Training Opportunities and Archives
IBHP-sponsored training Powerpoint presentations:
Mary Rainwater, 7/21/10
Barbara Mauer, 6/8/10
THE 2013 EDITION OF THE PARTNERS IN HEALTH: MENTAL HEALTH, PRIMARY CARE AND SUBSTANCE USE INTERAGENCY COLLABORATION TOOL KIT IS HERE!
Posted on 04/23/2013
The updated PARTNERS IN HEALTH: MENTAL HEALTH, PRIMARY CARE AND SUBSTANCE USE INTER-AGENCY COLLABORATION TOOL KIT has arrived! The Kit, an update of the 2009 edition, was developed by the Integrated Behavioral Health Project (IBHP) and sponsored by the California Health Services Authority's (CalMHSA) Statewide Stigma and Discrimination Reduction Initiative.
The 353 page Kit may seem a bit daunting at first, but the Table of Contents is interactive - and users can link directly to the sections they're interested in with just a click. Designed to help primary care clinics and behavioral health agencies forge collaborative relationships, the Tool Kit provides job descriptions; sample agreements and contracts; screening instruments and evaluation measures; operational forms; strategies and prototypes for integrating mental and physical services; practical advice; issues to consider when brokering agreements; mutual role descriptions and much more. Though the focus is on California counties, much of the Tool Kit information can be generalized to other locales. Questions or comments about the Kit should be directed to Barbara Demming Lurie, firstname.lastname@example.org.
NEW SCREENING TOOL RESOURCE
Posted on 10/07/2013
IBHP, this website host, has created a new electronic quick reference guide of screening instruments for behavioral health professionals in conjunction with CPCA and its Behavioral Health Network. "Integrated Behavioral Health Screening Tools for Primary Care" is designed to provide hotlinks to screening tools and resources recommended for use in primary care. Instruments are grouped by those relating to general health and welfare; pediatrics; mood and anxiety disorders; and substance use disorders, as well as other conditions. Many of the forms have been translated into multiple languages. To access an individual instrument, open the document on a computer or hand-held device, click on the blue type and review, download or print the tools and/or click the website link for more information.
IBHP RESOURCE DOCUMENTS FOR THE FIELD
Posted on 01/15/2014
Substance Abuse and Primary Care Services
To better understand the range of substance abuse services offered by experienced community clinics and health centers, the IBHP team reviewed statewide data, conducted a written survey of the highest volume health center substance abuse providers and visited five of the health centers, interviewing substance abuse directors and staff. The following papers provide the case study highlights:
- Substance Abuse Treatment Fact Sheet (June 2014)
- Funding Substance Abuse Treatment in Primary Care (August 2014)
- Integrating Substance Abuse Treatment Staff and Reducing Stigma in Community Clinics and Health Centers (October 2014)
- Integrating Substance Abuse and Primary Care Services in Community Clinics and Health Centers (March, 2015)
Integrated Care Issue Briefs
The Integrated Behavioral Health Project (IBHP) team conducted a statewide needs assessment of integrated behavioral health and primary care trainings and activities in California, including interviews with over 150 key informants. The interviewees' information and insights, as well as additional research conducted by the IBHP team, resulted in the following issue briefs:
- "An Update on Integrated Behavioral Health Projects in California Counties" (June 2013)
- Workforce Issue Brief #1: "Stigma and Attitudes Toward Working in Integrated Care"(June 2013)
- Workforce Issue Brief #2: "Health Reform and Transformation of the Delivery of Care" (June 2013)
- Workforce Issue Brief #3: "Training Needs in Integrated Care" (June 2013)
- "An Update on Integrated Primary Care and Behavioral Health Services in California Community Clinics and Health Centers" (June 2013)
- "Peer Models and Usage in California Behavioral Health and Primary Care Settings" (November 2013)
Other IBHP briefs:
- "Advancing Clinical Information Systems to Support Care Coordination and Improved Outcomes for Individuals with Mental Health and Substance Use Disorders";
- "Care Coordination for Persons with Complex Mental Health, Substance Use and Medical Conditions: the Case for Providers"
- "Care Coordination for Persons with Complex Mental Health, Substance Use and Medical Conditions: the Case for Health Plans and Other Payers"
- Summary of Findings: the Second Annual California Innovations Summit on Integrated Care, July 2014
- Treatment Staff and Reducing Stigma in Community Clinics and Health Centers
- Addition of Peer Support Workers to Improve Patient Outcomes and Reduce Costs
SUBSTANCE USE INTEGRATION RESOURCES AVAILABLE
Posted on 11/15/2013
Powerpoint presentations and a series of online courses affording CEUs are being made available by the Los Angeles County Department of Mental Health the UCLA Integrated Substance Abuse Programs. These resources stemmed from the 10th annual "Integrating Substance Use, Mental Health and Primary Care Services" conference these organizations, along with IBHP and others, co-sponsored in October, 2013.
