3.0

credits

Average Course Rating

Examines integration of mental health and primary care as both a solution to chronic shortfalls in the provision of children's mental health services and an example of the processes involved in making change in complex systems. Frames the change process as taking place at three social-ecologic levels: how care is designed to bring about health behavior change at the client/patient /consumer level; how interventions are implemented to influence staff/clinician behavior at the organizational level; and incentives and barriers at the inter-organizational and health systems level. Uses this three-level framework to analyze a range of integration models (the medical home, collaborative and stepped care, task shifting, screening and brief intervention, and co-location of services). Uses examples largely from both ongoing programs in Maryland, Massachusetts, and Ohio with which the instructors are involved, as well as international programs.