Healthy Practice

Resources for you and your practice

TAFP Behavioral Health Integration Toolkit

Interested in integrating behavioral health into your primary care practice? Integrated behavioral health is an emerging field within the wider practice of coordinated health care, describing any situation in which behavioral health and medical providers work together. In this toolkit, you will find resources, guides, and articles to help you integrate behavioral health into your practice.

Methods: How to integrate behavioral health into your practice

Integrated Practice Assessment Tool

See where your practice ranks in the national standard continuum. By using the Integrated Practice Assessment Tool, you can assess your level of care.

Bringing Behavioral Health Into Your Practice Through a Psychiatric Collaborative Care Program

This article provided by Family Practice Management discusses how a small-town clinic implemented the collaborative care model in their practice and provides guidance on how you can establish a similar program to improve your patients' access to behavioral health care while increasing revenue.

The Integration of Behavioral Health into Pediatric Primary Care Settings

This research brief, provided by the National Center for Healthy Safe Children, highlights strategies and lessons from Project LAUNCH grantees that promote successful integration.

Integrating Behavioral Health into Primary Care: Lessons Learned from the Comprehensive Primary Care Initiative

In this whitepaper, the TMF Health Quality Institute presents vital lessons learned from primary care practices that successfully achieved behavioral health integration.

Coding and payment: How to get paid for what you do

Medicare Learning Network Booklet: Behavioral Health Integration Services

This guide from CMS describes the necessary collaborative care team members and services required for primary care physicians to bill using the Psychiatric Collaborative Care CPT codes.

Medicare payment for Behavioral Health Integration

The New England Journal of Medicine published this whitepaper in 2017, highlighting services billed using the Psychiatric Collaborative Care model. Learn how CMS pays for behavioral health integration services. Subscription or purchase may be required.

Webinar – Value-Based Payments and Behavioral Health: Results of a Nationwide Environmental Scan

The National Council for Behavioral Health, in partnership with the Center for Health Care Strategies, held a webinar in the spring of 2019 where they discussed the results of an environmental scan they conducted of value-based payment models for behavioral health services. This webinar reports on the findings with the lead authors and a panel of leaders from within the health care delivery system.

Collaborative mental health care for pediatric behavior disorders in primary care: Does it reduce mental health care costs?

The American Psychological Association provides analysis on a study examining whether a doctor-office collaborative care model leads to lower costs of mental health services for children. Subscription or purchase may be required.

Financing the Future of Integrated Care

The National Council for Mental Wellbeing offers a suite of resources designed to help providers sustainably finance integrated care, including a webinar, a decision support tool, and several billing modules.

Financial modeling workbook

In an effort to help organizations understand the ongoing costs and revenues associated with integrated strategies, the AIMS Center, in collaboration with the American Psychiatric Association, created this financial modeling workbook. The workbook can help you more accurately estimate revenues and expenses for providing collaborative care and other integrated services.

Models and mentors: Examples of successful integration models

TAFP Behavioral Health Integration Innovators Competition models

In May of 2019, TAFP launched the Behavioral Health Integration Innovators Competition. Primary care practices from across the state submitted entries highlighting their models for integrating behavioral health. Click the link above to learn more about the top entries.

Behavioral Health Care For Children: The Massachusetts Child Psychiatry Access Project

This research article, published in Health Affairs in 2014, outlines the Massachusetts Child Psychiatry Access Project, a system designed to help primary care providers meet the needs of children with behavioral health problems through telephone child psychiatry consultations and specialized care coordination support. Many states across the United States have modeled after the Massachusetts project.

The State and Future of the Primary Care Behavioral Health Model of Service Delivery Workforce

This article from the Journal of Clinical Psychology in Medical Settings provides a review of efforts to retrain mental health professionals to fulfill roles as Behavioral Health Consultants. Subscription or purchase may be required.

Community contacts: Organizations you can connect with to help you on your journey

AIMS Center - University of Washington

The AIMS Center at the University of Washington is advancing the research and implementation of collaborative care. Collaborative care is a specific model of integrated care developed at the University of Washington that is used to treat common mental health conditions such as depression and anxiety.

Center of Excellence For Integrated Health Solutions

The Center for Integrated Health Solutions promotes the development of integrated primary and behavioral health services. They provide training and technical assistance to behavioral health organizations, community health centers, and other primary care and health organizations.

Northwest Regional Primary Care Association

The Northwest Regional Primary Care Association is a member organization that strengthens community and migrant health centers in the Northwest. They have many resources available for behavioral health integration.

