Integrated Care Resources

Resources

University of Washington Psychiatry Consultation Line (877-WA-PSYCH)

The UW Psychiatry Consultation Line (PCL) helps eligible providers who are seeking advice regarding patients with mental health and/or substance abuse disorders. The program is fast, free, and connects community providers to psychiatrists at the University of Washington.


Websites

Center of Excellence for Integrated Health Solutions

This CoE is funded by the Substance Abuse and Mental Health Services Administration(SAMHSA)and run by the National Council for Behavioral Health.

The Center of Excellence for Integrated Health Solutions is the home of the newest evidence-based resources, tools and support for organizations working to integrate primary and behavioral health care.  Their team of experts in organizational readiness, integrated care models, workforce & clinical practice, health & wellness, and financing & sustainability are ready to partner with agencies to create a customized approach to advance integrated care and health outcomes.

UW Advancing Integrated Mental Health Solutions (AIMS) Center

The AIMS Center at the University of Washington is a group of faculty, staff and consultants dedicated to improving the health of populations by advancing the research and implementation of collaborative care, a specific model of integrated care developed at the University of Washington to treat common and persistent mental health conditions such as depression and anxiety.
 

National Institute of Mental Health: Integrated Care

The National Institute of Mental Health (NIMH) is the lead federal agency for research on mental disorders. NIMH is one of the 27 Institutes and Centers that make up the National Institutes of Health (NIH), the largest biomedical research agency in the world. NIH is part of the U.S. Department of Health and Human Services (HHS).NIMH has many resources and information about Integrated Care.
 

The National Council for Behavioral Health: Integrated Health Solutions

The National Council’s wide array of training and consultation fosters effectiveness, efficiency, and sustainable integrated services to improve the overall health and wellness of individuals at-risk for and living with chronic health conditions including mental health concerns and addictions. They have many resources, tools and support for behavioral health and primary care providers, safety-net provider organizations, and states on integrating primary and behavioral health care. Click here for a printable pdf guide: Core Competencies  for Integrated Behavioral Health and Primary Care.
 

The AHRQ Academy: Integrating Behavioral Health and Primary Care

The AHRQ Academy is a national resource and coordinating center for people who want to integrate behavioral health and primary care. It organizes and disseminates news, research and resources about behavioral health integration.


Toolkits

Ask Suicide-Screening Questions Toolkit

The Ask Suicide-Screening Questions (ASQ) Toolkit is a free resource for medical settings (emergency department, inpatient medical/surgical units, outpatient clinics/primary care) that can help nurses or physicians successfully identify youth at risk for suicide. The ASQ is a set of four screening questions that takes 20 seconds to administer. In an NIMH study, a “yes” response to one or more of the four questions identified 97% of youth (aged 10 to 21 years) at risk for suicide. By enabling early identification and assessment of young patients at high risk for suicide, the ASQ toolkit can play a key role in suicide prevention.
 

Pediatric Provider Toolkit for Behavioral Health Integration

The Pediatric Provider Toolkit's purpose is to provide templates and best practices for increasing communication between primary care providers and behavioral health providers about specific patient care.
 

AHRQ Academy Integration Playbook

The AHRQ Academy developed the Playbook as a guide to integrating behavioral health in primary care and other ambulatory care settings to help improve health care delivery to achieve better patient health outcomes. Integrated primary care can improve a practice’s ability to effectively:

  • Address behavioral health and medical conditions,
  • Prevent fragmentation between behavioral health and medical care, and
  • Build relationships with mental health specialists outside the primary care setting.

     

Tools

Self-Assessment Checklist for Integrating Behavioral Health and Ambulatory Care, AHRQ Integration Academy

The Self-Assessment Checklist for Integrating Behavioral Health and Ambulatory Care (referred to as Integration Self-Assessment Checklist) is based on AHRQ’s Lexicon for Behavioral Health and Primary Care Integration. Use the Integration Self-Assessment Checklist to learn where your organization stands with respect to all aspects of integration. This is useful as you navigate integrating behavioral health into your primary or ambulatory care setting.
 

The Patient Health Questionnaire (PHQ) 9

Recognizing signs of mental health disorders is not always easy. The Patient Health Questionnaire (PHQ) is a diagnostic tool for mental health disorders used by health care professionals that is quick and easy for patients to complete.
 


Webinars & Videos

A Step-by-Step Guide to Integrating Behavioral Health into the Primary Care Setting

Prepared for: Health Management Associates. Speakers: Lori Raney, Principal & Nancy Jaeckels Kamp, Principal. Moderator: Carl Mercurio, HMA Information Services

There is a clear and growing body of evidence that supports the integration of behavioral health into the primary care setting. Numerous trials show that integration delivers upon the triple aim, generating a measurable return on investment over time, improving outcomes for patients, and resulting in a high quality experience for patients. During this webinar, HMA experts Lori Raney, MD, and Nancy Jaeckels Kamp provide a step-by-step guide to integration, including key structural and organizational investments, process improvements, and the type of training required to make integration work.
 

Daniel's Story: An Introduction to Collaborative Care

Produced by the University of WA AIMS Center

Watch Daniel's Story: An Introduction to Collaborative Care to learn about Daniel's experience being treated by a collaborative care team.


Online Courses

APA Learning Center: Applying the Integrated Care Approach
  1. Core (4 hour online course)
  2. Advanced (2 hour online course)

Produced by American Psychiatric Association, supported by Funding Opportunity Number CMS-1L1-15-002 from the U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services.

