Historically, health and human services organizations have evolved in silos due to a combination of regulation and categorical funding, but the emergence of these state initiatives is expected to spur some movement. For example, integrating more aspects of health and human service domains, starting with the data they gather and the outcomes they achieve, will break down data silos while making information and operations more transparent and coordinated. That will make the most of community-based assets in the public, private, and nonprofit sectors, and it will align federal resources to eliminate gaps and redundancies.
All 25 states are investing in or upgrading patient-centered medical homes in order to strengthen primary care integration with specialists and community health workers. An estimated 85% of these will integrate physical and behavioral care. For example, the New York Department of Health is implementing a statewide primary care model that will integrate with behavioral healthcare services and implement a state prevention agenda