Achieving the widespread implementation of integrated behavioral health to improve health outcomes and related costs.
“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.
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 Program Director Scott Malloy.
National Council Behavioral Health Resources
These resources were produced by the National Council for Behavioral Health and Montana Healthcare Foundation for non-profit hospitals and clinics that provide primary care and are interested in incorporating behavioral health services.
- The Nine Core Elements of Integrated Behavioral Health
- Primary Care Setting Behavioral Health Billing Codes
- FQHC Behavioral Health Billing Codes
- Behavioral Health Staff Interviewing Guide
- IBH FAQ: Behavioral Health Co-Payments
National Council for Behavioral Health Training Webinars
If you are interested in incorporating behavioral health into primary care services, please visit our library of training webinars by the National Council for Behavioral Health.
Montana Healthcare Foundation Report
2019 Call for Proposals
Find out about this year’s available grants.