Components of the Next Generation of Integrated Care

The purpose of this Commentary is to explore the ways in which the key elements of integrated care (integrating behavioral health care with primary care in an eff ort to improve and streamline complete care for the patient) are being incorporated into the health care system and to examine new elements that have emerged in the years since the fi eld of integrated care was established in the 1990s [1]. In an integrated care approach, behavioral health and primary care providers work as a team to address patient concerns, whether that takes place in the same practice setting or through distance-based modalities. This team-based approach allows for easier access to care, the potential for more eff ective care coordination, use of an integrated medical record, and the inclusion of a range of professional and paraprofessional care providers. When services are provided in a coordinated manner, individuals are more likely to have their medical and behavioral health needs addressed [2]. As evidence demonstrating the value of integration for improving access to care grows, consideration needs to be given to the next generation of integrated care. The authors of this commentary were interested in hearing from executives in managed behavioral health care organizations and primary care safety net providers on whether the identifi ed elements of integrated care are suffi cient today or whether additional elements need to be considered.