Practice ID | Federal Designation(s) | Ownership | Geography | BHC Appt. Lengtha | BHC Appt. Schedulingb | PCC-to-BHC Pathwayc | PCC FTE | Estimated BHC FTE | Ratio (PCC:BHC) |
---|---|---|---|---|---|---|---|---|---|
3 | Government | Private | Urban | Brief | Flexible | Warm handoff | 48.2 | 17.4 | 2.8:1 |
2 | FQHC/CMHC | Private, not for profit | Suburban | Brief | Flexible | Warm handoff | 6.5 | 3.2 | 2.0:1 |
4 | FQHC | Private, not for profit | Suburban | Mixed | Flexible | Warm handoff | 11.0 | 2.0 | 5.5:1 |
16 | FQHC | Hospital System | Suburban | Brief | Flexible | Both | 9.0 | 1.4 | 6.4:1 |
5 | None | Hospital System | Urban | Brief | Flexible | Warm handoff | 5.8 | 1.6 | 3.6:1 |
1 | FQHC/CMHC | Private, not for profit | Urban | Long | Prescheduled | Referral | 22.5 | 1.0 | 22.5:1 |
7 | None | Clinician | Suburban | Long | Prescheduled | Referral | 10.0 | 0.5 | 20.0:1 |
14 | None | Hospital System | Suburban | Mixed | Prescheduled | Referral | 21.9 | 0.6 | 36.5:1 |
6 | FQHC | Private, not for profit | Suburban | Long | Prescheduled | Referral | 1.2 | 3.8 | 0.3:1 |
12 | FQHC | Hospital System | Suburban | Long | Prescheduled | Referral | 3.2 | 0.9 | 3.5:1 |
11 | None | Hospital System | Rural | Long | Prescheduled | Referral | 5.0 | 1.0 | 5.0:1 |
9 | None | Clinician | Rural | Mixed | Prescheduled | Referral | 2.0 | 0.5 | 4.0:1 |
17 | FQHC | Private, not for profit | Rural | Long | Prescheduled | Referral | 6.0 | 2.0 | 3.0:1 |
8 | FQHC | Private, not for profit | Urban | Mixed | Prescheduled | Referral | 9.9 | 2.9 | 3.4:1 |
15 | Government | Government | Urban | Mixed | Mixed | Warm handoff | 70.0 | 5.6 | 12.5:1 |
13 | None | Clinician | Urban | Mixed | Mixed | Warm handoff | 13.6 | 1.0 | 13.6:1 |
10 | None | Clinician | Suburban | Mixed | Mixed | Referral | 4.8 | 0.5 | 9.6:1 |
Abbreviations: BHC, behavioral health clinician; CMHC, Community Mental Health Center; FQHC, Federally Qualified Health Center; FTE, full-time equivalent; PCC, primary care clinician.
Practices are grouped by staffing, scheduling, and approach to integrated care. Numbering corresponds with other articles in this supplement.23
BHC is defined as the behavioral health clinicians who worked directly or most closely with the PCC. It does not include traditional mental health therapists working in a practice in the same building yet operating separately from primary care.
↵a BHCs generally saw patients for brief (15-to-30-min) or long (50-min) encounters.
↵b BHC appointments could be prescheduled back to back across the day or open and flexible to accommodate emerging patient needs.
↵c The approach used to transition patients between the PCC and the BHC. All practices used a referral pathway to access traditional mental health services.