Mental Health Integration at Intermountain

Intermountain Healthcare believes in treating the whole person and has developed a program for teams to help people with their mental needs as they also serve them medically. Intermountain is an example of a successful BHI model.

Mental Health America of Greater Houston

MHA of Greater Houston enhances the mental health of Houstonians and improves the lives of those with mental illnesses. It is the area’s longest-serving mental health education and advocacy organization that focuses on shaping the mental health of people and communities in the areas of integrated health care and so much more.

Methodist Healthcare Ministries

Methodist Healthcare Ministries’ has a strong commitment to whole-person wellness. They advanced integrated behavioral health through the Sí Texas Project: Social Innovation for a Healthy South Texas.

Eugene S. Farley, Jr. Health Policy Center

The Eugene S. Farley, Jr. Health Policy Center develops and translates evidence into policy to advance integrated strategies that improve health. Through their Make Health Whole initiative, they are working toward transforming our fragmented health care system.

The Meadows Mental Health Policy Institute — Texas State of Mind

The Meadows Mental Health Policy Institute provides trusted policy and program guidance to improve mental health services in Texas, leveraging statewide resources at a grassroots level.

Collaborative Family Healthcare Association

The Collaborative Family Healthcare Association is a multi-guild member association whose goal is to make integrated care the standard of care across the United States and beyond.

Delphi Behavioral Health Group

The Delphi Behavioral Health Group is a Nationally based mental health and addiction organization. We offer hundreds of free content and resources for individuals from all walks of life. Delphi is a family of facilities offering individualized treatment for all levels of addiction.

Behavioral health resources: Resources to provide education and support

Collaborative care outcomes for pediatric behavioral health problems: A cluster randomized trial

This study published in Pediatrics, the official journal of the American Academy of Pediatrics, concludes that implementing a collaborative care intervention for behavior problems in pediatric practices is feasible and broadly effective.

Leverage technology to improve patient health and engagement

Learn how you can leverage emerging technology to improve care and increase patient engagement through the behavioral health assessment and tracking tool, Vault, created by Jeffrey M. Bullard, MD.

Preventing relapse

This article by the Addiction Group brings understanding to relapse and will help you guide your patients with alcohol use disorder. It includes causes, risks, prevention, treatment options, and strategies for relapse prevention.

The Waco Guide to Psychopharmacology in Primary Care

The Waco Guide to Psychopharmacology in Primary Care, also known as The Waco Guide, is a clinical resource for empowering primary care clinicians to address their patients behavioral and mental health. The Waco Guide was developed by the Waco Family Medicine Residency faculty in consultation with the faculty of the Massachusetts General Hospital Psychiatry Academy.

AHRQ Academy

The AHRQ Academy works to promote and support the integration of behavioral health into primary care settings, focusing on providing care for patients using substances and those with mental health conditions. Resources include guidance playbooks, a growing literature collection, a lexicon, and more.

Alcohol Rehab Help informational web guide

Alcohol Rehab Help is an informational web guide created for people struggling with alcohol use disorders (AUD) and co-occurring mental health disorders. Learn more about Alcohol Use Disorder and treatment options.

APA learning module on developing integrated care collaborative model

The American Psychiatric Association provides this thorough resource to help you familiarize yourself with the Collaborative Care Model, which will help you connect your practice and patients to high-quality mental health services.

Primary Care Behavioral Health YouTube Channel — David Bauman, PsyD

Dr. Bauman produces these videos in collaboration with the Collaborative Family Healthcare Association, a member-based non-profit whose aim is to make integrated care the standard of care.

Behavioral health waiting room video 
Behavioral health waiting room video (Spanish)

This waiting room video, provided by the TMF Quality Innovation Network Quality Improvement Organization, is designed to be played in your patient waiting and/or exam rooms to educate patients about their options around behavioral health.

UMass Center for Integrated Primary Care

Programs: Primary Care Behavioral Health, Creating and Managing an Integrated Primary Care Practice, Integrated Care Management, and Motivational Interviewing

University of Michigan School of Social Work

Program: Online Certificate in Integrated Behavioral Health and Primary Care

Baylor University | Diana R. Garland School of Social Work

Program: Integrated Behavioral Health Certificate

Live Another Day

Live Another Day believes in equal access to life-saving mental health and substance use resources. This website provides extensive information on the best resources available.

Detox Local

An excellent resource that features abundant information including mental health and substance use resources specifically for the American Asian and Pacific Islander community.