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Behavioral Health Integration Resources

 

The resources on this page are organized by presentations (archived videos, slidecasts, and PowerPoints), resource documents (reports, issue briefs, fact sheets, websites), and tools and templates (spreadsheets, Word documents, job descriptions). If you don't find what you are looking for you can search by keyword using the search field at the top of this page.

Presentations

 

 

Preparing an Inter-Professional Team to Care for Multiple Chronic Health Conditions
2012  |  PDF  |  Source: Gregory Dziadosz, Consultant
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

Supporting Bi-Directional Integration Through Potential Billing Opportunities: The Michigan Interim Billing Worksheets
2012  |  PDF  |  Source: National Council for Community Behavioral Healthcare
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

A CMH’s Role in Primary Care Delivery: Many Strategies, One Goal
2012  |  PDF  |  Source: Genesee County community Mental Health, Oakland Integrated Healthcare Network
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

Residency/Workforce Training: A Model for Integrating Education into Co-Location
2012  |  PDF  |  Source: Michigan State University
Associated Handouts:  Psychiatry Residency Programs  Family Residency Programs
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

Blending Behavioral Health and Primary Care to Improve Outcomes and Expand Access
2012  |  PDF  |  Source: Cherokee Health Systems
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

Funding Integrated Care From the FQHC Perspective
2012  |  PDF  |  Source: Health Delivery Inc., Thunder Bay Community Health Service
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

Funding of CMHs and Integrated Care Implications
2012  |  PDF  |  Source: Michigan Association of Community Mental health Boards
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

Cognitive Therapy: Working with Michigan and Substance Abuse Consumers with Chronic Medical Problems
2012  |  PDF  |  Source: Venture Behavioral Health, Barry County Community Mental Health Authority & Substance Abuse Services
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

The Evaluation & Performance Measurement of Integrated Health Services
2012  |  PDF  |  Source: University of Michigan School of Social Work
Associated Handouts:  SF-12 Health Survey  Interpreting the SF-12  Screening Tool for Psychosis  Primary & Behavioral Healthcare Integration Health Indicator Data  Comprehensive List of Quality Measures  Integrated Care Program Performance Measures Recommendations  Early Psychosis Physician Guide
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

Screening, Brief Intervention, and Referral to Treatment (SBIRT)
2012  |  PDF  |  Source: Michigan Department of Community Health, Bureau of Substance Abuse and Addiction Services
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

Interprofessional Education Linking Education and Practice
2012  |  PDF  |  Source: Michigan Health Council
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

DIAMOND: A Successful First Step for Integrating Behavioral Health into Primary Care
2012  |  PDF  |  Source: Mayo Clinic
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

Improving Behavioral Health Services in Pediatric Primary Care: Collaboration & Integration
2012  |  PDF  |  Source: Western Psychiatric Institute & Clinic University of Pittsburgh
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

Health Care Reform: Understanding the Affordable Care Act's Pro-Active Approach to Mental Health Services
2012  |  PDF  |  Source: National Alliance on Mental Illness of Michigan, Michigan Consumers for Healthcare
Presented at the 2012 Behavioral Health/Primary Care Integration Conference

Successful Social and Financial Outcomes for Complicated Patients Through Community Outreach Practices
2012  |  Slidecast  |  Source: Mercy Hospital, Northern Michigan Substance Abuse Services
In 2010 Mercy Hospital sought community partnerships to assist in meeting the needs of individuals presenting to the hospital’s emergency room repeatedly who, due to their substance use disorders, mental health disorders, and/or co-occurring disorders, were not able to successfully access and engage in community-based services to address needs. This webinar chronicled the process of development of the project by community stakeholders, implementation, highlighted challenges and successes, and delineated measurable one-year outcome data and return on investment.
Webinar in MPCA's 2012 behavioral health/primary care integration webinar series.

