The National Council for Mental Wellbeing is proposing to administer the SAMHSA-funded National Center of Excellence for Integrated Health Solutions (CIHS). The CIHS will promote bi-directional integration between behavioral health care and primary health care by providing high quality, evidence-informed training and technical assistance (TTA). The CIHS will identify and rapidly disseminate integration practices to states, territories, Tribes, health care systems, and providers, including non-governmental organizations, Promoting Integration of Primary and Behavioral Health Care (PIPBHC) grantees, and the general public. These practice improvements will address complex health and social challenges faced by communities and providers, such as high rates of co-occurring behavioral health and physical health conditions, identifying appropriate evidence-informed practices, navigating payment systems and regulations, sustaining integrated care, and accurately measuring outcomes.
In collaboration with key partners, our primary goal will be to increase the adoption and improvement of bi-directional primary and behavioral health care integration within health care, behavioral health, and community settings by providing evidence informed TTA that responds to the needs of underserved populations and is tailored to local, state, and regional complexities to advance implementation, organizational processes, and partnerships that improve equitable access to and sustainability of integrated care. TTA will be disseminated to practitioners, including reaching at least 1,000 provider organizations, and 100 state leaders across all 50 states, for a total of 40,000 individuals served annually and 200,000 individuals reached during the project period. We will also work to improve PIPBHC grantees’ integrated care and sustainability efforts, and advance grantees’ alignment with and ability to navigate state and provider adoption process for integrated care such as the Collaborative Care Model (CoCM) in addition to other integrated care models. Additionally, we will aim to build and enhance the capacity of the integrated care workforce.
Behavioral health integration models, including the CoCM, are crucial in bridging significant care gaps for underserved populations and geographic areas, particularly for individuals experiencing serious mental illness and substance use disorders. These models, which integrate primary care and care coordination with services that address the social determinants of health emphasize the importance of addressing the unique complexities of care for each person to improve health outcomes and reduce disparities for vulnerable populations. By seamlessly coordinating primary health care and behavioral health care services, integrated care models deliver a holistic, patient-centered approach that reduce health disparities, decrease healthcare costs, and improve overall health outcomes.
The National Council will use various strategies and interventions to reach our goals. This includes our TTA framework, grounded in the Public Health Learning Network’s Public Health Learning Agenda Toolkit, to provide effective implementation support with on-demand responses to local needs and system complexities. In addition, the National Council’s Comprehensive Health Integration Framework represents a significant advancement in facilitating integrated care across practice settings.