1. Health Integration Program
Together, Creating a Healthier Life.
Central MN Mental Health Center
and CentraCare Clinic Midtown

2. Welcome… Mental Health is intricately related to the whole body.
And the whole body is intricately related to mental health. 
You can’t draw a line between a body and a mind any more than you can draw a line between oceans.

3. The beginning… Beth Rhoads, MA, MHP Project Director
Central MN Mental Health Center (serves Stearns, Wright, Benton and Sherburne counties)
SAMHSA grant to support Primary and Behavioral Healthcare Integration

4. Developing a Partnership… Beth Rhoads, MA, MHP Project Director
Two organizations come together…
Weekly meetings between organizations
Fostering a relationship
Billing and sustainability
Our team

5. Implementation Ashley Conner, MHP Program Manager
Meeting grant expectations while promoting quality, low cost, accessible services:
Shared Electronic Health System (Credible/Epic)
Combine procedures and create flow charts
Collecting data/contract with the Wilder foundation

6. The experience… Ashley Conner, MHP Program Manager
Getting people to show up/referrals/incentives
Care coordination
Client experience and the role of a Peer Wellness Coach
Individual and group services
Story

7. Primary care in a behavioral Health setting… Nicole Zenk, APRN, CNP, TTS Kim Duke, RN
What do we need and how do we adapt
Barriers to a shared treatment plan
Separation from the “whole” system (Island)
Assessing as we go
Phlebotomy
Equipment to ensure efficient service delivery
Second exam room

8. Primary point of view… Nicole Zenk, APRN, CNP, TTS Kim Duke, RN
Delivering medical care while being sensitive to mental health barriers
Mental Health stigma
Adjusting time to meet the added needs of patients with Serious Mental Illness
Examples of how appointment time is spent.
Planning for a crisis
Dividing one appointment into two or three

9. Preventative Nicole Zenk, APRN, CNP, TTS Kim Duke, RN
Screenings/follow through of appointments and blood work
Addressing Social Determinants for overall health and wellness
Being “Trauma Aware”
Tobacco cessation/education

10. Shared Experiences… Nicole Zenk, APRN, CNP, TTS Kim Duke, RN
Taking time to address concerns in person and by phone
Encouraging healthy lifestyle changes, rather than shaming.
Individual shared stories and responses to this integrated approach.
Questions?