Integrated Behavioral Health in Newaygo County: Flying the Plan as We Build It
2012  |  Slidecast  |  Source: Newaygo County Community Health, Baldwin Family Health Care
When it comes to behavioral health/primary care integration, we are often forced to fly into unchartered areas in an effort to meet the needs of our patients and ongoing health care form. This presentation provides an overview of how primary care health centers and community mental health centers can partner to improve physical and behavioral health for their community.
Webinar in MPCA's 2012 behavioral health/primary care integration webinar series.

Making Integrated Care Work
2012  |  Slidecast  |  Source: SAMHSA/HRSA Center for Integrated Health Solutions
Provides an overview of the Center for Integrated Health Solutions, presents lessons learned from Health Center Program grantees and others related to communication, workforce development, health homes, health behavior change, operations and administration, and financing and billing.
Webinar in MPCA's 2012 behavioral health/primary care integration webinar series.

Addressing Financing Issues in Providing Integrated Behavioral Health & Primary Care in Michigan
2012  |  Slidecast  |  Source: National Council for Community Behavioral Healthcare, Covenant Community Care
This presentation reviews the Interim Billing Worksheet developed by the Center for Integrated Health Solutions for Michigan. Presenters review billing opportunities and challenges in receiving payment for the provision of behavioral health services in Federally Qualified Health Centers in Michigan.
Webinar in MPCA's 2012 behavioral health/primary care integration webinar series.

Integrated Primary and Behavioral Health Care: What Is It and How Will I Know When I Get There?
2012  |  Slidecast  |  Source: Center for Evidence Based Practices at Case Western Reserve University
Discusses why integrated care is so important, reviews models of integration and implementation, conveys importance of measuring implementation outcomes, and reviews the Integrated Treatment Tool developed by the Center for Evidence Based Practices.
Webinar in MPCA's 2012 behavioral health/primary care integration webinar series.

Screening, Brief Intervention, Referral to Treatment: A Practical Prevention Tool
2012  |  Slidecast  |  Source: Peer Assistance Services, Inc.
Screening, Brief Intervention, Referral to Treatment (SBIRT) offers health care providers, behavioral health providers, and others a tool to identify risky substance use and to intervene earlier on the continuum to prevent serious health and other consequences. This presentation discusses the basic components of the SBIRT
model including a description of the screening tools, an overview of brief intervention using Motivational Interviewing, and important elements of the referral to treatment process. Additionally, participants will hear about lessons learned about challenges and successes of implementing SBIRT in Colorado.
Webinar in MPCA's 2012 behavioral health/primary care integration webinar series.

Punch/Counter Punch: Biopsy of a Successful Integrated Care Program
2012  |  Slidecast  |  Source: Washtenaw Community Health Organization, Packard Health
Provides an in-depth description of the primary care-based integrated health program co-managed by Washtenaw County community mental health staff and Packard Health leadership. Core environmental factors for successful integration are reviewed, as well as barriers encountered. The roles of both primary medical and psychiatric staff is discussed.
Webinar in MPCA's 2012 behavioral health/primary care integration webinar series.

Evaluating the Integrated Approach to Chronic Care Management
2012  |  Slidecast  |  Cherry Street Health Services
Provides an overview of the evaluation study being done at the Durham Clinic, an integrated health home run by Cherry Street Health Services in Grand Rapids, Michigan. The study seeks to determine whether the delivery of health care through a multi-disciplinary team using the chronic care management model delivers better symptom management and reduced impact of the illness on patients’ desired functioning. Follow-up questions and answers.
Webinar in MPCA's 2012 behavioral health/primary care integration webinar series.

An Overview: Michigan's Publicly Funded Mental Health, Substance Abuse, & Developmental Disabilities System
2012  |  Slidecast  |  Source: Michigan Association of Community Mental Health Boards, Genesee County Community Mental Health
Provides an overview of Michigan’s publicly funded mental health, substance abuse, and developmental disabilities system. Discusses the management and delivery structure of Community Mental Health Service Providers (CMHSPs), Prepaid Inpatient Health Plans (PIHPs), and substance abuse Coordinating Agencies (CAs), as well as primary funding sources and priority service populations.
Webinar in MPCA's 2012 behavioral health/primary care integration webinar series.

