Integrated Care in Psychiatry

Roger G. Kathol, MD, CPE, President of Cartesian Solutions, Inc.™, is an innovative health strategist in the development of integrated programs and systems for patients with health complexity, many of whom have concurrent general medical and mental health/substance use disorders. He is board certified in internal medicine, psychiatry, and medical management with extensive clinical and administrative experience as a physician/teacher/researcher and as an international health complexity consultant. Dr. Kathol serves as strategy and healthcare advisor to several national and international organizations and foundations. Since leaving the University of Iowa after 22 years of direct patient care, research, and teaching, he worked to integrate physical and mental health business practices as Medical Director at Blue Cross Blue Shield of Minnesota and has completed over 125 integrated care consultations. Dr. Kathol is currently adjunct professor of internal medicine and psychiatry at the University of Minnesota. Paul Summergrad, MD, is the Dr Francis S. Arkin Professor and Chairman of the Department of Psychiatry at the Tufts University School of Medicine, where he is also Professor of Medicine, and Psychiatrist-in-Chief of the Tufts Medical Center all in Boston, Massachusetts. Dr. Summergrad also serves as Chairman of the Tufts Medical Center Physicians Organization.

"I highly recommend this book for its snapshot of current practice and its glimpse of a future that has already begun to arrive in full force. ... the benefits to patients, society, and ultimately even to our profession make a strong case in support of our shift to integrated care." (James M. Ellison, Journal of Clinical Psychiatry, Vol. 77 (2), February, 2016) "This book exploring the integration of medicine and psychiatry is edited by two persons who are dually trained in these interrelated disciplines. ... It is written for psychiatrists to aid in their transition to collaborative care models. ... This book will be helpful for behavioral healthcare providers who have an interest in integrating medical and psychiatric care, as well as those who wish to train residents in this area." (Alyson Myers, Doody's Book Reviews, October, 2014)

• ​ Foreword   Preface   Introduction:  A Vision of Psychiatric Care   Chapter 1:  Prevalence of Psychiatric Symptoms/Syndromes in Medical Settings and Patient Access to Outcome Changing Care   Chapter 2:  Impact of Concurrent Physical and Psychiatric Conditions on Health Outcomes and Cost   Chapter 3:  Payment Barriers and Potential Solutions to Psychiatric Service Delivery in the Medical Setting   Chapter 4:  The Psychiatrist’s Changing Role in a Reformed Delivery System:  Adding Value in Accountable Care Organizations    Chapter 5:  Health Complexity and Working with Integrated Care Managers to Improve Outcomes in High Cost Complicated Patients   Chapter 6:  Building Value-Added Teams to Service Behavioral Health Needs in Patient Centered Medical Homes   Chapter 7:  Building Value-Added Inpatient General Hospital Psychiatric Teams   Chapter 8:  Transitioning to Psychiatric Service Delivery in the Medical Setting   Chapter 9:  Training the Next Generation of Psychiatrists for Collaborative Work with Medical Colleagues