This commentary discusses the journey to integrated behavioral health and primary care in the state of Colorado. The authors discuss integrated care, and the lessons learned by early adopters can help those just getting started. They argue integration is possible in practice settings of all types despite the barriers that exist - but these barriers must continue to be broken down for further scaling and long-term sustainability. While adequate payment, workforce, and data-sharing infrastructure and policy are necessary for scaling and sustainability, they are not sufficient: practice transformation support is crucial for a change this fundamental. Finally, scaling and sustaining integration takes a village; diverse stakeholders across sectors, including payers, clinicians, patients, public health, philanthropy, and policymakers, all have a role to play. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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科罗拉多州继续进行综合护理的旅程：进步！

这篇评论讨论了科罗拉多州实现综合行为健康和初级保健的过程。作者讨论了综合护理，早期采用者所汲取的经验教训可以帮助刚开始的人们。他们认为，尽管存在障碍，但在所有类型的实践环境中整合仍是可能的-但必须进一步打破这些障碍，以进一步扩大规模并实现长期可持续性。尽管要实现规模化和可持续发展，必须有足够的薪酬，劳动力以及数据共享基础架构和政策，但这些还远远不够：实践转换支持对于改变这一根本至关重要。最后，扩大规模和维持一体化需要一个村庄。各个部门的不同利益相关者，包括付款人，临床医生，患者，公共卫生，慈善事业和决策者，所有人都可以发挥作用。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。