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Advancing Integration of General Health in Behavioral Health Settings: A Continuum-based Framework

Subjects: Education, Clinical, Introductory Type: Definitions, Implementation Guides, Manuals, Organizations, Reports, Technical Assistance, Toolkits, Tools, Evidence Based Curricula Tags: Covid 19, Levels Of Integration, Workflow, Workforce, Training, Tip Sheet, Support, Stigma, Mental Health, Screening, Ptsd, Anxiety, Depression, Substance Use Disorder, Primary Care, Prevention, Evaluation, Facts And Figures, Education, Consultation

People with mental illness and substance use disorders have high rates of medical morbidity and mortality, largely due to significant disparities in access to high quality primary and preventive health care. To address this persistent problem, this report, “Advancing Integration of General Health in Behavioral Health Settings: A Continuum-based Framework,” was developed to enable behavioral health clinics (mental health and substance use) to plan and implement integration to improve patient outcomes. We use the term “general health” to encompass the types of care usually provided by primary care or general medical practitioners and have designed this framework as a roadmap for clinics with a diverse range of resources.

The framework describes a series of concrete implementation steps that behavioral health organizations can employ to advance evidence-based integration practices. New York State stakeholders in practice, policy, advocacy, regulatory and payment arenas provided significant input in its development. Grant support was provided by The New York Community Trust. The framework is an example of strategic grant-making that builds on The Trust’s focus areas and program activities, including ongoing efforts to promote an equitable, patient-focused, and cost-effective health and behavioral health care