Under the 2016 Call for Proposals, the Montana Healthcare Foundation announced an initiative to support the implementation of integrated behavioral health (IBH) services in Montana. The co-occurrence of mental illness and substance use disorders presents a common and costly problem. Moreover, people with mental illness and substance use disorders are at risk for worse outcomes from chronic illnesses, such as diabetes, asthma, and heart disease.
Integrated behavioral health is defined as:
The care that results from a practice team of primary care and behavioral health clinicians, working together with patients and families, using a systematic and cost-effective approach to provide patient-centered care for a defined population. This care may address mental health and substance abuse conditions, health behaviors (including their contributions to chronic mental illnesses), life stressors and crises, stress-related physical symptoms, and ineffective patterns of health care utilization.¹
For those interested in incorporating integrated behavioral health into primary care services, the below webinars and resource materials were produced by MHCF and the National Council for Behavioral Health.
2017 Webinar Schedule
Group Call: Therapists Working in Integrated Settings – Monday, May 1st, 2:00 PM MT
This call will include any and all therapists who are working in integrated settings. It will be a facilitated discussion on your experiences, questions and training needs.
Evidence Based Practices for IBH: Problem Solving Therapy – Mon, May 15th, 2:00 PM MT
Evidence Based Practices for IBH: Applying Motivational Interviewing (Part 1) – Mon, June 5th, 2:00 PM MT
Evidence Based Practices for IBH: Applying Motivational Interviewing (Part 2) – Mon, June 19th, 2:00 PM MT
Group Call: TBD – Mon, July 12th, 2:00 PM MT
Financing Integrated Behavioral Health Part 1: March 13th
Financing Integrated Behavioral Health, Part 2: March 27th
Financing Integrated Behavioral Health, Part 3: April 17th
2016 Webinar Archive
Implementing Key Integration Principles: May 27th
Address key components of process and flow and critical aspects of interdisciplinary teamwork in primary care. Includes a section on HIPPA and 42 CFR in integrated practice settings.
Communication in All Directions: June 17th
Huddles, team meetings, case conferences—how do we make communication work, how do we do warm hand-offs. What roles might different team members play? How do we develop shared and individual accountability? What are success strategies for systematic case reviews.
Primary Care Providers in Integrated Care Roles: August 8th
Role of the primary care provider in integrated care/role of psychiatry in integrated care.
HIPPA and 42 CFR in Primary Care/Behavioral Health Integration: September 16th
Using Data to Inform Care Provision: October 4th
As primary and behavioral healthcare integration change the healthcare landscape, it’s vital that staff know how to use data to provide outcome-centered care. Fortunately, through the use of population health management your organization will be able to use data to design integrated care pathways that will lead to effective services integration.
Developing Clinical Pathways: December 13th
The clinical pathways will look at the intersection of work flows and clinical judgements. The goal is to have organizations look at where they can standardize care and decision making in a pathway that is embedded in the electronic health record. Examples are diabetes, depression, and suicide care pathways.
Six Levels of Collaboration: SAMHSA-HRSA Center for Integrated Health Solutions provides a frameworks for Levels of Integrated Healthcare to help improve the integration efforts for primary and behavioral healthcare provider organizations. This may be used for planning, financing, assessment, and engagement.
Montana Road Map to Success: Use your core staff to complete this road map to success to reach your end goal for integration.
Four Quadrant Model: National Council for Behavioral Health developed the Four Quadrant Model to describe the levels of integration and is used to measure a site’s level of integration. This Model can also help a community identify where there might be gaps in their service array.
Health Homes: How are health homes different from patient-centered medical homes?
Integrating Physical and Behavioral Health: Strategies for Overcoming Legal Barriers to Health Information Exchange
Lexicon for Behavioral Health and Primary Care Integration: Concepts and Definitions Developed by Expert Concensus
Creating A Culture of Whole Health: Recommendations for Integrating Behavioral Health and Primary Care
Integrating Behavioral Health and Primary Care: An Actionable Framework for Advancing Integrated Care
Evolving Models of Behavioral Health Integration: Evidence Update 2010-2015
Best Practices in Integrated Behavioral Health: Identifying and Implementing Core Components
¹Agency for Healthcare Research and Quality. 2013. Lexicon for Behavioral Health and Primary Care Integration: Concepts and Definitions Developed by Expert Consensus. Rockville, MD. http://integrationacademy.ahrq.gov/sites/default/files/Lexicon.pdf