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\"This book provides a step-by-step guide to integrating early childhood behavioral health care into primary care with hands-on advice for creating, implementing, and evaluating programs. It discusses the unique advantages of pediatric primary care as a setting for mental health services from birth into the early school years, particularly for addressing parent/child stress and trauma issues. Contributors illustrate in depth how bringing behavioral health into pediatric services can engender care that is replicable and sustainable, not only cost-effective but also clinically effective. Guidelines and case examples from frontline practitioners highlight typical challenges and workable recommendations ... Integrated Early Childhood Behavioral Health in Primary Care is an essential resource for clinicians/practitioners, graduate students, and researchers in child and school psychology, pediatrics, and social work.\"--Page 4 of cover.

Background: The “Six-Bed Integration” model in Kangjian Subdistrict, Shanghai, represents an innovative approach to integrated eldercare, combining three healthcare beds (family medical beds, rehabilitation/palliative care beds, and hospital beds) with three eldercare beds (home care, day care, and institutional care). This study explores the implementation challenges and systemic tensions within this model. Methods: Using purposive sampling, professionals (N = 15) involved in the Kangjian integrated care system were interviewed through semi-structured interviews. Data were analyzed via Colaizzi’s phenomenological approach to identify key themes. Results: The study identified three key challenges in the integrated care model: (1) Structural barriers including Medicare restrictions, bed shortages, and unclear admission criteria hindered service integration; (2) Ineffective outreach to homebound seniors and digital disparities limited service accessibility and understanding; (3) Unclear stakeholder responsibilities caused referral disputes, with nursing homes rejecting high-risk cases and discharge-bed availability mismatches worsening conflicts. These findings reveal systemic gaps in resource allocation, communication, and coordination within the integrated care system. Conclusion: The “Six-Bed Integration” model demonstrates potential in bridging medical and social care but faces challenges in resource allocation, communication, and inter-institutional accountability. The study implies that optimizing integrated care delivery requires not only frontline training in coordination skills but also policy support to create synergistic mechanisms for resource sharing and accountability. Policy interventions must address Medicare constraints, standardize referral protocols, and enhance cross-sector collaboration to optimize integrated eldercare delivery.

Refugees face significant barriers in accessing primary care, often resulting in poorer health outcomes. This case study evaluates the implementation of a multidisciplinary Integrated Care Team (ICT) for refugees, in Ontario, Canada. The aim of the ICT was to transition refugees into primary care practices. A mixed-methods process evaluation was conducted to assess the implementation and outcomes of the ICT program. Data sources included ethnographic observations, in-depth interviews with ICT staff, clinicians, and refugee patients. Thematic analysis was applied to qualitative data, and program database metrics were analyzed to evaluate patient transitions and service use. In its first year, the ICT transitioned 664 refugees to primary care, surpassing its goal of 300. Key successes included improved collaboration, enhanced system navigation, and reduced pressure on refugee clinics. Refugee participants reported feeling supported through the ICT program, emphasizing the importance of personalized care and assistance in navigating the healthcare system. The program improved access to primary care, facilitated timely referrals, and addressed social determinants of health. The ICT program demonstrates the potential of integrated care to enhance refugee health outcomes. Flexibility, collaboration, and proactive support were essential to its success. Future research should explore long-term impacts and scalability.

This article describes an innovative, integrated care intervention, called BigMove, which aims to improve the functioning, capabilities and quality of life of people with a combination of physical and mental health conditions. Theoretical frameworks reflected in the intervention are the Capability Approach (CA) and Self-Determination Theory (SDT). Essential elements of the intervention included to expand participants' behavioural repertoire are motivational interviewing; functional goal setting (using the International Classification of Functioning, Disability and Health (ICF); cognitive behavioural therapy; enjoyment; support of the group; and physical activity. The design combines individual sessions and group sessions. By integrating the CA and the SDT, the intervention enables participants to make self-directed and value-driven choices in life and change their behaviour accordingly to strengthen their functioning and capabilities. To foster person-centred, integrated care, it is crucial to reform the interaction between professionals and patients and to re-structure the organisation and financing of care to enable the provision of complex integrated care interventions. For people with physical and mental health conditions, the intervention BigMove provides an innovative integrated care approach that addresses aspirations people have regarding their functioning and focuses on individual goal setting and behaviour change.

