Integrating Behavioral Health
The Alameda Health Consortium provides coordination, training, and technical assistance to community health centers that are integrating behavioral health care with primary care services. The Alameda Health Consortium works in partnership with Alameda County Behavioral Health Care Services.
Patients come to our community health centers with both mental and physical conditions. We believe that primary care and behavioral healthcare should happen under one roof. We know that integrating behavioral health with primary care increases health outcomes, helps with management of chronic conditions, and drives down the cost of care.
Challenge: Low income and vulnerable communities are adversely affected by trauma and poverty, and should be offered access to culturally and linguistically aligned mental health services in their neighborhoods.
Our Approach: Increase our member community health centers’ capacity to integrate primary care and behavioral health. We do this by offering intensive in-person trainings, webinars, and technical assistance coaching calls with managers and clinicians from the community-based FQHCs. Alameda Health System and the TRUST Clinic, and other safety net clinicians also participate in the training offerings. We organize monthly Behavioral Health Director peer networking meetings, fostering a learning community for providers to problem-solve, exchange best practices, and strengthen partnerships with the County, Psychiatric and Hospital Services, and managed care mental health organizations such as Beacon Health Options and Anthem Blue Cross.
A Resource to the Community:
- Ongoing partnership with the UC Davis Dept. of Psychiatry and Behavioral Sciences and Nursing School to enhance PCP capacity at FQHCs to managed the care of patients with mild/moderate and serious mental/behavioral health conditions, and Pain Management;
- Improved treatment coordination and data integration through the 1115 Medicaid Waiver County Whole Person Care demonstration efforts (Alameda County Care Connect);
- Bolstering capacity to address substance use and opioid addiction at primary care, including greater coordination between FQHCs and SUD treatment providers through opportunities in the Drug Medi-Cal waiver.
- Ensuring adequate behavioral health workforce capacity (psychologists, LCSWs, MFTs).
- Care team workflows include the use of validated screening/assessment tools. Validated tools are used for early identification and ongoing assessment of condition severity.
- Screening/assessment tools are built into the EHR and are a part of (not outside of) regular workflows.
- Multi-disciplinary care teams meet regularly to conduct structured case conferencing and huddles with a focus on shared treatment planning. A consulting psychiatrist is available to care teams and PCPs for consultations and in-service trainings.
- PCPs assess and prescribe appropriate levels of anti-depressants, anti-anxiety medications, in combination with appropriate levels of behavioral health therapy.
- Care team offers evidenced-based therapies, i.e. Motivational Interviewing (MI), Problem-Solving Treatment (PST), Cognitive Based Treatment (CBT), Screening, Brief Intervention and Referral to Treatment (SBIRT), and Trauma Therapies.
- PCPs are certified to prescribe buprenorphine (Medication Assisted Treatment for opiate addiction) as part of a broader continuum of substance use disorder services in Alameda County.
- Behavioral Health Care coordinators are trained and support the integrated care team as well as client transitions between specialty mental health and primary care FQHCs with a goal of strengthened system-wide care coordination.
We are accredited to provide Continued Education for behavioral health professionals through the California Marriage and Family Therapist Association (CAMFT) for LCSWS, MFTs, LPCCs, and LEPs.
Alameda Health Consortium Integrated Behavioral Health Member Log-in: http://www.alamedahealthconsortium.org/login/
Integrated Behavioral Health Project (IBHP), California Mental Health Services Administration: http://www.ibhp.org/
AIMS Center, Advancing Integrated Mental Health Solutions: http://uwaims.org/
Califonia Insitute for Mental Health (CiMH): http://www.cimh.org/
Integrated Behavioral Health Toolkit:http://www.ibhp.org/uploads/file/IBHPIinteragency%20Collaboration%20Tool%20Kit%202013%20.pdf
California Primary Care Association (CPCA) Behavioral Health Network: http://www.cpca.org/index.cfm/peer-networks-workgroups/behavioral-health/
SAMHSA-HRSA Center for Integrated Health Solutions, Behavioral Health in Primary Care: http://www.integration.samhsa.gov/integrated-care-models/behavioral-health-in-primary-care
California Mental Health Health Services Authority Stigma and Discrimination Reduction Campaign: www.BuscaApoyo.org