Journal
JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH
Volume 4, Issue 3, Pages 228-234Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/2150131912468449
Keywords
community health; disease management; managed care; prevention; primary care
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Objectives: Comorbid psychiatric illness has been identified as a major driver of health care costs. The colocation of psychiatrists in primary care practices has been proposed as a model to improve mental health and medical care as well as a model to reduce health care costs. Methods: Financial models were developed to determine the sustainability of colocation. Results: We found that the population studied had substantial psychiatric and medical burdens, and multiple practice logistical issues were identified. Conclusion: The providers found the experience highly rewarding and colocation was financially sustainable under certain conditions. The colocation model was effective in identifying and treating psychiatric comorbidities.
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