No-Show Rates in Partially Integrated Models of Behavioral Health Care in a Primary Care Setting

Thomas P. Guck, Adam J. Guck, Amy Badura Brack, Donald R. Frey

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


No-show rates were examined in coordinated and collocated integrated models of behavioral health care. Coordinated behavioral health care was provided in a location different from the primary care physician while collocated care was provided in the same location as the primary care physician. In the coordinated group, 92 patients scheduled 385 behavioral sessions, and in the collocated group, 81 patients scheduled 343 behavioral sessions. Significantly lower no-show rates were found in the coordinated and collocated groups than a 42% no-show rate reported previously in the literature (p <.0001). No-show rates for the collocated care group were significantly lower than the coordinated care group for Medicaid recipients (p = .03), but not for the non-Medicaid patients. Results indicated that partially integrated care produced better no-show rates than typical care, and that the more integrated the care, the better the results, especially for at-risk populations. Based on these findings, the health care system should align financial incentives allowing for maximal integration of behavioral services into primary care so that treatment outcomes are optimized especially for vulnerable groups.

Original languageEnglish (US)
Pages (from-to)137-146
Number of pages10
JournalFamilies, Systems and Health
Issue number2
StatePublished - Jun 2007

All Science Journal Classification (ASJC) codes

  • Applied Psychology
  • Psychiatry and Mental health


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