Strategies for Integrating and Coordinating Care for Behavioral Health Populations: Case Studies of Four States. VII. Conclusions


States are using an array of strategies to address the fragmented delivery of services for individuals with behavioral health needs. This report highlights the approaches used by four states--Louisiana, North Carolina, Tennessee, and Vermont--to coordinate and integrate the delivery of physical health, behavioral health, and other services and supports for individuals with behavioral health conditions. This report is not an exhaustive review of all state programs that are attempting to improve the coordination and integration of services for individuals with behavioral health needs. Previous reports have identified several other states and communities that are adopting such innovative strategies (Greenberg 2012; Hamblin, Verdier, and Au 2011). Rather, these case studies are intended to highlight some of the key features of selected state programs and to inform the efforts of other states and policymakers working to improve care for this population. We did not attempt to evaluate the effectiveness or costs of these programs, and we spoke with only a limited number of officials in each state. Thus, this report does not necessarily offer the programs it describes as models, or maintain that they are effective or should be replicated in other states.

While each state program has unique elements and must be understood within its own particular policy context, we did observe some common features and similarities across programs described below.

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