1. PRIMARY CARE BEHAVIORAL HEALTH A Brief Introduction to Integrated & Team-Based Care ahernandez@ghcscw.com Armando Hernández, Ph.D.

2. Non-profit, cooperative HMO 80,000 in Dane, Columbia, & Sauk PCBH - Started in 2012 with Access –Presence in four GHC Clinics –Close to four FTEs Our Mission Provide accessible, comprehensive, high quality health care and outstanding service in an efficient and personalized manner.

3. FOUR PATHS INTEGRATED BEHAVIORAL HEALTH

6. (Collins et al, 2010) Collaboration Continuum

7. BH Consultant Medical Provider is our primary customer (leads overall care; rapport) Warm handoffs 15- 20 minutes visits Focus on functional impairment Follow-ups are flexible

9. “A primary objective of integrated primary care is to make seeing a behavioral service provider in the setting as seamless and routine as seeing a nurse or medical assistant.” (Strosahl, 1998 cited by Nash et al, 2012, p. 98)

10. PRIMARY CARE BEHAVIORAL HEALTH A Brief Introduction to Integrated & Team-Based Care ahernandez@ghcscw.com Armando Hernández, Ph.D.