Clinical and Community

Clinical and Community
Clinicians and patients are key components of the integration team.

Connecting the community engaged in integrated health care is a challenge. To date, there has not been a comprehensive database of all the innovators who are implementing integration. As the Academy collects data about these innovators, it will develop a mapping tool which will be a first step in connecting the community. Often behavioral health and primary care providers may operate within the same building but not be aware of each other’s presence. The Academy aims to unite these disparate efforts and direct providers towards one another in an attempt to facilitate collaboration. In the same vein, the Academy aims to offer resources to patients and the community on integration including the identification of integrated practices they can access.

The United States health system is slowly but steadily moving toward an integrated health care model that merges behavioral health services in primary care medical settings. The need and justification for this integration have been well documented, yet the challenge lies with the details around its implementation. Across the nation, a number of pioneers are already providing services under an integrated model despite multiple barriers to integration. These models hinge on training providers on how to best work together in an integrated environment.

Clinicians and patients are key components of the integration team. Creating a newly redesigned system of care that puts the patient back into the center of care delivery requires providers to better collaborate with each other and with patients and families. However, redesigning care delivery systems takes time. The University of Washington AIMS Center has proposed six steps to better integrate care and change care delivery. Its web site has several important resources to assist practices in better integrating behavioral health. Learn more about resources for and about clinicians and patients.

Check back here often to see updates on where integration is happening in your community.

Latest News

Cornell University Health Services Offers Integrated Medical and Behavioral Health Services

In a white paper on integration in college health centers, an American College Health Association (ACHA) task force concluded that, “An integrated approach between counseling and health services may allow for an alignment of support services and systems,” and “may provide the best foundation for providing holistic care to students[1].” 

Primary Care/ Behavioral Health Integration Efforts in North Carolina

To add to the previous work of the ICARE (Integrated, Collaborative, Accessible, Respectful, Evidence-Based) Partnership in 2006, the North Carolina Center for Excellence in Integrated Care (the Center), Community Care of North Carolina (CCNC) and the North Carolina Division of Medical Assistance (DMA) are working together to promote integrated care in North Carolina.

Arizona Department of Health Services’ Partners in Integrated Health

The Arizona Department of Health Services (ADHS) has developed a strategic plan based on the position that in order to be healthy, we need to take care of both our physical and behavioral health needs. The body and mind are not separate and thus, neither should the health care delivery system, especially for those with serious mental illness. People with serious mental illness die more than 25 years before the general population mostly from modifiable risk factors like smoking, obesity, substance abuse, and no access to primary and acute medical care.

Integration at Cherokee Health Systems

One ground-breaking example of integration is Cherokee Health Systems in Knoxville, Tennessee. In this article Dr. Parinda Khatri shares the integration model implemented at Cherokee.

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