Quarterly Topic

Integrated Care

Content Type:

  • Quarterly Article

    Determinants of When Community Behavioral Health Clinics Partner With Emergency Response Systems: The Role of Capacity in 911 Referral and Co-response Models

    August 2025 Amanda I. Mauri Zoe Lindenfeld Charley Willison THERESE L. TODD Jonathan Purtle DIANA SILVER

    Individuals with behavioral health disorders are more likely to experience substantial harm from a police encounter, prompting reforms to minimize encounters between police and people experiencing a behavioral health crisis. One strategy involves expanding partnerships between certified community behavioral health clinic (CCBHC) mobile crisis teams and emergency response systems, often through two models: 911 referral, wherein a CCBHC’s behavioral health practitioner–only team responds to 911 calls, and co-response, wherein a CCBHC clinician joins a police or emergency medical services (EMS) team. We examine whether the internal capacity of the CCBHC and external police capacity influence when CCBHCs engage in these partnerships. More

  • The Largest Program for Opioid Use Disorder in a Statewide Carceral System: A Collaborative Multi-Agency Initiative

    Quarterly Article

    The Largest Program for Opioid Use Disorder in a Statewide Carceral System: A Collaborative Multi-Agency Initiative

    August 2025 ASHLY E. JORDAN RABIAH GAYNOR CAROL MOORES YOLANDA CANTY CHINAZO O. CUNNINGHAM

    In the United States, substance use disorder (SUD) is a significant public health and public safety challenge. Up to two-thirds of individuals who are incarcerated meet SUD criteria, compared with 16.7% of the general population. Individuals who have opioid use disorder (OUD) are also overrepresented in criminal legal settings: approximately 15.0% to 30.0% of individuals who are incarcerated have OUD, compared with 3.7% of the general population. Furthermore, individuals who are incarcerated are at high risk for fatal overdose both inside carceral facilities and upon reentry to the community. Overdose is the third leading cause of death in jails, and overdose deaths have increased more than six times over the past two decades in prisons. Among those reentering the community, fatal overdose is the leading cause of death. The risk of fatal overdose within the first two weeks following reentry is more than 100 times higher than in the general US population. More

  • Reported Strategies by Medicaid Managed Care Organizations to Improve Access to Behavioral Health Services

    Quarterly Article

    Reported Strategies by Medicaid Managed Care Organizations to Improve Access to Behavioral Health Services

    April 2025 Jane M. Zhu Ruth Rowland Inga Suneson Deborah J. Cohen K. John McConnell Daniel Polsky

    Behavioral health access gaps are well documented in Medicaid, in which managed care now covers most enrollees, and for which there are typically fewer options for going out-of-network for care. Despite the growing role of managed care organizations (MCOs) in financing and delivering behavioral health services, little is known about MCO levers that can improve access to care. More

  • Quarterly Article

    Revising the Logic Model Behind Health Care’s Social Care Investments

    February 2024 Laura M. Gottlieb Danielle Hessler Holly Wing Alejandra Gonzalez-Rocha Yuri Cartier Caroline Fichtenberg

    Over the last decade, health care sector activities related to identifying and addressing patients’ social drivers of health have graduated from… More

  • Quarterly Article

    Provision of Social Care Services by US Hospitals

    May 2023 Bradley Iott Denise Anthony

    Context: Despite growing interest in identifying patients’ social needs, little is known about hospitals’ provision of services to address them.… More

  • Quarterly Article

    First Things First: How to Elicit the Initial Program Theory for a Realist Evaluation of Complex Integrated Care Programs

    November 2021 Rowan G. M. Smeets Dorijn F. L. Hertroijs Ferdinand C. Mukumbang Mariëlle E. A. L. Kroese Dirk Ruwaard Arianne M. J. Elissen

    Context: The complexity of integrated care and the need for transferable evaluation insights ask for a suitable evaluation paradigm. Realist… More