From CJ Peeks’ Three World View (2008), it is impossible to have a clinically and operationally successful model of care without accounting for its financial sustainability. This presentation will support participants in outlining steps to greater fiscal sustainability for integrated behavioral health care in both primary and specialty care settings. Through contracting clinical sites, credentialing behavioral health providers (BHPs) for reimbursement, and adjusting our models to balance accessibility to patients/collaborating providers with reimbursement potential, we can not only establish our model but also expand our BHP base. We will review two cases: (a) an integrated primary care program with embedded BHPs, warm handoffs, brief behavioral interventions, and limited follow-ups; (b) an integrated specialty care program in Pediatric Gastroenterology incorporating routine psychosocial screenings, warm handoffs, joint visits, and brief behavioral interventions.
- Identify barriers to and opportunities for financial sustainability of integrated care in primary and specialty settings.
- Discuss case studies from primary and specialty integrated care programs in the process of becoming financial sustainable.
- Explore ways in which steps towards financial sustainability could be applied to clinical setting at home institution.
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- Ross, K. M., Klein, B.. Ferro, K., McQueeney, D. A., Gernon, R., & Miller, B.F. (2019). The cost effectiveness of embedding a Behavioral Health Clinician into an existing primary care practice to facilitate the integration of care: a prospective, case-control program evaluation. Journal of Clinical Psychology in Medical Settings, 26:59-67 doi: 10.1007/s10880-018-9564-9
- Substance Abuse and Mental Health Services Administration (SAMHSA). Analyzing the costs of integrated care. 2014. Retrieved from https://www.samhsa.gov/sites/default/files/programs_campaigns/samhsa_hrsa/integrated-care-cost-analysis.pdf