Integrated Behavioral Health in Primary Care for Controlling Diabetes in Community Health Centers

Implications for Health Outcomes and Local Health Policy


  • Dr. Steven Marc Wagner, PhD, MPA, BS Independence University, Texas Tech University HSC El Paso, University of Phoenix
  • Dr. James Gillespie, PhD, JD, MPA University of Central Florida
  • Dr. Angelina Castillo, PharmD Banner Health - University Medical Center South


Integrated Behavioral Health in Primary Care, Federally Qualified Health Centers, Primary Care, West Texas Primary Care, Health Outcomes in Primary Care, Self assess health status in integrated behavioral health in primary care


A federally qualified community health center in El Paso, Texas (FQHC) offers primary care health services in a variety of venues across West Texas. The FQHC provides seven clinics in nearby communities including behavioral health in the integrated primary care model. The CEO expressed interest to determine health outcomes of patients participating in the Integrated Behavioral Health in Primary Care model (IBHPC) specifically for those with uncontrolled diabetes. This leads to two research questions: 1.To what extent are health outcomes improved through the provision of an integrated behavioral health services component in primary care; 2. to what extent is the self-perceived health status of patients in integrated behavioral health services compare to those without behavioral health? The research contributes to measures of the patients’ health status effectiveness in primary care. This measure provides evidence of the necessity of integration of behavioral health components in the primary care protocols for all practitioners in health reform. This study concludes that the evidence shows that, while health outcomes are relatively significant in both the control and test groups for uncontrolled diabetes for control of the disease, the test group shows significantly less depression and anxiety, as well as a better self-perceived health status (compared to national norms) with the IBHPC model than the control group that did not particpate in IBHPC.





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