January 2015

Integration of Behavioral Health and Primary Care

• Early Childhood Mental Health Toolkit: Integrating Mental Health Services into the Pediatric Medical Home
  Published by the Massachusetts Early Childhood Mental Health Partnership, this new toolkit provides insight into mental health and pediatric medical home integration at the clinic and public health levels. The toolkit also includes easy-to-read plain language materials specifically for families.
• Resource Guide: Medicaid Behavioral Health Services for Children
  The National Academy for State Health Policy published this report which highlights resources from six states regarding delivery of Medicaid behavioral health services to children. Included are resources for coordination and collaboration efforts regarding screening, assessment and referrals. 
• Family Guide: Integrating Mental Health and Pediatric Primary Care
  Created by the National Alliance on Mental Illness, this guide is created for families to assist with family member involvement in integrating mental health into the primary care services of their child.
• Trauma Toolbox for Primary Care
  Developed by the American Academy of Pediatrics, this 6-part series is designed to provide pediatric primary care practices with strategies to address issues related to adverse childhood experiences and trauma in pediatric patients and their families. 
• Resources for Pediatric Clinicians: Addressing Maternal Mental Health in Pediatric Medical Homes
  Created by the Child Health and Development Institute of Connecticut, this report identifies maternal mental health as a major indicator of a child’s early development and subsequent health outcomes. The report includes information about the role of pediatric providers within a medical home in early detection of maternal mental health challenges and recommendation for action.
• Medical Home for Children and Adolescents Exposed to Violence
  Created by the American Academy of Pediatrics as part of the Resilience Project, this Web site provides pediatric clinicians and medical home teams with resources to modify practice operations to more effectively identify, treat, and refer children and youth who have been exposed to or victimized by violence.
• Addressing Mental Health Concerns in Primary Care: A Clinicians Toolkit
  Created by the American Academy of Pediatrics, this toolkit brings together ready-to-use resources for pediatric clinicians looking to integrate mental health services into their care. The toolkit includes screening and assessment instruments, quick reference care management advice, and step-by-step care plans. Some of the tools included in the toolkit are available for download free of charge.
• Essential Elements of Effective Integrated Primary Care and Behavioral Health Teams
  Developed by the Substance Abuse and Mental Health Services Administration (SAMSHA) Health Resources and Services Administration (HRSA) Center for Integrated Health Solutions, this report provides six best practice examples of health teams that have successfully integrated primary care and behavioral health professionals to provide optimal care for patients. Strategies offered through this report are particularly important to pediatric medical homes working to integrate aspects of behavioral health and team-based care within their practice. 
• Best Practices in Behavioral Health Integration: MCPAP
  The Massachusetts Child Psychiatry Access Project (MCPAP) is a model for behavioral health and primary care integration through a system of regional children’s mental health consultation teams. Each team is designed to help primary care clinicians meet the needs of children with behavioral and mental health needs.
• Best Practices in Behavioral Health Integration: PAL Washington
  The Partnership Access Line (PAL) in Washington is a telephone-based child mental health consultation system which utilizes Seattle Children’s Hospital child psychiatrists and is available to any primary care clinician throughout the state.
• Behavioral Health/Health Home Integration Guide
  Created by the Safety Net Medical Home Initiative, this implementation guide provides guidance and tools primary care clinicians can use to assist with integration of behavioral health services in practice. The guide features principles and components of integrated care, definition of roles and relationships, and best practice case studies.
• Online Resource Center: Integration Academy
  Created by the Agency for Healthcare Research and Quality, this comprehensive online resource center focuses on integration of behavioral health and primary care through bibliographies, training opportunities, policy and finance information, and an expert consensus definition of integrated care.
• Behavioral Health Integration Capacity Assessment Tool
  Developed by the Institute for Healthcare Improvement, this online and downloadable tool assists behavioral health organizations in assessing their ability to integrate primary care services into practice. The tool is based on three integration approaches—coordinate care, co-locate care, and build primary care capability within a behavioral health organization.
• Best Practice Models: Integrated Behavioral Health and Primary Care
  The Substance Abuse and Mental Health Services Administration (SAMSHA), Health Resources and Services Administration (HRSA) Center for Integrated Health Solution archives examples of best practices in the integration of behavioral health and primary care throughout the United States. The archives include recorded webinars, videos, and a business case for behavioral health integration.

