NHMH - NO HEALTH WITHOUT MENTAL HEALTH
a 501(C)3 NON PROFIT   •   WWW.NHMH.ORG

NHMH NO HEALTH WITHOUT MENTAL HEALTH A 501(c)(3) non profit   San Francisco - Washington DC Director’s blog

8 WAYS TO TO KNOW IF YOUR PRIMARY CARE DOCTOR IS OFFERING YOU INTEGRATED CARE
NOVEMBER 20, 2016

1. During your primary care visit, does anyone ever ask you if you have emotional or mental health problems?  (Screening)

2. Are specialists in mental health available (in-person, via phone or video-conferencing) in the primary care practice? (Team-based care)  
(read more....)


_____________________________________________
INTEGRATING BEHAVIORAL HEALTH SERVICES INTO PRIMARY CARE -
A PLACE FOR PRACTICES TO BEGIN AND PROGRESS ALONG A CONTINUUM

July 22, 2016

With much talk, and some progress, around primary care practices integrating mental health care, a key  question remains:  how can the majority of small-to-medium U.S. practices with limited resources begin the journey towards achieving integrated medical-behavioral care delivery? read more

_____________________________________________


BURDEN OF MENTAL HEALTH CARE FALLING ON PRIMARY CARE PRACTICES  -  

A WAY FORWARD   January 27, 2016

The burden of delivering mental health care for the preponderance of mental health patients in the U.S. is continuing to fall on primary care physicians (PCPs) and those who support the primary care setting.  


This at a time when those practices are overwhelmed with other fundamental transformative changes in how primary care is delivered and reimbursed.  Anyone seriously interested in ensuring that more Americans receive mental health read more
_____________________________________________


STATE OF WASHINGTON - INTEGRATION FOR A SAFETY NET POPULATION WITH COMPLEX NEEDS -THE ESSENTIAL ROLE REGISTRIES, TRACKING SYSTEMS AND SCRS  August 30, 2015

The Community Health Plan of Washington (CHPW) is a not-for-profit managed care plan, formed in 1992 by the local community health centers (CHCs) of the State of Washington.  It is unusual in being the only not-for-profit health plan serving the Medicaid population in the State created by CHCs.  Its healthcare system encompasses 21 CHCs, 125 primary care clinics, 2,600 primary care physicians (PCPs) and over 14,000 contracted medical specialists.     ….read more

_____________________________________________

STATE OF NEW YORK - INTEGRATING MED/PSYCH CARE   August 30, 2015

Previously NHMH has chronicled the experiences of various private or non-governmental healthcare systems (Mayo, Montefiore, Pittsburgh Regional Health) implementing  behavioral healthcare in their primary care sites.  Now for the second time, following the State of Washington example in the MHIP program, we examine the experience of state-wide integrated care.  In this case, the State of New York, which early on recognized the effectiveness of evidence-based integrated care, and has found ways to successfully undertake state-wide integrated care implementation.          ….read more

_____________________________________________


NEW DEVELOPMENTS RE DEPRESSION TX IN PRIMARY CARE –
WHAT CONSUMERS NEED TO KNOW NOW

As the American College of Physicians, representing 143,000 PCPs around the country, has pointed out, most patients with behavioral health needs use the primary care office/clinic as their main source of care. And given the shortage of behavioral health professionals, primary care may be the only setting in which common, mild behavioral health problems can be broadly recognized and treated.* ….read more

 
Published August 20, 2015
_____________________________________________

HISTORIC MILESTONE FOR INTEGRATION
OF BEHAVIORAL HEALTHCARE SERVICES INTO PRIMARY CARE!


On July 8, 2015, the Centers for Medicare & Medicaid (CMS) released its Proposed Rule for Calendar Year 2016 Physician Fee Schedule. The Proposed Rule includes allowing payment, in the Medicare program, for two essential components of the evidence based collaborative care model of integrated care, the care manager and the psychiatric consultant. read more


_____________________________________________


INTEGRATION FOR A SAFETY NET POPULATION WITH COMPLEX NEEDS
THE ESSENTIAL ROLE REGISTRIES, TRACKING SYSTEMS AND SCRS

Published June 30, 2015


“We started hearing from our providers that they couldn’t manage their patient population
without a mental health benefit.”

Erin Hafer, Director, New Programs Integration &
Network Development, CHPW


The Community Health Plan of Washington (CHPW) is a not-for-profit managed care plan, formed in 1992 by the local community health centers (CHCs) of the State of Washington.  It is unusual in be …
Read all

_____________________________________________

Previous news entries:

THE (POSTHUMOUS) CASE OF PAM

Published June 25, 2015


[Prefatory Note from NHMH:  Every now and then a family reaches out to NHMH to share their personal story with our NHMH followers and readers.  The following story, sent to us by Linda Knaack from Massachusettts, is such a story.  It is reprinted exactly as sent to us.: Read all

_____________________________________________

_____________________________
PITTSBURGH LEADING THE WAY INTO BEHAVIORAL INTEGRATION IMPLEMENTATION
Published May 20, 2015


