Project Title: Utah Promoting Integration of Primary and Behavioral Health Care (U-PIPBHC)
Project Summary/Abstract: The U-PIPBHC proposes to fully integrate primary and behavioral health care services using the Intermountain Healthcare Mental Health Integration Care Process Model or the Primary Care Behavioral Health Model to address the physical and behavioral health needs of low-income, uninsured residents through the provision of evidence-based treatment and support services. The populations of focus will be adults experiencing mental illness who have co-occurring physical health conditions or chronic diseases, and individuals with a substance use disorder including transition age youth. The Utah Department of Human Services, Division of Substance Abuse and Mental Health (DSAMH) will work with three local partnerships of community health centers and qualified community behavioral health centers in Box Elder, Iron, Utah, and Washington counties to develop and implement U-PIPBHC programs. U-PIPBHC aims to accomplish several goals.
Goal 1: Optimize Primary Care/Behavioral Health systems and collaboration in co-located organizations to improve patient experience and quality of care. Objectives include cross training staff in evidence-based screening tools, intervention techniques, and shared protocols, and consents, and measuring and reporting physical and behavioral health services and outcomes.
Goal 2: Improve health outcomes for patients experiencing co-occurring physical health and behavioral health conditions. Objectives include cross-training staff in evidence-based recommendations for assessing physical and behavioral health in culturally sensitive processes and integrated tracking, measuring and reporting of outcomes.
Goal 3: Reduce inappropriate use of high-cost health care services by reducing fragmentation of care and improving Transitions of Care in co-located behavioral health and physical health settings. Objectives include the development of an integrated team and care approach with: multidisciplinary meetings; shared documentation; protocols; billing; data analytics; tracking of community service use; and analyzing trends to identify service gaps.
Goal 4: Develop a state-wide learning community to share best practices on treating high cost/high utilization patients with co-morbid conditions. Objectives include the creation of a steering committee and leadership team made of a broad array of partners.
Goal 5: Strengthen and improve state partnerships to ensure program sustainability. Objectives include regular steering and leadership meetings to address unified data, reporting and results; evaluation of program outcomes; and sustainability planning.
Estimated number of people to be served as a result of the award of this grant:
Year 1: 300; Year 2: 400; Year 3: 500; Year 4: 600; Year 5: 700 Total Across 5 Years: 2,500