Evidence for Mental Health Contributions to Medical Care in Diabetes Management: Economic and Professional Consideration
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ECONOMICS AND POLICY IN DIABETES (AA BAIG AND N LAITEERAPONG, SECTION EDITORS)
Evidence for Mental Health Contributions to Medical Care in Diabetes Management: Economic and Professional Considerations Anna Heilbrun 1 & Tina Drossos 1 Published online: 28 November 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose of Review This paper considers the potential contributions of behavioral health providers to interprofessional, collaborative treatment for diabetes. We have the following objectives: (1) review the behavioral health complications, risks, burdens, and costs associated with diabetes management and consider the role of behavioral health providers in treating mental health concerns specific to diabetes; (2) highlight two frameworks for incorporating behavioral health into diabetes treatment, and review the empirical support for each; and (3) consider the financial feasibility of integrating behavioral health services into diabetes medical care settings. Recent Findings The healthcare field is still in the nascent stages of integrating behavioral health services in endocrinology clinics, but there is growing evidence that integrated behavioral healthcare has the potential to improve disease management and psychological functioning for individuals with chronic medical conditions. Furthermore, as a result of recent changes to the billing structure for behavioral health services in a medical setting, reimbursement rates for behavioral health providers in this capacity have improved considerably. Summary If delivered by qualified behavioral health providers using evidence-based guidelines, behavioral health integration has the potential to optimize health outcomes, improve quality of life, and decrease fragmentation of care for patients with diabetes. Future research should focus on developing a financially feasible, empirically supported model of integrated behavioral health and disseminating the model to medical providers treating patients with diabetes. Keywords Behavioral health integration . Financial feasibility . Interdisciplinary approach . Collaborative care . Co-located care
Introduction Diabetes currently affects more than 30.3 million Americans, among whom 90–95% have type 2 diabetes (T2D) [1]. Diabetes-related complications contribute substantially to morbidity and mortality. Diabetes management is very challenging, requiring patients to take multiple medications and This article is part of the Topical Collection on Economics and Policy in Diabetes * Anna Heilbrun [email protected] Tina Drossos [email protected] 1
The University of Chicago, 5801 S Ellis Ave, Chicago, IL 60637, USA
master complex daily behaviors including blood glucose monitoring, monitoring dietary intake, and exercise. More than 50% of patients with T2D fail to consistently achieve the recommended glycemic target of HbA1c < 7%, which increases the risk of developing serious complications, including death [2]. The self-management tasks associated with diabetes can be daun
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