For the Pittsburgh Regional Health Initiative (PRHI), their three-step journey to become a leader in integrated care implementation all began in 2009 when their research team, delving into hospital admission data in southwestern Pennsylvania, found that approximately 25% of 30-day hospital readmissions with a chronic medical condition also had a co-existing behavioral condition. ... Read all

_____________________________________________
PEDIATRIC INTEGRATED CARE: THE MONTEFIORE EXPERIENCE

Published Tuesday 24 of March, 2015


NHMH recently interviewed Dr. Rahil Briggs, PsyD, the Director of Pediatric Behavioral Health Services at the Montefiore Medical Group in the Bronx, New York. Montefiore is unique in providing both integrated adult and pediatric behavioral health services. While the adult services at Montefiore follow the collaborative care model, pioneered by the AIMS (Advancing Integrated Mental Health Solutions) Center, at the University of Washington, www.aims.uw.edu, Montefiore’s pediatric... Read all
_____________________________________________

Wayne Katon 1950 - 2015

Published Thursday 12 of March, 2015


Wayne Katon, M.D. was a great friend to NHMH – No Health without Mental Health. We shared a strong, focused commitment to advancing innovative, evidence-based mental health services in primary care.


For a man of his attainment – outstanding innovator in his field of psychiatry and medical education, pioneer developer of collaborative care model, a pro... Read all


______________________________________________

MAYO CLINIC EXPERIENCE INTEGRATING BEHAVIORAL HEALTHCARE

Published Thursday 12 of February, 2015


The Mayo Clinic, in Rochester, Minnesota, is widely known as a world-class healthcare destination for patients with rare, difficult-to-treat conditions. Less well-known is the fact that Mayo has an extensive primary care system, with a diverse patient population of over 140,000, some including employees and their families, as well as those patients living in Olmsted County, Minnesota who ch... Read all


_____________________________

THE CASE OF JASON - A YOUNG MAN STRUGGLING TO KEEP UP

Published Monday 22 of December, 2014


Jason is a 25 year old college graduate who works at a fast-paced technology company. During his first few months at the company, he had some difficulties meeting demands, which he assumed was a normal part of adjusting. As the months passed, he struggled to keep up. He had been a good ‘multi-tasker’ but now wasn’t completing assignments. As his concerns about productivity grew, he was d... Read all


_____________________________________________


The Case of Gina - How Integrated Med/Psych Care Actually Works

Published Tuesday 04 of November, 2014


NHMH’s goal is to ensure that patients in primary care have both their medical and behavioral-emotional conditions addressed together in a coordinated fashion, which is what most patients/consumers seek. The collaborative care model is the most successful example of integrating behavioral health services into primary care. Here’s what integrated care actually looks like for you, the patien... Read all

_____________________________

CASE MANAGEMENT SOCIETY OF AMERICA INTERVIEWS NHMH. THE CMSA IS THE LEADING ORGANIZATION DEDICATED TO THE PROFESSIONAL NATIONAL

Published Monday 29 of September, 2014


BY CHERI LATTIMER, RN, BSN, EXECUTIVE DIRECTOR, CMSA


In June I had the opportunity to spend time with Florence Fee, executive director for No Health Without Mental Health (NHMH). I was imp... Read all

_____________________________

MENTAL HEALTH AND HEART DISEASE

Published Wednesday 13 of August, 2014


Perhaps a part of the legacy of Robin William’s wonderful life and sad passing will be that the general public will gain a deeper understanding of the connection between ordinary heart disease and depression.


Mental health plays a role in heart disease. Depression has been found to be a risk factor for the development of heart disease, and can also play a role in post heart disease t... Read all

______________________________________________


HISTORIC COMPROMISE IN SAN FRANCISCO: Pioneering Accord Balances MH Treatment and Patients Rights

Published Tuesday 15 of July, 2014


On July 8, 2014 the 11 member San Francisco Board of Supervisors (city council) voted 9-2 to implement a 2002 California state law, called Laura’s Law, which can compel certain individuals suffering from serious mental illness to undergo, under strict safeguards, outpatient treatment. The ordinance now goes to the Mayor Ed Lee who supports it. Los Angeles County is considering a similar or... Read all

______________________________________________

THE REA CASE: INSURANCE PARITY SHOULD LEAD US TOWARDS INTEGRATED CARE:

Published Tuesday 17 of June, 2014


On June 10, 2014, the California Court of Appeal ruled in a state party law case that mental illness is a medical condition due “medically necessary treatment” under California’s parity law. (Marissa Rea et al v. Blue Shield of California).


In the Rea case, the Court held that California’s mental health parity law required that residential treatment for the severe mental illness of a... Read all

______________________________________________

A BEHAVIORAL HEALTH HOUSE DIVIDED, CANNOT STAND
Published Monday 12 of May, 2014


In 1858 Abraham Lincoln warned the nation: “A house divided against itself cannot stand.”

As we confront a mental health crisis in this country, it is time to remind ourselves of those words.

In the behavioral health (mental health/substance use) field, we now have a seriously divided “house.”


In 2014, we are in the throes of an unresolved national crisis of untreated ... Read all