January 2015

• The SHARE Approach Workshop: Shared-Decision Making Training
  January 23, 2015, St Louis, Missouri
  Organized by the Agency for Healthcare Research and Quality, this one-day train-the-trainer workshop will be offered to assist health care professionals to work with patients to produce the best possible health care decision together. The training provides strategies and resources to assist with patient engagement and shared-decision making.
  Additional Information about the SHARE Approach Workshop
• Exploring the National Recommendations for Children’s Vision and Eye Health: A Discussion with the Authors
  January 23, 2015, 10:30 am EST, Webinar
  Hosted by the National Center for Children’s Vision and Eye Health, this webinar will feature the authors of the newly released recommendations providing an evidence-based approach to vision screening in children ages 3 through 5.
  Additional Information and Registration
• AMCHP 2015: United to Build Healthier Communities
  January 24 – 27, 2015, Hyatt Regency, Washington DC
  Join the Association of Maternal and Child Health Programs (AMCHP) for its annual conference, bringing together leaders in maternal and child health including state Title V agencies, grantees, and Maternal and Child Health Bureau National Centers. Don’t forget to visit the National Center for Medical Home Implementation exhibit table throughout the conference.
  Additional Information about the AMCHP 2015 Annual Conference

February 2015

• Blueprint for Success: The Pediatric Medical Home is Here to Stay
  February 6, 2015, Orlando, FL
  This American Academy of Pediatrics conference will examine transforming practices into medical homes – maximizing both quality of care and profits. Faculty will debunk some common misconceptions about the medical home model, describe national policy perspectives shaping the movement, and offer practical guidance and tools necessary to make the transformation a reality. Register by January 12 for early-bird rates.
  Additional Information about the Blueprint for Success Conference

• Parity or Disparity: The State of Mental Health in America
  Published by Mental Health America, this 2015 report provides a snapshot of mental health status among children and adults for policy and program planning, including integration of mental health services with primary care. The report includes state specific information related to mental health care policies, access, and utilization.
• National Network for Child Psychiatry Access Programs
  This national organization works to promote the development, sustainability, and quality of child mental health programs which work within primary care settings. The organization’s Web site includes a complete listing of all programs by state and provides contact information for reference.
• Integrating Physical and Behavioral Health Care: Promising Medicaid Models
  Published by the Kaiser Family Foundation, this issue brief examines five examples of initiatives currently underway in Medicaid to assist with integration of physical and mental health integration. Suggestions for integration strategies include universal screening, utilization of Medicaid Health homes, and cross-system collaboration.
• Mental Health Services Integration through Health Homes: Iowa
  Developed by the National Center for Medical Home Implementation in partnership with the National Academy for State Health Policy, this state profile highlights Iowa’s Section 2703 Health Home State Plan Amendments, including the Integrated Health Home, which targets children and adults with serious mental health conditions and focuses on integrating behavioral and physical health within a community context.
• Joint Principles: Integrating Behavioral Health into Patient-Centered Medical Homes
  Published in the Annals of Family Medicine, this article presents joint principles for the integration of behavioral health care within the patient-centered medical home model. Reviewed by the American Academy of Pediatrics, this article follows the order and language of the Joint Principles of the Patient-Centered Medical Home.
• State Strategies for Integrating Physical and Behavioral Health Services in a Changing Medicaid Environment
  Published by the Commonwealth Fund, this report identifies strategies utilized by states to address or eliminate system-level barriers to integrated care for Medicaid populations. The report discusses findings from a review of literature and interviews with consumers, providers, payers, and policymakers, presenting state initiatives that can for both adult and pediatric populations.
• Integrating Primary Care into Behavioral Health Settings: What Works for Individuals with Serious Mental Illness
  Published by the Milbank Memorial Fund, this report assess and synthesizes literature over the last ten years related to primary care and behavioral health integration. The report includes a summary of outcomes from models that include pediatric populations, strategies for implementing integration models in practice, and technical assistance resources for integration efforts.

• Promoting Physical and Behavioral Health Integration: Considerations for Aligning Federal and State Policy
  Published by the National Academy for State Health Policy, this brief summarizes key lesson and opportunities for federal and state alignment in promoting integration of behavioral and physical health. Case studies from Arizona, Missouri, and Tennessee are presented.
• Public Health Integration into the Patient-Centered Medical Home
  The Patient-Centered Primary Care Collaborative (PCPCC) created two customizable slide decks which can be used by medical homes and practices working to transform into a medical home in order to show the value of behavioral health and primary care integration. Additionally, the PCPCC created a comprehensive list of resources on behavioral health in the medical home.
• MOC: Opportunities for Integration of Behavioral/Mental Health in Primary Care
  Pediatric clinicians looking to integrate behavioral and primary care services can consider participating in a performance in practice (Part 4) Maintenance of Certification (MOC) quality improvement project on integration of behavioral/mental health into primary care.  An example includes the “Provision of Behavioral Health Services to Children in Primary Care Offices” project in South Carolina through the Quality through Technology and Innovation in Pediatrics.  MOC Part 4 credit available for South Carolina AAP Chapter members.  Visit the American Board of Pediatrics for a list of approved projects and activities.