Integrated Healthcare Means Bridging the Gap Between Physical and Mental Health with Dr. Kristin MacGregor LifeStance Health TRANSCRIPT

Empowered Patient Podcast

Dr. Kristin MacGregor, a clinical psychologist and senior clinical director of Integrated Behavioral Health at LifeStance Health, the largest outpatient mental health practice in the U.S., employing nearly 7,000 clinicians across 33 states to provide therapy, psychiatry, and psychological/neuropsychological services both in-person and virtually. They work with large medical practices and health systems to help build integrated behavioral health programs using the collaborative care model. Integrating mental health into primary care settings can help address early warning signs of cognitive decline, reduce stigma, and improve collaboration between providers to address both mental and physical health needs better and manage chronic diseases.

Kristin explains, "I think anything that removes barriers to people accessing mental health care when they actually need it is a positive thing. The research shows that it takes 11 years, on average, between the time someone experiences a mental health symptom and the time that they get connected to care. And that is just far, far too long. There are, of course, many reasons for this. Still, one of them is that the longer time a person has to wait between the time they get referred to a mental health provider to the time that they have an appointment, the longer that time, the more likely it is the patient might actually talk themselves out of the appointment."

"It's very challenging to do that in the way that the physical healthcare system and the mental healthcare system are currently set up. We're very siloed. There's not a lot of shared data that goes back and forth between PCP and mental health providers. However, in these integrated care settings, which I feel very strongly about, collaboration is incredibly important because there is something to learn. There's something to learn as a mental health provider about how physical symptoms can manifest themselves and about how chronic conditions can impact a patient."

"But, bi-directionally, PCPs also really need to understand how mental health symptoms can present in different age groups and different cultures and ethnicities, and things like that. And when you're working side by side together on shared treatment plans, it's just so much easier to learn those things from one another as opposed to continuing to perpetuate these sorts of silos that we currently operate in with very little to no collaboration between the two parties."

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