[32]  J. Vest,et al.  Review: Medical Homes: “Where You Stand on Definitions Depends on Where You Sit” , 2010, Medical care research and review : MCRR.

[33]  Howard K Koh,et al.  Promoting prevention through the Affordable Care Act. , 2010, The New England journal of medicine.