In the United States, 25% of adults are living with a behavioral health concern, yet more than half do not receive treatment. For those seeking out services, their Primary Care Providers deliver about 70% of all behavioral health treatments. Integrated care models provide primary care and behavioral health management in the same setting, making it easier for patients to access and for providers to communicate.

The idea to build an integrated care model in our Blue Shield Promise Primary Care clinics began in early 2020, right before the COVID-19 pandemic hit. My objective is to build an integrated care model with input from clinic leaders, providers, and staff to ensure that clear systems are established, workflows are defined, and seamless communication between medical providers and behavioral health clinicians. The goal is that 100% of the patients who score a ten or more on the PHQ-9 have a conversation with their provider about their referral options for behavioral health services and that referrals follow a clear workflow based on presenting needs to either the clinic LCSW or to the Social Services team.

This project is still progressing, but I will continue to see it through to ensure that the clinic has a clear structure to follow. In addition to the medical providers and the licensed behavioral health clinician, I have a team of community health workers who are also incorporated in the behavioral health referral process. The goal is to create an atmosphere where patients feel as though all of their providers are working together as a team to address all of their needs comprehensively.