SBIRT (Screening, Brief Intervention, and Referral to Treatment) is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with, or at risk of developing substance use disorders. Screening, brief intervention and referral take place at primary care centers, hospital emergency rooms, trauma centers, and other community settings, providing opportunities for early intervention with at-risk substance users before more severe consequences occur. California's implementation of this program is called CASBIRT.
SBIRT services became a Medi-Cal benefit beginning for alcohol use only (no drug related services) as of January 1, 2014. Providers eligible to screen and provide brief intervention may be reimbursed for both the alcohol screening and for the brief interventions. SBIRT-related videos and webinars can be found on youtube. Additional resources can be found on the Center for Integrated Health Solutions (CIHS).
Free four-hour training for health and mental health professionals is being offered throughout California from October, 2014 to March, 2015.
MEDI-CAL CHANGES SPECIFIC REIMBURSEMENTS
Posted on 11/10/2014
(from Medscape): Starting in January 2015, physicians and other healthcare providers can start receiving a separate fee for chronic care management for seniors with multiple conditions delivered outside regular office visits, the Centers for Medicare & Medicaid Services (CMS) has announced. CMS has established a payment rate of $40.39 for chronic care management that can be billed up to once a month per qualified patient.
Also, effective retroactively for dates of service on or after January 1, 2014, psychology services rendered in a Rural Health Clinic (RHC) or Federally Qualified Health Center (FQHC) are not restricted to the two-visit per month limit for the following all-inclusive per visit codes: medical, per visit (01); crossover claims (02); licensed clinical social worker (11); psychologist (12); psychiatrist (13); managed care differential rate (18); and capitated Medicare Advantage plans.
As proposed earlier this year, Medicare will also cover wellness and behavioral health telehealth visits.
IBHP SPONSORS UNIVERSITY OF COLORADO YOUTUBE TRAINING ON INTEGRATED CARE
Posted on 07/26/2013
With funding from CalMHSA, the Integrated Behavioral Health Program (IBHP, the creator of this webiste) is sponsoring a series of free training videos on various aspects of integrated care as part of a program hosted by the University of Colorado School of Medicine. Among the video topics, which can be accessed on youtube.com, are the "Colorado Innovation Model - The Need for Payor Data"; "Atlas of Integrated Behavioral Health Care Quality Measures"; "The State of Health Care Policy"; "Integrating Your Practice: Key Building Blocks"; and "A Workforce for Integration".
DECISION FLOW CHART GUIDES PROVIDERS THROUGH INTEGRATED CARE
Posted on 04/28/2015
An integrated care decision flowchart, created by the Center for Integrated Health Solutions, walks providers through questions they should consider when integrating behavioral healthcare and provides resources to answer those questions.
PRIMARY AND BEHAVIORAL HEALTH GRANTEES SHOW POSITIVE RESULTS
Posted on 10/21/2014
A 2013 Rand evaluation of SAMHSA's Primary and Behavioral Health Integration (BPHCI) grants program, designed to improve the physical health status of people with serious mental illness, showed improvement in some but not all health indicators. California's ten grantees showed overall positive results. San Mateo County Behavioral Health, for example, which implemented a medication-assisted treatment for people with severe alcohol abuse, saw ER visits drop from 6 to .2 per year. Likewise, Alameda County Behavioral Health's PBHCI high utilizing clients reduced their ER visits from 12.9 to 6.3 per year.