Blending Behaviorists into the Patient-Centered Medical Home
2012  |  Slidecast  |  Source: Cherokee Health Systems
Discusses Cherokee Health System’s primary behavioral health integrated care practice model and the role that behavioral health plays in enhancing the Patient-Centered Medical Home. Cherokee Health System’s president/CEO presents the community-based provider’s model and the interplay between the providers, and how the model is an imperative part of a successful Patient-Centered Medical Home. Follow-up questions and answers.
Webinar in MPCA's 2012 behavioral health/primary care integration webinar series.

The Value of Telepsychiatry in the Primary Care Medical Home
2012  |  Slidecast  |  Source: Access Psychiatry Solutions, LLC
The three pillars of health care reform are to increase patient safety, improve healthcare quality, and bend the cost curve. Integration of behavioral health services in the primary care setting can substantially contribute to all three objectives. Yet despite efforts to recruit behavioral health specialists to rural America the number of mental health profession shortage areas in the U.S. has increased 97% during the past decade. This presentation provides actionable information that practitioners and Health Center executives can rely on to evaluate and implement telebehavioral health services successfully and thereby realize their substantial value.
Webinar in MPCA's 2012 behavioral health/primary care integration webinar series.

The Future of the Medical & Mental Health Collaboration
2011  |  PDF  |  Source: Center for Integrated Primary Care, University of Massachusetts Medical School
Behavioral Health/Primary Care Integration Conference, November 16, 2011
Presents the case to administration for the necessity of integrating behavioral health services into primary care. Discusses how to match of program of evidence based behavioral health services into primary care to local fiscal and organizational contigencies, and how to add behavioral health services to an implementation for a Patient Center Medical Home.
Presented at 2011 Behavioral Health/Primary Care Integration Conference

Interdisciplinary Training Your Workforce to Promote Integrated Care
2011  |  PDF  |  Source: Patient Centered Primary Care Collaborative
Explains how integrated care fits with te population health perspective.
Presented as a webinar for te Patient Centered Primary Care Collaborative

Development and Implementation of an Integrated Primary Care and Behavioral Health Program
2011  |  PDF  |  Source: Cherry Street Health Services Heart of the City Health Center
Presents the integration of behavioral health and primary care at Heart of the City Health Center through collaboration of Cherry Street Health Service, Touchstone innovare, and Proaction Behavioral Health Alliance.
Presented at the 2011 Behavioral Health/Primary Care Integration Conference

What We Are Telling Vendors About the Future of Integration, EHRs, Telebehavioral Health
2011  |  PDF  |  Source: National Council for Community Behavioral Healthcare
Discusses general trends in behavioral health/primary care integration, different integration models, what vendors need to consider in their products, and privacy issues.
Presented at the 2011 Behavioral Health/Primary Care Integration Conference

Behavioral Health Integration into Primary Care
2011  |  PDF  |  Source: Hackley Community Care Center, Community Mental Health of Muskegon County
Discusses the importance of integration, considerations when choosing a partner to collaborate with, and lessons learned by Hackley Community Care Centers and Community Mental Health of Muskegon County in developing and implementing their collaboration.
Presented at the 2011 Behavioral Health/Primary Care Integration Conference

Building a Culturally Competent Medical Home
2011  |  PDF  |  Source: Centro Multicultural La Familia
Discusses the prevalence and characteristics of behavioral health issues, collboration among discplines, brief interventions, and cultural competency, and includes tools and templates.
Presented at the 2011 Behavioral Health/Primary Care Integration Conference

Life Goals Collaborative Care
2011  |  PDF  |  Source: University of Michigan Departments of Psychiatry and Psychiatry
Life Goals is a brief intervention for bipolar and other mood disorders based on the principles of the Chronic Care Model integrated with Motivational Interviewing. It is aimed at helping individuals with mood disorders achieve personal wellness goals through a combination of improving self-management of symptoms and promoting healthy lifestyles. This presentation discusses how the intervention has been effectively implemented in various community settings, including busy safety net primary care clinics.
Presented at the 2011 Behavioral Health/Primary Care Integration Conference

