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


Integration of Behavioral Health Services into Primary Care Services (Model 1) and the integration of Primary Care Services into Behavioral Health Sites (Model 2) can provide timely access for patients to better manage and cope with mental health and physical health. Early detection will allow for better treatment and ensure treatments for medical and behavioral health conditions are compatible and do not cause adverse effects.

Care Compass Network’s Goals

  • Increase early identification and detection of behavioral health and substance use disorders in primary care to allow patients to receive counseling and intervention services to mitigate high no show rates and remove stigma barriers to care.
  • Provide evidence-based training and forum opportunities to build and support primary care’s capacity to address and conduct behavioral health and substance abuse screenings.
  • Provide timely access to Behavioral Health Services in Primary Care to allow for rapid interventions, de-escalation and connection to outpatient and specialty psychiatric services.
  • Improve care coordination and communication between socio, medical and Behavioral Health Services across the continuum of care.
  • Provide access to Primary Care services for behavioral health patients where they already have an established and trusting relationship.
  • Engage patients in the development of care plan, action plans, self-management goals and lifestyle modifications.
  • Decrease the number of avoidable admissions to Hospital emergency departments for preventable illnesses.

Who is Eligible to Participate in the Project?

Depending on the model chosen, any Primary Care Provider that is Patient-Centered Medical Home (PCMH) Certified or wants to become certified and outpatient Behavioral Health Providers (Article 31 or Article 32) can be eligible to participate.

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Dr. Dike Drummond, a Mayo trained family doctor, executive coach, and CEO of, speaks out on how to stop physician burnout. This short video provides helpful tips on how to reach out to a colleague in distress […] Watch Video

New NYS MAT Requirements – April 18, 2019

In an effort to reduce the number of opioid overdose deaths, increased access to buprenorphine treatment is urgently needed. New York State now requires that patients who have been treated for an opioid overdose in the emergency room be provided medication-assisted treatment or a referral for MAT before discharge. Under current regulations, authorized practitioners are required to obtain a waiver to prescribe buprenorphine. Click here to find an upcoming waiver training opportunity.

Buprenorphine Resources – March 12, 2019

During a recent Buprenorphine Waiver training, the trainers provided additional resources and materials for the participants. Click here to view the list of additional reading materials.

Peer Support Toolkit – November 7, 2018

The Peer Support Toolkit, developed by the Philadelphia Department of Behavioral Health and Intellectual Disability Services, is an interactive guide addressing specific implementation issues relevant to agencies in various stages of integrating peer support services. […] Download Toolkit

School Mental Health Resource & Training Center Launches to Support New York Schools with Mental Health Instruction – September 6, 2018

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OASAS Approved Screening Instruments – August 2, 2018

NYS OASAS has approved several evidence-based screening instruments for alcohol and substance use disorder. As new screening instruments become available or approved, the website will be updated to give providers the most up-to-date list of evidence-based screening tools. Visit the OASAS website to view the approved list.

Building a Brighter Tomorrow – May 29, 2018

Care Compass Network recently collaborated with Binghamton University School of Social Work to provide SBIRT (Screening, Brief Intervention, and Referral to Treatment) training to 17 Master in Social Work students. The training was incorporated into an elective course, “Addictions and Social Work,” and students who completed the […] Read More

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Medicaid Accelerated eXchange (MAX) Series Program Final Report – December 11, 2017

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RHIO/QE Connections and Barriers Survey – December 5, 2017

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Eight Competencies of Primary Care and Behavioral Health Clinicians – November 8, 2017

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Important Notice – Quarterly Reporting due by October 25th – October 18, 2017

For Partners Contracted to do Project Work: With the first 6 months of DSRIP Year 3 complete, CCN must submit the patient engagement reporting data to the DSRIP Independent Assessor in order to earn performance dollars tied to speed and scale. If you have not submitted your date for April 1st – September 30th 2017, please submit your activity by October 25th. All speed and scale reports or any document (could include a screenshot, email, word document, excel file, etc) that includes PHI should be submitted via the sFTP site. For additional information on the sFTP site, please click here to view the CCN sFTP Guide.

Screening, Brief Intervention and Referral to Treatment (SBIRT) Online Training Program – October 4, 2017

The Center for Practice Innovations is offering a FREE online, interactive SBIRT training for healthcare professionals. This 4-hour online training is an evidence-based approach that identifies patients who use alcohol and other drugs at risky levels. The goal of SBIRT is to reduce and prevent related health consequences, disease, accidents and injuries. View the SBIRT training on CCN’s HWapps webpage. Need to create an account? Click here to set up your HWapps account.

National Council for Behavioral Health Educational Videos – September 14, 2017

The National Council for Behavioral Health has produced a series of short, educational videos for the New York State Delivery System Reform Incentive Payment (DSRIP) program to assist PPS network providers with implementing best practices for integrated care. There are four videos: Brief Intervention, Warm Handoff – Motivational Interviewing, Warm Handoff – Anxiety, and Morning Huddle […] Watch Videos

Care Compass Network Supports Partner Organizations Through IT Funding Opportunities – August 24, 2017

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Integration of Behavioral Health into Primary Care Model 1 Webinar – June 21, 2017

Project Manager, Bouakham Rosetti and Emily Pape, Director of Population Health will discuss the quality metrics associated with Project 3ai Model 1 during DSRIP year 3 and discuss any project-specific items and changes to the Phase II Appendix C […] Watch Now

Integration of Primary Care into Behavioral Health Model 2 (Project 3ai) Webinar – June 14, 2017

Nancy Frank, Project Manager and Emily Pape, Director of Population Health provide an understanding of the metrics that will be associated with Project 3ai Model 2 during DSRIP Year 3 as well as discuss the changes in payment, project deliverables and a few frequently asked questions […] Watch Now