The goal of this initiative is to support the widespread implementation of integrated behavioral health services in Montana. 

“Integrated behavioral health” (IBH) is the term used for providing patients with coordinated physical and behavioral health care. Individuals struggling with mental illness or substance use disorders are often at greater risk for chronic health issues and coordinating a patient’s physical and mental health care can help improve chronic conditions and reduce health care spending.

While the implementation of IBH has been shown to improve health outcomes and reduce health care costs, it has not been broadly implemented in many states – including Montana. In a 2016 report on the use of IBH in Montana, we found that very few primary care and behavioral health practices were implementing IBH. The lack of integrated services can contribute to escalating health care costs and can leave patients, families, providers, and payers to navigate a fragmented health system with little coordination and with no systematic approach for tracking care quality, outcomes, and value.

The goal of this initiative is to support the widespread implementation of IBH services in Montana. To accomplish this, we will bring together a cohort of innovative health care provides who will implement IBH and in so doing, help to promote the more effective use of existing resources and the stronger alignment of community partners. The National Council for Behavioral Health will provide technical assistance and training for the group.

Funding Opportunity

This initiative funds non-profit hospitals and clinics that provide primary care and are interested in incorporating behavioral health services. IBH planning and implementation grants are available. Grant decisions will be based on our general selection criteria and the specific requirements for this initiative. Required elements include:

  • Commitment to pursuing the nine core elements of IBH.
  • Commitment to IBH by the applicant’s clinical and administrative leadership.
  • A clinical service plan with a robust continuum of care that includes mental health, substance use disorders, and a plan to obtain specialty consultation when needed, a plan for data-driven clinical management, and a strong plan to provide care coordination as part of the clinical model.
  • For IBH implementation grantees, a viable business plan and pro-forma for sustaining the IBH program beyond the grant.

If you are interested in applying for an IBH planning or implementation grant, please contact MHCF Senior Program Officer Scott Malloy.

IBH Initiative Cohort Resources

To access IBH informational webinars and training materials produced by the National Council for Behavioral Health, click the buttons below:

Webinars Resources

Perinatal Drug and Alcohol Use

Substance Use Disorder Prevention and Treatment

Health Leadership

Focus Area: Behavioral

Integrated Behavioral Health Reports

Our Work in Integrated Behavioral Health

Integrated Behavioral Health Grantees

Kalispell Regional Medical Center: Pathways Treatment Center

Integrated Behavioral Health Implementation

Grant Term: 24 months; 2018-2020
Grant Amount: $150,000

This project will integrate behavioral health into Kalispell Regional Medical Center’s nine primary care clinics through hiring and embedding five social workers in those practices. With consultation from the National Council for Behavioral Health, this project will provide screenings, evidence-based treatment, and tracking for effective care management transforming the culture of delivering mental health services from the inception of the program. The project will also allow for care coordination between the primary care clinics, psychiatric outpatient clinics, emergency department, and inpatient psychiatric unit within the health center system, as well as a standardized system of communication and referral to community partners.

Bozeman Health Foundation

Integrated Behavioral Health Implementation

Grant Term: 24 months; 2018-2020
Grant Amount: $150,000

This project will build upon the work of a planning grant to fully implement integrated behavior health throughout Bozeman Health’s primary care system. Bozeman Health will also continue integrating its OB/GYN and pediatrics practices through psychiatric consultation, shared learning, and training by the National Council for Behavioral Health. Grant funding will be used to cover the initial costs of employing licensed clinical social workers in the respective practices.

Intermountain Deaconess Children's Services

Intermountain/PureView Integrated Behavioral Health Collaboration

Project Term: 12 months; Ended 2017
Grant Amount: $35,000

This project’s goal was to prepare an integrated behavioral health business and operations plan to serve as a blueprint for building an economically sustainable, patient-centered, team-based collaboration between Intermountain and PureView. The project resulted in an MOU for placement of a part-time Intermountain psychotherapist at PureView, and a formal agreement for carrying forward a focused and informed approach for implementing integrated care at the East Helena Schools Clinic. This planning grant provided an opportunity for both partners to examine their existing and potential relationships with behavioral and primary care providers, and to explore new and promising opportunities for integrated health.

Daniels Memorial Healthcare Center

Developing Regional Behavioral Health Care Services Using Primary Care Resources

Project Term: 12 months; 2017-2018
Grant Amount: $50,000

This planning grant will develop a plan to bring integrated behavioral health services to Daniels Memorial Healthcare Center which treats the frontier Scobey community in eastern Montana. Funding will be used to assist in planning and developing the scope of service for a self-sustainable clinic model in the rural region they serve. This project will build on the behavioral health work that has already been done in the community and will be guided by technical assistance from the National Council for Behavioral Health.

Billings Clinic

Integrated Behavioral Health Expansion

Project Term: 24 months; 2017-2019
Grant Amount: $150,000

The goal of this project is to build on an existing integrated behavioral health (IBH) pilot program and expand it to all of Billings Clinic’s primary care locations. In order to do this, the project will create an efficient and accessible patient registry to allow tracking and management of each patient’s clinical diagnoses, develop protocols for analysis of registry data, hire a program coordinator and mental health assistant for program support across multiple primary care practices, and create a scalable IBH model. The existing IBH pilot program follows primary care patients of four physicians at Billings Clinic West. This new project will allow for growth to other Billings Clinic family practices over the next two years, ultimately reaching patients of more than 20 primary care providers.

2018 Call for Proposals

Find out about this year’s available grants.