Person-centred integrated care is often at odds with how current health care systems are structured, resulting in slower than expected uptake of the model worldwide. Adopting goal-oriented care, an approach which uses patient priorities, or goals, to drive what kinds of care are appropriate and how care is delivered, may offer a way to improve implementation. This case report presents three international cases of community-based primary health care models in Ottawa (Canada), Vermont (USA) and Flanders (Belgium) that adopted goal-oriented care to stimulate clinical, professional, organizational and system integration. The Rainbow Model of Integrated Care is used to demonstrate how goal-oriented care drove integration at all levels. The three cases demonstrate how goal-oriented care has the potential to catalyse integrated care. Exploration of these cases suggests that goal-oriented care can serve to activate formative and normative integration mechanisms; supporting processes that enable integrated care, while providing a framework for a shared philosophy of care. By establishing a common vision and philosophy to drive shared processes, goal-oriented care can be a powerful tool to enable integrated care delivery. Offering plenty of opportunities for training in goal-oriented care within and across teams is essential to support this shift.

Introduction: In the past years, governments from several countries have shown interest in implementing integrated health information systems. The interRAI Suite of instruments fits this concept, as it is a set of standardised, evidence-based assessments, which have been validated for different care settings. The system allows the electronic transfer of information across care settings, enabling integration of care and providing support for care planning and quality monitoring. The main purpose of this research is to describe the recent implementation process of the interRAI instruments in seven countries: Belgium, Switzerland, France, Ireland, Iceland, Finland and New Zealand.Methods: The study applied a case study methodology with the focus on the implementation strategies in each country. Principal investigators gathered relevant information from multiple sources and summarised it according to specific aspects of the implementation process, comparing them across countries. The main implementation aspects are described, as well as the main advantages and barriers perceived by the users.Results: The seven case studies showed that adequate staffing, appropriate information technology, availability of hardware, professional collaboration and continuous training are perceived as important factors which can contribute to the implementation of the interRAI instruments. In addition, the use of electronic standardised assessment instruments such as the interRAI Suite provided evidence to improve decision-making and quality of care, enabling resource planning and benchmarking.Conclusion: In practice, the implementation of health information systems is a process that requires a cultural shift of policymakers and professional caregivers at all levels of health policy and service delivery. Information about the implementation process of the interRAI Suite in different countries can help investigators and policymakers to better plan this implementation. This research sheds light on the advantages and pitfalls of the implementation of the interRAI Suite of instruments and proposes approaches to overcome difficulties.

Introduction: This study explored the Osona palliative care system, recognized internationally for its good results in managing the chronic patient. The literature notices a gap of models that evaluate integration in healthcare systems. This study assesses the degree of integration of the Osona palliative care system, as well it implements a model that evaluates integration. Methods: This research used a qualitative methodology, involving a case study design with three study phases. The first phase involved reviewing primary sources, followed by conducting interviews. The final phase entailed comparing the findings with a theoretical model to analyse and validate the results. Results: The study found the integrative elements that the Osona system includes such as: multidisciplinary teams, leadership and a palliative care system that is cost-efficient. It also found aspects to improve including collaboration, continuity of care, early patient identification and lack of funding. Discussion: Our findings suggest that the Osona system has made significant progress toward integration, even though it continues the path of ongoing development in integrated care. Conclusion: This research found that the Osona palliative care system includes many integrating aspects such as multidisciplinary teams, leadership and the system’s cost-efficiency. Nevertheless, some aspects need changes such as continuity of care, collaboration, enhanced early patient identification and increase funding. Furthermore, this study provides an example of how to assess integration in a system.   Resumen Introducción: Este estudio investiga el sistema de cuidados paliativos de Osona, reconocido internacionalmente por sus buenos resultados en el manejo de pacientes crónicos. La literatura señala una falta de modelos que evalúen la integración en los sistemas de salud. Este estudio evalúa el grado de integración del sistema de cuidados paliativos de Osona y, además, implementa un modelo que evalúa dicha integración. Métodos: Esta investigación utilizó una metodología cualitativa, con un diseño de estudio de caso con tres fases. La primera fase consistió en revisar fuentes primarias, seguida de la realización de entrevistas. La fase final implicó comparar los hallazgos del estudio con un modelo teórico para analizar y validar los resultados. Resultados: El estudio identificó elementos integradores que incluye el sistema de Osona, como equipos multidisciplinarios, liderazgo, y un sistema de cuidados paliativos rentable. También encontró aspectos a mejorar, incluyendo la colaboración, la continuidad de la atención, la identificación temprana de pacientes y la falta de financiación. Discusión: Nuestros resultados sugieren que el sistema de Osona ha logrado un progreso significativo hacia la integración, aunque continúa en el camino de un desarrollo continuo en la atención integrada. Conclusión: Esta investigación encontró que el sistema de cuidados paliativos de Osona incluye muchos aspectos integradores, como equipos multidisciplinarios, liderazgo y eficiencia en costos del sistema. Sin embargo, algunos aspectos requieren cambios, como la continuidad de la atención, la colaboración, la mejora en la identificación temprana de pacientes y el aumento de la financiación. Este estudio aporta un ejemplo de cómo evaluar la integración en un sistema.   Palabras Clave: atención integrada; sistema de salud; cuidados paliativos; atención crónica; estudio de evaluación