Collaborating for Change: ATTC’s Role in Strengthening Integrated Behavioral Health

By Michael Chaple, Northeast and Caribbean ATTC co-director, Sarah Niecko, assistant professor, Wayne Kepner, postdoctoral scholar, Integration of Behavioral Health in Primary Care POWER Team

By listening, learning, and leading, ATTC’s Integration of Behavioral Health into Primary Care POWER Team is driving integrated care innovation. Here’s how:

Integrated Behavioral Health and Primary Care

Integrated behavioral health care is an emerging approach that combines medical and behavioral health services in a single setting. This model recognizes that both physical and mental health factors are essential to overall well-being. Medical and behavioral health clinicians work together as a team to address a patient’s concerns in recognition of the fact that both medical and behavioral health factors are important considerations for a person’s overall health. Care is typically delivered by these integrated teams in the primary care setting. An effective integrated care team has been defined as a group of multidisciplinary providers working together with the patient using a shared treatment approach and assisting the patient to achieve specific physical and behavioral health outcomes (Lardieri, Lasky, & Raney, 2014).

Essential elements of an effective integrated care team include:

• leadership and organizational commitment to the philosophy of integrated care;
• team development involving selection of team members, clarity of roles and responsibilities, cross-training, and development of the operational support;
• a team process that clearly outlines how services will be provided, including consideration of how coordination and collaboration will be facilitated across disciplines; and
• ongoing assessment to evaluate the effectiveness of the established model to inform adjustments to care and maximize impact (Lardieri, Lasky, & Raney, 2014).

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