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Session Details

While efforts to integrate behavioral health and medical care have generally focused on primary care, integration is needed across the continuum of care, including inpatient medical units. Patients living with co-occurring behavioral health and medical conditions are more likely to be admitted (and re-admitted) to the hospital. They are more likely to suffer harm, have complications during their inpatient stay, and are more likely to have a longer overall length of stay. Research suggests that approximately 20 to 50 percent of patients admitted to hospitals to receive medical care also have a behavioral health diagnosis, numbers that may be higher in practice.

Despite the high prevalence of these comorbidities, the rates of psychiatric consultation in many hospitals are often very low, indicating a significant treatment gap for patients with a co-occurring behavioral health condition who are admitted to the hospital for a primary medical concern. These issues call for a new approach, one that moves from reactive psychiatric consultation to proactively and reliably address patients’ behavioral health needs with an integrated behavioral health team.

This Webcast will describe key considerations for how health systems can develop an integrated medical and behavioral health service in inpatient units and dive into the innovative Behavioral Intervention Team (BIT) model, which has improved outcomes, reduced costs, and is spreading around the country.

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What you’ll learn

By the end of this Webcast you’ll be able to:

  • Discuss the impact of proactively addressing patient's behavioral health needs in hospital settings on outcomes, patient experience, and costs.
  • Describe key components of integrating behavioral health and medical care in hospital units.


Hochang Benjamin (Ben) Lee Hochang Benjamin (Ben) Lee, MD is the John Romano Professor and Chair of the Department of Psychiatry at the University of Rochester School of Medicine and Dentistry, Chief of Psychiatry at Strong Memorial Hospital in Rochester, and Regional Chief of Psychiatry for the University of Rochester Medical Center. Prior to his chairmanship at University of Rochester, he was the founding director and Chief of Yale's Psychological Medicine Service, at Yale New Haven Hospital's York Street and St. Raphael campuses. He also directed Yale's Psychological Medicine Research Center. Previously, he had also been Associate Professor of Psychiatry at Johns Hopkins University School of Medicine, and Director of Research Development at the Johns Hopkins Bayview Medical Center. Dr. Lee is board certified in psychiatry with sub-specialty certification in psychosomatic medicine. His primary clinical interest is in behavioral aspects of dementia care, especially among those elders with multiple medical comorbidities. Dr. Lee completed psychiatry residency and combined neuropsychiatry/psychiatric epidemiology fellowships at Johns Hopkins after earning his MD at Jefferson Medical College in Philadelphia in 1997.

Mara Laderman Mara Laderman, MSPH, is a Director with the Institute for Healthcare Improvement’s Innovation Team. As Content Lead for IHI’s work in behavioral health, she directs research initiatives and develops programming focused on better meeting individuals’ behavioral health needs across the health care system. Ms. Laderman also leads innovation projects on population health improvement, including recent work on the opioid crisis, health equity, and clinical-community linkages. Prior to IHI, she served as an External Program Evaluator for the Massachusetts Department of Public Health and the Centers for Disease Control and Prevention, and she managed a large psychiatric epidemiology study at the Center for Multicultural Mental Health Research. Ms. Laderman received a Master of Public Health degree from the Harvard T.H. Chan School of Public Health and a BA in psychology from Smith College.


Madge Kaplan Madge Kaplan, IHI’s Director of Communications, is responsible for developing new and innovative means for IHI to communicate the stories, leading examples of change, and policy implications emerging from the world of quality improvement ― both in the U.S. and internationally. Prior to joining IHI in July 2004, Ms. Kaplan spent 20 years as a broadcast journalist for public radio – most recently working as a health correspondent for National Public Radio. Ms. Kaplan was the creator and Senior Editor of Marketplace Radio's Health Desk at WGBH in Boston, and was a 1989/99 Kaiser Media Fellow in Health. She has produced numerous documentaries, and her reporting has been recognized by American Women in Radio and Television, Pew Charitable Trusts, American Academy of Nursing and Massachusetts Broadcasters Association.