Health care financing, policy, and delivery systems have historically separated primary health care from mental health and substance abuse services. Communities throughout the country are increasingly recognizing that bringing these clinical services together increases access, quality, health outcomes, and cost effectiveness of care. A 2000 study of Michigan Health Centers revealed out out of two patients have behavioral or emotional problems; one out of three have depression as a primary or secondary diagnosis; and one-third of physician contact hours are spent addressing behavioral or emotional problems. In addition, a recent study demonstrated that people with mental illness die 25 years sooner than people without mental illness.
Partnerships between Michigan Health Centers and Community Mental Health service providers are continuing to be developed throughout the state. In addition, many Health Centers are hiring additional behavioral health providers. Staff from Michigan Health Centers and partnering organizations are encouraged to join the MPCA Behavioral Health Network and participate in the Michigan Integrated Health Learning Community to continue the essential integration of primary care and behavioral health services across the state.
Increasing Awareness of Health Care Access for Veterans
June 2015 | Roughly 30 percent of military personnel deployed in Iraq and Afghanistan have a mental health problem requiring treatment; yet, less than 50 percent receive treatment. Even more disconcerting is that the Department of Veterans Affairs reports there are roughly 22 veteran suicide deaths each day.
According to the National Alliance on Mental Illness, more than 100,000 combat veterans have sought help for mental illness since the beginning of the war in Afghanistan (then called Operation Enduring Freedom) in 2001. Among those seeking treatment, about half were PTSD cases. Additionally, drug and alcohol dependency, as well as depression, increased by 58 percent from 2006-2007.
The Veterans Administration is currently implementing programs to address these challenges, but awareness is critical to make changes. Michigan Primary Care Association is working with key partners to increase awareness in Health Centers statewide, promoting access to health care and behavioral health services to veterans. A national counseling and suicide hotline for veterans in distress is open 24 hours a day, seven days a week. The number is 800-273-8255. The hotline is staffed by professionals experienced in the specific stressors military members face.
Behavioral Health Integration Map
MPCA's interactive online Behavioral Health Integration Map displays pioneering efforts that are currently underway across Michigan for developing and implementing integrated behavioral health/primary care models of care. Projects at 130 different sites are documented, each unique in its strategy and scope.
Behavioral Health Integration Resources
Housed within the MPCA website is a wealth of educational and resource materials on a variety of topics relevant to Michigan Health Centers and the delivery of primary and preventive care to medically underserved areas and populations. To access Behavioral Health Integration Resources you may search the website by keyword using the search field at the top of this page, or you may search the Behavioral Health Integration Resources webpage.
Integrated Care Links
Center for Integrated Health Solutions
The SAMHSA-HRSA Center for Integrated Health Solutions (CIHS), administered by the National Council for Community Behavioral Healthcare under a cooperative agreement from the U.S. Department of Health and Human Services, is funded jointly by the Substance Abuse and Mental Health Services Administration and the Health Resources Services Administration. The CIHS promotes the development of integrated primary and behavioral health services to better address the needs of individuals with mental health and substance use conditions, whether seen in specialty behavioral health or primary care provider settings. CIHS also lists various trainings and webinars.
Michigan Department of Community Health, Integrated Health Care Project Summaries
This site gives brief summaries on the different projects that are going on around Michigan in integrating medical and behavioral health.
A comprehensive, integrated, public health approach based on universal screenings, Screening, Brief Intervention, Referral and Treatment (SBIRT) creates awareness about America's number one preventable health issue—substance abuse. Colorado's site provides many resources including trainings, marketing tools, and explanation of the screening tool.
Web-based Certificate in Integrated Behavioral Health & Primary Care
The University of Michigan School of Social Work's Certificate in Integrated Behavioral Health and Primary Care (IBHPC) is designed for direct clinical practitioners—social workers, nurses, care managers, psychologists, and physicians—who deliver or plan to deliver integrated health services, and who serve populations often presenting with complex needs in physical health, mental health, and substance use.
Western Interstate Commission for Higher Education
The Western Interstate Commission for Higher Education (WICHE) is a regional organization created by the Western Regional Education Compact and adopted in the 1950s by Western states. WICHE was created to facilitate resource sharing among the higher education systems of the West. It implements a number of activities to accomplish its objectives. Although Michigan is not a member, WICHE's Healthcare and behavioral health stakeholders webpage is full of valuable resources.
Send an email to firstname.lastname@example.org or call 517.381.8000.
To be added to the Integrated Care Network Listserv, email Sara Koziel. You will receive updates on MPCA-hosted webinars, conferences, and other information.