VA Primary Care-Mental Health Integration (PC-MHI). Edward Post, MD, PhD National PC-MHI Medical Director.
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Edward Post, MD, PhD
National PC-MHI Medical Director
“Primary care practitioners are a critical link in identifying and addressing mental disorders... Opportunities are missed to improve mental health and general medical outcomes when mental illness is under-recognized and under-treated in primary care settings.”
- Former Surgeon General David Satcher
“The greatest mistake in the treatment of diseases is that there are physicians for the body and physicians for the soul, although the two cannot be separated.”
- PlatoPrimary Care-Mental Health Integration
co-morbidities and substance misuse (Oslin et al., 2006)
(Zanjani et al., 2008)
(Pomerantz et al., 2008; Hunkeler et al., 2006; Chen et al., 2006; Areán et al., 2002; Unützer et al., 2002)PC-MHI Evidence Base
Co-location/Co-located ServiceAbehavioral health provider working in a space that is in close proximity to (or embedded in) a primary care clinic.Collaborative Care/CollaborationThe interactions between primary care and behavioral health providers for the purpose of developing treatment plans, providing clinical services and coordinating care to meet the physical and behavioral health needs of patientsIntroduction to Co-located Collaborative Care (CCC)
What is Co-located Collaborative Care in PC-MHI?
Role of the Care Manager
Blended programs combine both care management and co-located collaborative care
What is a Blended PC-MHI Program?
Strong collaborative system between primary care, mental health and other health care specialists
Large-scale implementation began in 2007 with RFP funding for pilot programs of a single component at 94 of 139 VA health systems
VAMCs & extra large CBOCs (>10K uniques) need full-time availability of both co-located services & care management
Service Utilization Data reported from facility stop code usage
The PC-MHI Penetration Rate is the number of unique PC-MHI encounters divided by the number of unique Primary Care encounters
→Please note that there is not a PC-MHI penetration rate performance measure or target