Strategies to Impact Complex Health Conditions: Shaping the Future of Mental Health
2011  |  PDF  |  Source: Genesee County Community Mental Health
Explores several initiatives incorporating primary care and health status monitoring that could positively impact premature morality, including Genesee County Community Mental Health’s InSHAPE® Program and its inclusion in a behavioral/primary care health home and its replicability in other
settings.
Presented at the 2011 Behavioral Health/Primary Care Integration Conference

Integrated Mental Health, Substance Abuse Services and Primary Care in Michigan
2011  |  PDF  |  Source: Behavioral Health & Development Disabilities Administration, Michigan Department of Community Health
The purpose of Michigan’s health care integration is to improve the health of individuals served in the public system, increase access and individual satisfaction of services, and provide a seamless cost-effective array of services while promoting prevention and recovery. This session will discuss pilot projects within Behavioral Health/Physical Health, present findings and future goals, and identify future collaborative opportunities with the Medical Services Administration.
Presented at the 2011 Behavioral Health/Primary Care Integration Conference

Moving Towards Integration: Essence and Architecture
2011  |  PDF  |  Source: Wayne State University Department of Psychiatry and Behavioral Neurosciences & Wayne State University School of Medicine
Describes the essence and the architecture of integrated care. The essence consists of the values, attitudes, and beliefs that underscore the philosophy of integrated care. The architecture consists of the logistics and model employed in integrated care programs. The essence addresses why we want to move towards integrated care, while the architecture discusses how we get there. This presentation also discusses the joint principles of the Patient Centered Medical Home model and the staff characteristics necessary to thrive in an integrated care environment.
Presented at the 2011 Behavioral Health/Primary Care Integration Conference

Outcomes Improvement Project Report
2011  |  PDF  |  Source: Oakland County Community Mental Health Authority
Oakland County Community Mental Health Authority identified a population of individuals who, in spite of utilizing a high number of services, were not achieving good outcomes. Poor outcomes included individuals continuing to engage in high risk behaviors as evidenced by multiple visits to emergency rooms and Crisis Screening Centers, multiple psychiatric and medical hospitalizations, frequent confrontations with the criminal justice system, abuse of alcohol and drugs, and failing residential placements. The ultimate outcomes have been increased psychiatric morbidity and increased risk for premature death. The cost in both human suffering as well as in dollars is enormous. Using Oakland County Community Mental Health Authority’s experiences, this presentation discusses how to objectively measure outcomes in individuals with severe mental illness, and how multi-disciplinary collaboration improves outcomes.
Presented at the 2011 Behavioral Health/Primary Care Integration Conference

Telepsychiatry at Michigan State University
2011  |  PDF  |  Source: Department of Psychiatry, Michigan State University
Psychiatrists are in short supply, especially in rural areas of Michigan. Telepsychiatry is a viable mechanism to address, in part, the difficulty rural areas have in accessing psychiatric care. This presentation reviews the development and deployment of geriatric telepsychiatry service for a long-term care facility in the thumb area, and reviews planning, organization, finances, and supporting excellence in care.
Presented at the 2011 Behavioral Health/Primary Care Integration Conference

SAMHSA-HRSA Center for Integrated Health Solutions Training Webinars
2011  |  Webinar Recordings & Presentations  |  Source: SAMHSA-HRSA Center for Integrated Health Solutions
Topics range from motivational interviewing for better health outcomes, implementing SBIRT in clinical setings, introduction to effective behavioral health in primary care, and more.

BPHC Enrichment Series for Grantees:The Value of Psychologists in Health Centers
2011  |  PDF  |  Bureau of Primary Health Care
Identifies the role of psychologists in health care settings and the significance of integrating prmary and behavioral health at Health Centers. Reviews key statistics on psychologists working in Health Centers, and specific services they provide in integrated Health Centers and how the services benefit Health Venters both financially and improving quality of care.

