Services and Tools for Behavioral Health Integration

A range of services are available through integration of behavioral health into the patient-centered medical home. From addressing the psychosocial determinants of health to severe mental illness, having a behavioral health professional within the medical home team leads to new opportunities for providing comprehensive care. The following resources can help with the transformation process.

Tools and Considerations for Implementation

Mountainview Consulting's Behavioral Health Integration website is designed to provide the latest information about behavioral health integration and to allow for dialogue with peers about important questions and issues in this area. This website offers a resource library of recent theory or research articles and other tools for designing and implementing successful behavioral health integration programs.

The MacArthur Foundation Initiative on Depression and Primary Care has created a depression toolkit intended to help primary care clinicians recognize and manage depression. The toolkit includes easy to use instruments and informative sources to assist with:

  • Recognizing and diagnosing depression
  • Educating patients about depression, assessing treatment preferences, engaging their participation and explaining the process of care
  • Using evidence-based guidelines and management tools for treating depression
  • Monitoring patient response to treatment

DIAMOND Depression Care Toolkit offers resources and support to enable primary care physicians to provide adequate mental health care including, access to psychiatrists who can review and/or consult on patient cases, access to a care team, a detailed medical guide, checklists and other tools.

The Advancing Integrated Mental Health Solutions (AIMS) Center and IMPACT Implementation Center offer tools designed to help health care organizations plan and implement successful integrated care programs, such as the IMPACT program. Tools offered include implementation planning and team building worksheets, patient education materials, and treatment manuals.

The American Psychological Association, American Academy of Family Physicians, and American College of Physicians agreed on using the nine-question Patient Health Questionnaire (PHQ-9) for the Measurement-based Depression Treatment project. The PHQ-9 covers nine criteria for depression, consistent with the DSM-IV. It assesses symptoms and allows the physician to track each component using a metric for determining if the patient is responding to treatment. The tool assesses the patient's suicide risk/ideation, which may help address physician concerns about potential liability regarding the recently highlighted issue of antidepressant use and suicide risk. The PHQ-9 is being combined with other interventions that assist primary care physicians in treating depression, including regular monitoring, medication management, and psychiatric consultation. The following resource provides additional information on the topic of PHQ-9: Depression Screening Action Kit, NYC Department of Health and Mental Hygiene.

Partners in Health: Primary Care/County Mental Health Collaboration Tool Kit is designed to help primary care clinics and government mental health agencies forge collaborative relationships. Sample formal agreements and contracts reached between primary care and county mental health agencies, advice from those with established working relationships, checklists, examples of contract content, issues to consider when brokering agreements, mutual role descriptions, etc., are included within this toolkit.

American Psychiatric Association (APA) Practice Guidelines provide evidence-based recommendations for the assessment and treatment of psychiatric disorders.

The Hogg Foundation for Mental Health promotes improved mental health for the people of Texas through the support of effective mental health services, research, policies, and education through partnerships with communities, service providers, advocates, policymakers, researchers and educators.

Cognitive Behavioral Therapy

Self-Help CBT for Depression: Opportunities for Primary Care Mental Health Nurses, Journal of Psychiatric and Mental Health Nursing

Integration into the Medical Home Team

Integrated Primary Care Portal

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