Psychiatrists are uniquely positioned to improve access to effective mental health care in the context of rapidly evolving health care reform. Integrated care programs, in which mental health care is delivered in primary care settings, exist as a promising solution to common, disabling and costly behavioral health problems, such as depression, anxiety and substance use disorders. Collaborative Care, a type of integrated care, has emerged as the strongest evidence-based approach. Psychiatrists play a vital role as part of Collaborative Care teams, providing systematic consultation for a panel of patients cared for in primary care; however, few psychiatrists have been trained in Collaborative Care.

This course is supported by the Transforming Clinical Practice Initiative (TCPI). It provides training in Collaborative Care Consultation Psychiatry, focusing on the knowledge, skills and attitudes necessary to help psychiatrists provide high quality care for larger populations.
 


Learning Guides

Learning Series: Integrating Primary Care into Behavioral Health Settings

Produced in collaboration with the AIMS Center of University of Washington Department of Psychiatry and Behavioral Health Sciences, Healthier Washington, Washington Department of Health and Qualis Health, and supported by Funding Opportunity Number CMS-1G1-14-001 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services.

In this series, learn how to adopt core principles of integrated care for behavioral health settings, explore opportunities for new roles and responsibilities for integrating care, create workflows and a tracking tool for an integrated care pilot, and develop a rapid cycle QI proposal for an outcome measure your integrated care program is working to improve.
 

Qualis Health Implementation Guide: Safety Net Medical Home Initiative, Behavioral Health Integration

Produced in collaboration with the AIMS Center of University of Washington Department of Psychiatry and Behavioral Health Sciences, Qualis Health, and Group Health, MacColl Center for Health Care Innovation

Whether a primary care practice is just beginning the Patient-Centered Medical Home (PCMH) journey or is an established medical home, integrating behavioral health care is a critical effort, necessary for true transformation. This Implementation Guide provides guidance and tools a primary care practice can use to develop a vision for integrated care and a customized implementation plan reflective of its goals and resources.

Promoting Chronic Disease Management, A guide for behavioral health care teams

As part of healthcare transformation in Washington State, behavioral health care team members must be prepared to play a role in providing whole person care. This means assisting clients to address all aspects of their health and wellness, including chronic physical health diagnoses. New and expanded roles for behavioral health providers include helping clients better understand and manage their diagnoses, assisting them to access needed healthcare, providing care coordination, and/or being part of an integrated care team. To succeed in these roles, behavioral health providers may need knowledge of common chronic medical conditions.


Articles

Interventions to Address Medical Conditions and Health-Risk Behaviors Among Persons With Serious Mental Illness: A Comprehensive Review

By Emma E. McGinty, Julia Baller, Susan T. Azrin, Denise Juliano-Bult, and Gail L. Daumit

In September 2012, the National Institute of Mental Health (NIMH) convened the meeting Improving Health and Longevity of Severe Mental Illness. The goal of the meeting was to identify priorities for future research, addressing the issue of premature mortality in people with SMI. One recommendation that came out of this meeting was the need for a comprehensive review summarizing the extant literature around interventions to address major medical conditions affecting persons with SMI. THis review addresses that recommendation.


Publications

AHRQ: Provider- and Practice-Level Competencies for Integrated Behavioral Health in Primary Care: A Literature Review

Prepared for: Agency for Healthcare Research and Quality by Carissa R. Kinman, M.A. Emma C. Gilchrist, M.P.H. Jessica C. Payne-Murphy, M.A. Benjamin F. Miller, Psy.D.

The goal of this literature review was to understand current thinking about workforce competencies with regard to integrated behavioral health in primary care. The resulting review highlights a comprehensive set of competencies, practices, providers, and staff required to advance integration efforts and provide comprehensive care to improve patient outcomes.

 

Guidelines for the Management of Physical Health Conditions in Adults with Severe Mental Disorders

Prepared by the World Health Organization

People with severe mental disorders – moderate to severe depression, bipolar disorder, and schizophrenia and other psychotic disorders – generally have a life-expectancy 10-20 years shorter than the general population. To help address this inequity, WHO has released, for the first time, evidence-based guidelines on management of physical conditions in adults with severe mental disorders.

 

Integrating a Behavioral Health Specialist into Your Practice

Prepared for: American Academy of Family Physicians (AAFP) by Randell Reitz, PHD, Peter Fifield, MS, and Patrice Whistler, MD, MPH, FAAP

Primary care physicians deliver half of all mental health services (92 percent among the elderly), perhaps in part because patients prefer to seek behavioral health care from their family physician to avoid the stigma and unfamiliarity of a therapist’s office or mental health facility. Increasingly, family physicians are finding that the best answer to this situation is to collaborate closely with a behavioral health specialist or integrate one into their practice.


Books

Integrated Care: Creating Effective Mental and Primary Health Care Teams 

By Anna Ratzliff,  Jurgen Unutzer, Wayne Katon, Kari A. Stephens, University of WA 

An essential resource written for every member of a Collaborative Care team—social workers, nurses, psychologists, licensed counselors, psychiatrists, primary care providers, and administrators. The authors are recognized experts in the field and show how to access the information, develop the skills, and apply the clinical approaches needed to implement an effective collaborative approach.
 

Preventive Medical Care in Psychiatry: A Practical Guide for Clinicians

By Robert M. McCarron (Author, Editor), Glen Xiong (Editor), Craig R Keenan (Editor), Henry A. Nasrallah (Editor)

Preventive Medical Care in Psychiatry: A Practical Guide for Clinicians is designed to assist psychiatrists and other mental health providers in making the shift from treating mental disorders to treating the holistic needs of people with mental disorders.