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3.a.i: Integration of Primary Care and Behavioral Health Services

Project ObjectiveIntegration of mental health and substance abuse with primary care services to ensure coordination of care for both services.

Project Description: Integration of behavioral health and primary care services can serve 1) to identify behavioral health diagnoses early, allowing rapid treatment, 2) to ensure treatments for medical and behavioral health conditions are compatible and do not cause adverse effects, and 3) to de-stigmatize treatment for behavioral health diagnoses. Care for all conditions delivered under one roof by known healthcare providers is the goal of this project.

The project goal can be achieved by 1) integration of behavioral health specialists into primary care clinics using the collaborative care model and supporting the PCMH model, or 2) integration of primary care services into established behavioral health sites such as clinics and Crisis Centers. When onsite coordination is not possible, then in model 3) behavioral health specialists can be incorporated into primary care coordination teams (see project IMPACT described below).


PMO: Kathy Alexis
Community Co-Lead: Terri Udolf, St. Christopher's Inn
Community Co-Lead: Debbie Pantin, VIP Severices
BLHC Co-Lead: Vicente Liz-Defillo, MD

Nov 13, 2017

Fall 2017 Update

As of DY2Q4, the Behavioral Health project has completed 40% of project milestones.


At BLHC, IMPACT has been clinically implemented at two clinics and are beginning to track patients. Spread to a third clinic has launched. VIP and Uptown Healthcare Management continue to partner with consultants to set the foundation for IMPACT 

Jul 17, 2017

Project update for April 2017

BHA had partnered with Institute for Family Health (IFH) to deliver training and technical assistance for the implementation of the IMPACT (Improving Mood-Promoting Access to Collaborative Treatment) model. BLHC and VIP Community Services have begun working with IFH in identifying care teams and redefining their workflow to accommodate the integration of collaborative care.

Feb 28, 2017

Project Update For February 2017

SBIRT Training was recently held and open to all partners.  A total of 95 PPS Staff were trained across 26 organizations.  Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice used to identify, reduce, and prevent problematic use, abuse, and dependence on alcohol and illicit drugs.  Due to high interest, we are currently exploring offering another set of trainings.



BHA partners are working with Institute for Family Health (IFH), the contracted partner, to provide training and technical support to those sites who are interested in implementing IMPACT.  

The project is working on a draft of 3ai Operation’s manual that will outline the project’s work.

Sep 30, 2016

Project update for September 2016

The project workgroup is beginning contracting process to offer training to partners.  The Outreach Institute will to deliver training for SBIRT and the Institute for Family Health will deliver IMPACT implementation training and technical support to those sites who are interested in implementing IMPACT.   The project is also partnering with OMH to provide monthly Medicaid case rate for sites that are implementing IMPACT.

The primary care partners are currently completing a gap analysis of their warm hand-off workflow and working to identify appropriate medication management and care engagement processes.