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Gail P. Hutchings, MPA, β07 Program Committee Chair
The 2007 Santa Fe Summit focused on an important and timely topic - the integration of physical and behavioral health care. Leaders from primary care and behavioral health examined how the traditional separation of funding and service delivery has influenced the effectiveness of health practices and affected the lives of the people who receive services, and explored various approaches to integrate and coordinate physical and behavioral health in practice, using community health clinics and school based services for children as focal points.
The topic of primary care and behavioral health coordination and integration has long been ignored, resulting in serious consequences for individuals and families including morbidity and early mortality. Recent data indicates that people with serious mental illnesses are dying 25 years earlier than their peers who do not have a mental illness. Far too often, this is directly attributable to the failure of preventing or intervening early to address the primary health care needs of people with behavioral health issues. With the advent of managed care, the increasing costs of medical care, advances in the science of treating illnesses, and shrinking resources for health care, public demand for better care and more efficient use of resources necessitated a reexamination of methods and approaches by both fields.
Building on the efforts of the 2006 Summit, Cross-Systems Collaborations: Catalysts for Transforming Behavioral Health, ACMHA will continue to examine the issues of cross-systems collaboration in a more detailed and practical level by focusing on the merits, concerns, and approaches to integrating primary care and behavioral health services. Central to the conversation this year, presenters and participants will share "lessons learned" through both successes and failures.
165 leaders and change agents came together March 14 - 17 in Santa Fe to discuss integration and itβs affect on service access and delivery, leadership needs, and systems transformation efforts. Dynamic speakers, a facilitated discourse with field leaders about the pros and cons of integration, and small group interactive conversations and workshops were all central to the success of the summit.
As post-Summit activities continue, ACMHA will add additional information to this page related to coordination and integration of behavioral health and primary care. The links below make available the pre-Summit commissioned paper on integration and presentation slides from faculty.
Pre-Summit Paper
Barbara J. Mauer, MSW, CMC, MCPP Healthcare Consulting
Benjamin G. Druss, MD, MPH, Emory University
- Keynote Presentation
Integration of Primary Care and Behavioral Health
David Satcher, MD, PhD, National Center for Primary Care, Morehouse School of Medicine
- Plenary Presentations
Making the Case for Collaboration: Improving Care at the Behavioral and Primary Healthcare Interface
Barbara J. Mauer, MSW, CMC, MCPP Healthcare Consulting
Benjamin G. Druss, MD, MPH, Emory University
Access to Mental Health Services In Primary Care Settings: Reimbursement and Collaboration
Alexander F. Ross, ScD, US Department of Health and Human Services
CMS Update: Reimbursement for Mental Health Services
Peggy A. Clark, MSW, MPA, Centers for Medicare and Medicaid Services (CMS)
Taking a Road Less Traveled: Evolution of an Integrated Delivery System
Dennis Freeman, PhD, Cherokee Health Systems
Health/Mental Health Promotion in Schools
Mark D. Weist, PhD, Center for School Mental Health Analysis and Action, University of Maryland
Primary Care-Behavioral Health Linkages in School-Based Health Centers
Steven N. Adelsheim, MD, University of New Mexico
Using Qualitative and Quantitative Data To Tell Us About Integration and Outcomes
Danna Mauch, PhD, Abt Associates
Integrating Publicly Funded Physical and Behavioral Health Services: A Description of Selected Initiatives
Alicia D. Smith, MHA, Health Management Associates
Mental Health: The Role of Public Health and CDC
Ali H. Mokdad, PhD, Centers for Disease Control and Prevention
Leadership and Integration: What Needs to Change?
A. Kathryn Power, MEd, Center for Mental Health Services, SAMHSA
Learned from Integration Initiatives: Implications for Leadership
Arthur C. Evans, Jr., PhD, Department of Behavioral Health and Mental Retardation Services, Philadelphia
- Other Presentations
2007 ACMHA Santa Fe Summit Welcome
Gail P. Hutchings, MPA, Behavioral Health Policy Collaborative, Chair β Summit Planning Committee
Doing, Not Talking, the IOM Blueprint
Ronald Manderscheid, PhD, Constella Group, LLC, and Johns Hopkins University
Federal Parity Update
Pamela Greenberg, Association for Behavioral Health and Wellness
Going Forward: Post Summit
Gail P. Hutchings, MPA, Behavioral Health Policy Collaborative, Chair β Summit Planning Committee
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