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Invited review
Optimising and personalising behavioural healthcare in the US Department of Defense through Primary Care Behavioral Health
  1. Jeffrey L Goodie1,
  2. C L Hunter2 and
  3. A C Dobmeyer2
  1. 1 Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
  2. 2 Medical Affairs, Defense Health Agency, Arlington, Virginia, USA
  1. Correspondence to Dr Jeffrey L Goodie; jeffrey.goodie{at}usuhs.edu

Abstract

Over the past 25 years, one way the US Department of Defense (DoD) has worked to optimise and personalise the delivery of behavioural healthcare is by integrating behavioural health providers into primary care settings. Using the Primary Care Behavioral Health (PCBH) model for integration allows behavioural health providers to see service members and their families for brief and targeted appointments. These appointments are focused on ensuring that the patient receives the care that is needed, while reducing the barriers (eg, delays in receiving care, negative stigma, isolated from other medical care) that are often associated with seeking behavioural healthcare. We review the primary components of the PCBH model, detail the history of how the DoD implemented the PCBH model, review the training methods used by the DoD and briefly describe some of the research that has been conducted by the DoD evaluating the PCBH model.

  • PRIMARY CARE
  • MENTAL HEALTH
  • PSYCHIATRY
  • EDUCATION & TRAINING (see Medical Education & Training)

https://doi.org/10.1136/military-2022-002312

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    Footnotes

    • X @JeffGoodiePhD

    • Contributors JG was the lead writer of the manuscript and has experiences as a behavioural health consultant in the military, which shaped the content of the manuscript. CH wrote and edited portions of the manuscript. He serves as the Primary Care Behavioral Health Programme director for the DoD and has served as behavioural health consultant in the military, which shaped the content of the manuscript. AD wrote and edited portions of the manuscript. She serves as the Primary Care Behavioral Health training and implementation director for the DoD and has served as behavioural health consultant in the military, which shaped the content of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.