Co-Occuring Disorder Webinar Series
2011  |  Slideshow and Audio Transcript  |  Source:  Substance Abuse and Mental Health Services Administration
These webinars sponsored by the Substance Abuse and Mental Health Services Administration are related to co-occuring disorders.

Michigan's Public Mental Health System: Overview and Current Issues
2010  |  PDF  |  Source: Prevention Research Center of Michigan
A status overview of Michigan's public mental health system and a look to the future.


 

Resource Documents

Behavioral Health Integration in Michigan
2011  |  Website  |  Source: Michigan Primary Care Association
MPCA supports the integration of behavioral health and primary health care, which has been shown to enhance access to services, improve quality of care, and decrease health expenditures. The Behavioral Health Integration Map displays current statewide efforts to develop and implement integrated care projects.

Evaluation of Integration Initiative
2011  |  PDF  |  Source: Flinn Foundation
Flinn Foundation report evaluating the adaptation, introduction, and use of integrated mental and physical health care models in greater Detroit area.

Four Quadrants of Clinical Integration Based on Patient Needs
2006  |  PDF

Health Center Reimbursement for Behavioral Health Services in Medicaid
2010  |  PDF  |  Source: National Association of Community Health Centers
State policy report based on an assessment of state Primary Care Associations (PCAs), is an effort to provide the most current information regarding state Medicaid reimbursement for behavioral health services (mental health and substance abuse). The information is dynamic and changing rapidly. Understanding the current landscape regarding payment for behavioral health services will assist Health Centers and PCAs in planning efforts and in providing these services.

Medicare and Your Mental Health Benefits
2012  |  PDF  |  Centers for Medicare & Medicaid Services
Provides information about mental health benefits for people with original Medicare.

Mental Health Codes and Payers
2010  |  PDF  |  Substance Abuse and Mental Health Services Administration

Procedure Codes for Behavioral Health
PDF 
Procedure code conversion chart for outpatient mental health and substance abuse services.

Examples of States' Billing Codes for Mental Health Services, Publicly Funded
2010  |  PDF  | Substance Abuse and Mental Health Services Administration
A collection of examples of successful codes that states use to bill for mental health services.

Mental Health and Substance Abuse Medicaid Procedure Codes for Federally Qualified Health Centers
PDF

Evolving Models of Behavioral Health Integration into Primary Care
2010  |  PDF  |  Source: Millbank Memorial Fund
This report offers an approach to meeting unmet health care needs: the integration of primary care and behavioral health care. The report summarizes the available evidence and states’ experiences around integration as a means for delivering quality, effective physical and mental health care.

A Tale of Two Systems: A Look at State Efforts to Integrate Primary Care and Behavioral Health in Safety Net Settings
2010  |  PDF  |  Source: National Academy for State Health Policy
States can foster the provision of integrated care for the underserved and develop models that may hold promise for broader application by developing policies that support integration through their safety net providers.

Integrated Health Work Group Phase 1: Community Engagement and Strategic Planning Report
2010  |  PDF  |  Source: Detroit Wayne County Health Authority & Detroit Wayne County Community Mental Health Agency
The Detroit-Wayne County Health Authority and the Detroit-Wayne County Community Mental Health Agency are dedicated to working together to improve access to health care for the residents of Detroit and Wayne County. This ongoing collaboration between physical,mental health, developmental disabilities and substance abuse health care delivery systems continues throughout Wayne County.

Wayne County Pediatric Integrated Health Care Concept Paper
2012  |  PDF  |  Source: Wayne County Health and Human Services
In this report, the Wayne County Health and Human Services provides a comprehensive look at rationale and foundational approaches toward integrated care delivery for pedicatric populations.

Initial Lessons Learned on Practice Transformation to a Patient-Centered Medical Home
2009  |  PDF  |  Source: Annals of Family Medicine
Describes early lessons from the National Demonstration Project that address concerns about the direction of many of the proposed PCMH demonstration projects and offers four recommendations for those assisting the transformation of primary care practices and four recommendations for individual practices attempting transformation.

