Practice ID | 2 | 1 | 4 | 5 | 3 |
---|---|---|---|---|---|
Practice Characteristics | |||||
PC/MH | PC/MH | PC/MH | PC | PC | PC/MH |
Ownership | Private, not for profit | Private, not for profit | Private, not for profit | Hospital system | Private |
Govt/FQHC/CMHC & FQHC/None | FQHC/CMHC | FQHC/CMHC | FQHC | None | Government |
Characteristics of the integration model | |||||
Breadth and depth of Integration REACH | |||||
Identification of problem | Systematic screening | Systematic screening | Systematic screening | Systematic screening | Systematic screening |
Provision of services | Broad | Limited | Broad | Broad | Broad |
Relevant workforce located in practice | |||||
Embedded BHC on PCC team | Yes | No | Yes | Yes | Yes |
Consulting psychiatrist in practice | Yes | Yes | No | Yes | Yes |
Approach to transitioning patients to BHC | |||||
Warm-handoff | X | X | X | X | |
Referral | X | X | |||
Path identified for other services | |||||
Specialty MH | Referral | Referral | Referral | Referral | Referred |
Substance Use | Warm-handoff and referral | Referral | Referral | Referral | Referral |
Shared Mental Model for Integration | Yes | No | Yes | Yes | Yes |
Abbreviations: BHC, behavioral health clinician; CMHC, community mental health center; FQHC, federally qualified health center; FTE, full-time equivalent; MH, mental health; PC, primary care; PCC, primary care clinician.
The designation of Government for ownership or financial characteristics indicated a non-FQHC- or CMHC-funded health system where the majority of financing or ownership is from the U.S. government.
The bold values listed for Practice 1 are to indicate how constructs such as physical distance among professionals and lack of a shared mental model can influence the approach to integrated care, despite practice characteristics that support broader integration approaches in other settings.