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Suggested Citation:"Appendix A: Workshop Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2020. Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25927.
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Appendix A

Workshop Statement of Task

A planning committee of the National Academies of Sciences, Engineering, and Medicine will organize and host a 1-day public workshop that will examine care models and payment strategies to facilitate the delivery of essential components of care for people with mental health and substance use disorders. Using a small set of tracer conditions with high prevalence or high impact on quality of life (such as depression, alcohol and substance use disorders, and early psychosis), the workshop will feature invited presentations and panel discussions on topics that may include

  • Efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting;
  • Opportunities to build the health care workforce and delivery models that incorporate those essential components of care;
  • Financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies;
  • Potential policy measures to ensure broad adoption and sustainability of these care models and payment structures; and
  • Data needed to monitor implementation and address key knowledge gaps.

The planning committee will develop the agenda for the workshop sessions, select and invite speakers and discussants, and moderate the discussions. A proceedings of the presentations and discussions at the workshop will be prepared by a designated rapporteur in accordance with institutional guidelines.

Suggested Citation:"Appendix A: Workshop Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2020. Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25927.
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Suggested Citation:"Appendix A: Workshop Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2020. Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25927.
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Page 93
Suggested Citation:"Appendix A: Workshop Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2020. Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25927.
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Page 94
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Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders.

In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.

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