The following resources provide examples of innovative models integrating physical and behavioral health care. Resources are categorized within three core topic areas: (1) physical/behavioral health integration; (2) appropriate emergency department use; and (3) innovations for integrating depression treatment into primary care.
Models of Physical/Behavioral Health Integration
- Brief: Integrating Behavioral and Physical Health for Medicare-Medicaid Enrollees: Lessons for States Working With Managed Care Delivery Systems This brief explores the experience of six states that have achieved varying levels of behavioral health and physical health integration or collaboration for dually eligible beneficiaries within a managed care environment.
- Brief: Promising Practices to Integrate Physical and Mental Health Care for Medi-Cal Members This brief shares practices for integrating mental health services into health benefit packages and building partnerships between health plans and counties to coordinate mental health care benefits.
- Brief: Integrating Behavioral Health into Medicaid Managed Care: Design and Implementation Lessons from State Innovators This brief provides insights from five states that are integrating behavioral health services within a Medicaid managed care arrangement.
- Brief: State Approaches for Integrating Behavioral Health into Medicaid Accountable Care Organizations This technical assistance tool examines four broad strategies states can use to integrate behavioral health services into Medicaid accountable care organizations (ACOs).
- Brief: The Collaborative Care Model: An Approach for Integrating Physical and Mental Health Care in Medicaid Health Homes This brief highlights the collaborative care model as a potential option for implementing integrated care under the Medicaid health homes authority described in Section 2703 of the Affordable Care Act.
- Brief: State Options for Integrating Physical and Behavioral Health Care This brief from the Integrated Care Resource Center explores state options for integrating physical and behavioral health services within managed delivery systems, including examples of current state programs and critical considerations for implementation.
- Report: Providing Behavioral Health Services to Medicaid Managed Care Enrollees: Options for Improving the Organization and Delivery of Services CHCS was commissioned by the United Hospital Fund to identify best practices for organizing, financing, and delivering behavioral health services for managed care beneficiaries in New York State with serious and persistent mental illness (SPMI).
- Report: Evolving Models of Behavioral Health Integration in Primary Care Supported by the Milbank Memorial Fund, this report summarizes available evidence and states’ experiences around integration as a means for delivering quality, effective physical and mental health care. Describes eight models that represent different ways of integration.
- Technical Assistance Tool: Connecting Body and Mind: A Resource Guide to Integrated Health Care in Texas and the United States This guide, developed by the Hogg Foundation for Mental Health, describes integrated approaches in Texas and nationally and identifies resources to assist with developing and implementing integrated care systems.
- Toolkit: Partners in Health: Primary Care / County Mental Health Collaborative Developed by the Integrated Behavioral Health Project in California to help primary care clinics and government mental health agencies forge collaborative relationships.
- Website: Washington State GA-U Mental Health Integration Program Training The Mental Health Integration Program is designed to integrate mental health screening and treatment into primary care settings serving safety net populations. This online module introduces the model and offers guidance on developing an integrated mental health team.
- Website: Mid-Valley Pain Clinic The Mid-Valley Pain Clinic pain management program, developed by the Oregon Health Plan, provides options for chronic pain management based on best-practice medical research. The 10-week program addresses physical and behavioral health needs of clients and provides linkages with the patient’s primary care provider.
- Website: AIMS Center The Advancing Integrated Mental Health Solutions Center, part of the University of Washington’s Department of Psychiatry & Behavioral Sciences, is leading center of research, training, and innovation in integrated mental health programs. This web site offers a wealth of resources to inform the development of integrated care approaches.
Appropriate Emergency Department Use
- Washington State Screening, Brief Intervention, Referral and Treatment This collaborative project was designed to reduce emergency department use by providing brief interventions, brief therapy, and, in some cases, chemical dependency treatment to emergency department patients who screen positive for substance use disorders.
- Frequent Users of Health Services Initiative This six-year demonstration project, supported by The California Endowment and the California HealthCare Foundation, promoted new models of care for “frequent users” of hospital emergency departments, many of whom have chronic physical and mental illness. Visit the website for a variety of resources including an outcome evaluation and a hands-on implementation toolkit.
Depression Treatment in Primary Care
- DIAMOND Model DIAMOND (Depression Improvement Across Minnesota, Offering a New Direction), developed by the Institute for Clinical Systems Improvement, is a comprehensive approach to improve primary health care delivery for people with depression.
- IMPACT Model This model, developed by Jürgen Unützer, MD, MPH, at the University of Washington, offers an adaptable approach for treating depression. The web site includes information and materials to help organizations implement IMPACT in a variety of settings.
- Three Component Model This team approach, developed by the MacArthur Foundation Initiative on Depression and Primary Care, focuses on the following three components for depression management: prepared primary care clinician and practice, care management, and collaborating mental health specialist.
- PEARLS Program This model, developed by researchers at the University of Washington, is designed to reduce depressive symptoms and improve quality of life in older adults and in all-age adults with epilepsy. It involves six to eight in-home sessions that focus on behavioral change and consumer empowerment.