[PC-BH-Integration] Looking for FQHCs that have successfully funded Integrated Health Care mental health positions

[John Young]

"
All --

I am looking for any Federally Qualified Health Centers that have found ways to fund mental health positions within their clinics within an Integrated Health Care model.

In 2006, the Hogg Foundation for Mental Health, based in Austin, Texas, awarded five Integrated Health Care Initiative grants to five health care groups across Texas: one to the Parkland Health and Hospital System's Bluitt-Flowers Health Center and East Dallas Health Center in Dallas, Texas; a second to People's Community Clinic in Austin, Texas; a third to the Project Vida Health Center in El Paso, Texas; a fourth to Texas Children's Pediatric Associates' Ripley House in Houston, Texas; and the fifth to the Valley Primary Care Network's four member clinics (the Brownsville Community Health Center in Brownsville, Texas; the Community Action Center of South Texas in Rio Grande City, Texas [unfortunately dropping out of the Initiative this month]; Neustra Clinica Del Valle in Pharr, Texas; and Su Clinica Familiar in Harlingen, Texas).  For information on this Initiative, see the Hogg Foundation's website at http://www.hogg.utexas.edu/programs_ihc.html, http://www.hogg.utexas.edu/programs_ihc_program.html, and http://www.hogg.utexas.edu/programs_ihc_links.html.

I am a Clinical Care Manager at Su Clinica Familiar (http://www.suclinica.org/) in Harlingen, Texas (satellite clinics in Brownsville and Raymondville, Texas).  We joined the Initiative in the second year of the three year grant, starting 05-01-2007 with four 1/2-time Care Managers (a MSW; a BSW; a LBSW; and myself, a LPC, LMFT, LCSW).

We are expanding the IMPACT model beyond addressing late life depression first to address adult anxiety as well as adult depression (including pregnant patients); second to address pediatric ADHD and other externalizing disorders; and third to address pediatric anxiety and depression.

I have rapidly become convinced that we have to address the business/funding aspects of our Integrated Health Care program earlier rather than later for our program to become a hard-wired, core component of Su Clinica Familiar?s ongoing operation.  Even though our leadership and staff are fully committed to the program, it must be seen as permanent and not time-limited for everyone to really get all-the-way behind it.

I don't believe we can bill under the Health and Behavior Assessment/Intervention codes 96150-96155 here in Texas.  I am in awe of Intermountain Health Care and their websites (eg,http://intermountainhealthcare.org/xp/public and  http://intermountainhealthcare.org/xp/public/managehealth/patiented/mentalhealth/resources.xml).

-- John

John Young, LPC, LMFT, LCSW
Clinical Care Manager, Wellness Program
Su Clinica Familiar, Harlingen, Texas
Office Phone (956) 365-6000 x 1310
Cell Phone (956) 371-4401




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