Healthcare Payment Reform and the Behavioral Health Safety Net: What’s on the Horizon for the Community Behavioral Health System
2009  |  PDF  |  Source: National Council for Community Behavioral Healthcare
This paper aims to bridge the current gap between efforts within the behavioral health community and those of general health care reformers. It also examines four behavioral health payment reform and delivery design changes that can help bring the behavioral health care community into alignment with general health care reform.

Evaluation of Mountain Health Choices (West Virginia Medicaid Personal Responsibility Program): Implementation, Challenges, and Recommendations
2009  |  PDF  |  Source: The Institute for Health Policy Research, West Virginia University
A policy report that presents findings of an evaluation of Mountain Health Choices, a new Medicaid coverage plan in West Virginia. The West Virginia Bureau for Medical Services (BMS) received a grant from the Center for Medicare and Medicaid Services (CMS) to implement revisions to the Medicaid program to improve the health of Medicaid members through promotion of personal responsibility.

Integration of Mental Health/Substance Abuse and Primary Care
2008  |  PDF  |  Source: Agency for Healthcare Research & Quality
Describes models of integrated care used in the United States, assesses how integration of mental health services into primary care settings or primary health care into specialty outpatient settings impacts patient outcomes and describe barriers to sustainable programs, use of health information technology (IT), and reimbursement structures of integrated care programs within the United States.

Mind and Body Reunited: Improving Care at the Behavioral and Primary Healthcare Interface
2007  |  PDF  |  Source: National Council for Community Behavioral Healthcare
This paper reviews the history, structure, and current developments of care at the primary care/behavioral health interface. It focuses on care in the public sector, where high rates of comorbidity, regulatory burdens, and lack of resources create particular challenges in providing care at that interface.

 

Tools & Templates

Incorporating Mental Health Screening Into Adolescent Office Visits | Pediatric Symptom Checklist-Youth Report
PDF |  Source: Teen Screen
PSC-Y screening questionnaire. Included are instructions for administering and scoring the questionnaire, and interpreting the results.

Incorporating Mental Health Screening Into Adolescent Office Visits | Patient Health Questionnaire Modified for Teens
PDF  |  Source: Teen Screen
PHQ-9 screening questionnaire. Included are instructions for administering and scoring the questionnaire, and interpreting the results.

Incorporating Substance Abuse Screening Into Adolescent Office Visits | CRAFFT Questionnaire
PDF  |  Source: Teen Screen
CRAFFT screening questionnaire. Included are instructions for administering and scoring the questionnaire, and interpreting the results.

Integrated Care Billing Worksheet
2012  |  PDF  |  Source: Substance Abuse and Mental Health Services Administration

SAMHSA-HRSA Billing and Financial Worksheet
Center for Integrated Health Solutions

Integrated Treatment Tool
2012  |  PDF  |  Source: Center for Evidence Based Practices, Case Western Reserve University
A primary tool to evaluate the integration of primary and behavioral health care.

Disruptive Behavioral Health Rating Scale-Initial Teacher Assessment
PDF

Disruptive Behavioral Health Rating Scale-Follow-Up Teacher Assessment
PDF

Disruptive Behavioral Health Rating Scale-Initial Parent Assessment
PDF

Disruptive Behavioral Health Rating Scale-Clinical Patient Interview
PDF

HIPAA Patient Information Exchange Authorization Form
PDF  |  Source: Muskegon Family Care
Patient authorization for practice to exchange protect health information with third parties.

Behavioral Health Screening
PDF

Behavioral Health Update
PDF

Behavioral Assessment
PDF

Patient Behavioral Health Questionnaire
1999  |  PDF  |  Source: Pfizer, Inc.

Sample Position Description: Behavioral Health Consultant
PDF  |  Source: Health Partners of Western Ohio

Sample Position Description: Director of Behavioral Health Services
PDF  |  Source: Health Partners of Western Ohio

Sample Position Description: Behavioral Health Nurse-RN
PDF  |  Source: Health Partners of Western Ohio

Sample Position Description: Behavioral Health Coordinator
PDF  |  Source: Indian Health Centers, Inc.

 

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