The Integration of Care for Mental Health, Substance Abuse, and Other Behavioral Health Conditions Into Primary Care
Authors: Ryan A. Crowley, Neil Kirschner, Darilyn V. Moyer
Journal: Annals of Internal Medicine (2016)

Letters15 March 2016The Integration of Care for Mental Health, Substance Abuse, and Other Behavioral Health Conditions Into Primary CareRyan A. Crowley, BSJ, Neil Kirschner, PhD, and Darilyn V. Moyer, MDRyan A. Crowley, BSJFrom American College of Physicians, Washington, DC.Search for more papers by this author, Neil Kirschner, PhDFrom American College of Physicians, Washington, DC.Search for more papers by this author, and Darilyn V. Moyer, MDFrom American College of Physicians, Washington, DC.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-0524 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We appreciate Dr. Saitz and colleagues' comments and, in general, support their positions. Although the term “substance abuse” is commonly used in the literature (1), we agree that “substance use” is more respectful to the patient and reflects changes made in the latest edition of the Diagnostic and Statistical Manual of Mental Disorders (2). We share the authors' concern that the lingering stigma surrounding behavioral health conditions must be addressed (Recommendation 6).We also agree that additional research is necessary to determine best practices for integration of behavioral health into the primary care setting. We referenced the Screening, ...References1. Peek CJ; National Integration Academy Council. Lexicon for Behavioral Health and Primary Care Integration: Concepts and Definitions Developed by Expert Consensus. AHRQ publication no. 13-IP001-EF. Rockville, MD: Agency for Healthcare and Quality; 2013. Google Scholar2. American Psychiatric Association. Highlights of changes from DSM-IV-TR to DSM-5. 2013. Accessed at www.dsm5.org/Documents/changes%20from%20dsm-iv-tr%20to%20dsm-5.pdf on 21 December 2015. Google Scholar Author, Article, and Disclosure InformationAffiliations: From American College of Physicians, Washington, DC.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-0510. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Integration of Care for Mental Health, Substance Abuse, and Other Behavioral Health Conditions into Primary Care: Executive Summary of an American College of Physicians Position Paper Ryan A. Crowley , Neil Kirschner , and The Integration of Care for Mental Health, Substance Abuse, and Other Behavioral Health Conditions Into Primary Care Richard Saitz , Sarah E. Wakeman , and John F. Kelly Metrics Cited byMedically treated opioid overdoses among New Jersey Medicaid beneficiaries: Rapid growth and complex comorbidity amid growing fentanyl penetrationMental Health Issues and Substance Use in the United States: Pulling the Power Levers 15 March 2016Volume 164, Issue 6Page: 447-448KeywordsConflicts of interestDiagnostic and Statistical Manual of Mental DisordersDisclosurePrimary carePrimary care physiciansPsychiatry and mental healthSubstance abuse ePublished: 15 March 2016 Issue Published: 15 March 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...