Attending to the Whole Person in the Patient-Centered Medical Home: The Case for Incorporating Mental Healthcare, Substance Abuse Care, and Health Behavior Change

The foundation of the U.S. healthcare system is faulty, and the consequences have become inescapable ( Committee of Quality of Health Care in America, 2001 ). We are first among nations in spending on healthcare, whether measured in absolute dollars, per capita expenditures, or proportion of our nat...

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Bibliographic Details
Published in:Families systems & health 2010-12, Vol.28 (4), p.298-307
Main Authors: deGruy, Frank Verloin, Etz, Rebecca S
Format: Article
Language:English
Subjects:
Analysis
Behavior Change
Behavior modification
Care and treatment
Company business management
Drug Abuse
Health Behavior
Health care expenditures
Human
Humans
Integrated Services
Management
Medical care
Medical care quality
Mental Disorders - therapy
Mental Health Services
Methods
Nursing homes
Patient-Centered Care - organization & administration
Quality management
Quality of care
Risk Reduction Behavior
Services
Substance abuse
Substance abuse treatment
Substance Use Treatment
Substance-Related Disorders - therapy
United States
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Summary:The foundation of the U.S. healthcare system is faulty, and the consequences have become inescapable ( Committee of Quality of Health Care in America, 2001 ). We are first among nations in spending on healthcare, whether measured in absolute dollars, per capita expenditures, or proportion of our national budget. Yet our citizens are the least healthy in the developed world. ( Anderson & Hussey, 2001 ) Our nation's healthcare system is simply not a high-quality system. This shortfall is serious enough to cause tens of thousands of unnecessary deaths each year and to compromise our capacity for further economic growth ( Anderson & Hussey, 2001 ; Anderson, Frogner, Johns, & Reinhardt, 2006 ; Macinko, Starfield, & Shi, 2003 ), yet it ramifies into so many of our political, financial, and social institutions that change is difficult and fraught with serious unintended consequences.
ISSN:1091-7527
1939-0602
DOI:10.1037/a0022049