primary care/behavioral health integration

In light of anticipated changes to substance abuse treatment services due to healthcare reform, such as increased access to behavioral and physical healthcare and a heightened focus on quality and accountability, there are both clinical and business reasons for substance abuse screening, brief intervention, and treatment, to be co-located or integrated with primary care and mental health services.

PowerPoint Presentations

• BH Specialty Services and Integrated Healthcare- Challenges and Opportunities (07/2011)
• Introduction to Effective Behavioral Health in Primary Care (06/01/2011)
• The Makings of a Health Home (05/16/2011)
• Implementing SBIRT in Community Health and Community Behavioral Health Centers
  (04/25/2011)
• Integrating Primary Medical Care and BH Services- The New Mexico SBIRT Experience
  (02/11/2011)
• Working Together-FQHCs and Community Behavioral Health Organizations (10/27/2010)
• Mental Health and SUD- Opportunities in Health Reform (10/14/2010)
• Evaluation of MH and SA Services Provided by Health Plans in the Healthy Families Program (09/15/2010)
• Integrating Substance Use Treatment in Healthcare Homes (03/30/2010)
• Collaborating with Federally Qualified Health Centers (03/25/2010)
• Opportunities to Integrate Care for Medicaid Complex Need Populations (01/19/2010)

Reports/Toolkits

• SAMHSA TAP 33: System-Level Implementation of SBIRT (added 5/16/13
• IBHP Toolkit for MH/PC/SUD Inter-agency Collaboration (added 4/24/13)
• SAMHSA-HRSA CIHS: Standard Framework for Levels of Integrated Healthcare
• Working with Medical and Other Programs to Enhance Treatment Integration (CSAT TA Package) (10/2012)
• Forum on Integration_Issue Brief (07/2010)
• SBIRT: Screening, Brief Intervention, and Referral to Treatment Opportunities for Implementation and Points for Consideration (June 2012)
• Behavioral Health Homes For People with Mental Health & Substance Use Conditions: The Core Clinical Features (May 2012)
• Primary & Behavioral Health Care Partnerships (CIHS) (February 2012)
• Expansion of Substance Use Disorder Treatment within Reach Through Health Care Reform (April 2011)
• NACH 2010 Assessment of Behavioral Health Services in FQHCs (January 2011)
• Purchasing Integrated Services for Substance Use Conditions in Health Care Settings: An Issue Brief on Lessons Learned and Challenges Ahead (2010). Philadelphia, PA: Treatment Research Institute, Inc. PDF available at:
  http://www.tresearch.org/centers/Fin_LessonsLearned_Purchasing.pdf
• Partnering With Health Homes and ACOs (January 2011)
• Collins C, Hewson D, Munger R, Wade T. Evolving Models of Behavioral Health Integration in Primary Care. New York: Millbank Memorial Fund; 2010. PDF available at:
  http://www.milbank.org/reports/10430EvolvingCare/EvolvingCare.pdf
• Forum on Integration: A Collaborative for States. (2010). Integrating Appropriate Services for Substance Use Conditions in Health Care Settings: An Issue Brief on Lessons Learned and Challenges Ahead. Philadelphia, PA: Treatment Research Institute, Inc. PDF available at: http://www.tresearch.org/centers/LessonsLearned.pdf
• Health Policy Brief (September 14, 2010). Patient-Centered Medical Homes. Health Affairs and the Robert Wood Johnson Foundation. PDF available at:
  http://www.healthaffairs.org/healthpolicybriefs/brief_pdfs/healthpolicybrief_25.pdf
• Integration of MH, SA, and Primary Care (October 2008)

Peer Reviewed Publications

• Antonini, V. P., Oeser, B. T. and Urada, D. The California Integration Learning Collaborative: A forum to address challenges of SUD-primary care service integration. Journal of Psychoactive Drugs, 44(4). Sept-Oct 2012.  PDF available at:
  http://www.tandfonline.com/doi/pdf/10.1080/02791072.2012.718637
• Padwa, H., Urada, D., Antonini, V. P., Ober, A., Crèvecoeur-MacPhail, D. A., and Rawson, R. A. Integrating substance use disorder services with primary care: The experience in California. Journal of Psychoactive Drugs, 44(4). Sept-Oct 2012.  PDF available at:
  http://www.tandfonline.com/doi/pdf/10.1080/02791072.2012.718643
• Croft, B. and Parish, S. L. "Care Integration in the Patient Protection and Affordable Care Act: Implications for Behavioral Health." Adm Policy Mental Health. Online First; February 28, 2012. PDF available at: http://www.springerlink.com/content/8j48330521w01046/?MUD=MP
• Druss, B. G. and Mauer, B. J. "Health Care Reform and Care at the Behavioral Health--Primary Care Interface." Psychiatric Services. 2010; 61(11): 1087-1092. PDF available at:
  http://ps.psychiatryonline.org/article.aspx?articleid=101629
• Weisner C, Mertens J, Parthasarathy S, Moore C, Lu Y. Integrating primary medical care with addiction treatment: a randomized controlled trial. JAMA. Oct 10 2001;286(14):1715-1723. PDF available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3056510/
• Parthasarathy SP, Mertens JMA, Moore CMDMBA, Weisner CD. Utilization and Cost Impact of Integrating Substance Abuse Treatment and Primary Care. Medical Care. 2003;41(3):357-367. PDF available at: http://www.jstor.org/stable/pdfplus/3767845.pdf?acceptTC=true