Another Viable Option: Integrating Behavioral Health and Primary Care, the Collaborative Care Model

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In June 2017, Care Compass Network (CCN) hosted a Collaborative Care Workshop to discuss the integration of Behavioral Health and Primary Care and how the evidence-based program can benefit and impact primary care clinicians as well as their patients. Keynote Speaker Amy Jones-Renaud, MPH, Director Primary Care Behavioral Health Integration from the NYS Office of Mental Health (OMH), shared with attendees the positive effects of the IMPACT model and what is being done at the state level for behavioral health integration.

In 2015, over 10 million adults in the U.S. struggled with a mental illness, causing depression to be the leading cause of disability in the nation with only 40% of those adults actually receiving treatment. Medicaid members that have a behavioral health diagnosis account for 20.9% of the population, but 60% of the Medicaid expenditures.

The Delivery System Reform Incentive Payment (DSRIP) program promotes community-level collaborations and focuses on system reform, specifically with a goal to achieve a 25% reduction in avoidable hospital use by 2020. Care Compass Network and our partner organizations have committed to collaborate on 11 projects to improve the accessibility of healthcare as well as improve patient care and satisfaction, while reducing preventable hospital visits. Project 3ai – the Integration of Primary Care and Behavioral Health Services Model 1 is focused on PCMH 2014 Level 3 transformation and the collaboration between behavioral health and primary care to provide coordinated and person-centered care to ensure better treatments for medical and behavioral health conditions.

Amy Jones-Renaud spoke to the group about the third model under Project 3ai, Collaborative Care Model for Depression or the IMPACT model. IMPACT is one of the more empirically supported models of behavioral health integration that seeks to treat commonly occurring mental health conditions such as depression and anxiety in the primary care setting. This evidence-based model improves not only mental health, but has shown improvements in chronic disease treatment.

The Collaborative Care Team consist of a Primary Care Provider, a Behavioral Health Care Manager (BHCM), and a Psychiatric Consultant (MD Psychiatrist of Psych NP). The Behavioral Health Care Manager is the liaison between all members of the team, working directly with the patient, tracking their progress in their electronic health record (EMR). This interaction improves efficiency and creates an in-house capacity to treat behavioral health patients as well as chronic physical health conditions, improving the overall health of patients. Under this model, the Behavioral Health Care Manager can have a lower skillset, thus addressing the shortage in Licensed Behavioral Health Specialists.

Montefiore Health System and the United  Hospital Fund, produced an Advancing Integration of Behavioral Health into Primary Care: A Continuum-based Framework to provide a broader guideline to providers on how to get started, including prioritization of domains, goals, and determination of existing and potential resources.

Currently, there are 70 sites participating under the IMPACT model. Once a site is approved by NYS OMH, the site can bill under Collaborative Care PMPM (per member, per month) Medicaid rate, which also expands into Medicare as well. Amy Renaud-Jones is actively recruiting for Primary Care Practices. For those that would like to learn more or participate in the IMPACT Model, please contact CCN’s Project Manager, Bouakham Rosetti at brosetti@carecompassnetwork.org.

For additional information, please view the recorded webinar and Powerpoint slides from the Collaborative Care Workshop.

For more information on how you can be involved in Project 3ai – Integration of Behavioral Health and Primary Care or any of CCN’s other projects, contact your Partner Relations Coordinator at 607-240-2545 or email info@carecompassnetwork.org.