[PC-BH-Integration] co-location vs integration (Nancy Halloran)

Reidy, William J. (DMH) William.Reidy at dc.gov
Thu Jan 29 12:16:08 EST 2009 

In case you have not seen this resource, you may want to consult the
evidence report issued in October 2008 from AHRQ's Evidence-based
Practice Centers titled "Integration of Mental Health/Substance Abuse
and Primary Care". The report clearly defines and describes models of
integrated care used in the United States, (which may or may not be
co-located), assesses how integration of mental health services into
primary care settings or primary health care into specialty outpatient
settings impacts patient outcomes and describe barriers to sustainable
programs, use of health information technology (IT), and reimbursement
structures of integrated care programs within the United States. The
report can be downloaded for free at:

www.ahrq.gov/clinic/tp/mhsapctp.htm

I hope this is helpful

Bill

William J. Reidy, MSW
Deputy Director DC COSIG
District of Columbia Department of Mental Health
64 New York Ave., NE
Washington, DC 20002
202-673-7758

-----Original Message-----
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Today's Topics:

   1. co-location vs integration (Nancy Halloran)


----------------------------------------------------------------------

Message: 1
Date: Wed, 28 Jan 2009 10:20:22 -0800
From: Nancy Halloran <nshalloran at sonic.net>
Subject: [PC-BH-Integration] co-location vs integration
To: pc-bh-integration at lists101.his.com
Message-ID: <200901281829.n0SIT0O9010545 at a.mail.sonic.net>
Content-Type: text/plain; charset="us-ascii"; Format="flowed"

What are the key distinguishing characteristics between co-location 
and integration?
I need to succinctly describe this to some clinics that are 
considering their model for providing BH and PC on site. Is there a 
source that conveniently describes the distinctions?

Nancy
Nancy S. Halloran, MPH
Program Development, Proposals, & Project Management
Health Equity Partnership & Community Institute for Healthcare Equity
614 Grand Ave, Suite 400
Oakland, Ca 94610

510-847-3833
510-217-5940 (fax)

At 09:57 AM 1/28/2009, you wrote:
>Send PC-BH-Integration mailing list submissions to
>         pc-bh-integration at lists101.his.com
>
>To subscribe or unsubscribe via the World Wide Web, visit
>         http://lists101.his.com/mailman/listinfo/pc-bh-integration
>or, via email, send a message with subject or body 'help' to
>         pc-bh-integration-request at lists101.his.com
>
>You can reach the person managing the list at
>         pc-bh-integration-owner at lists101.his.com
>
>When replying, please edit your Subject line so it is more specific
>than "Re: Contents of PC-BH-Integration digest..."
>
>
>Today's Topics:
>
>    1. Re: integration proposals (Bill Schlesinger)
>    2. HIPAA Issue Related to Computer Lock Out  Interval (Louise
Haddock)
>    3. Re: integration proposals (Kessler, Rodger S.)
>    4. Re: integration proposals (Blount, Alexander)
>    5. Re: integration proposals (Bill Rosenfeld)
>    6. Re: integration proposals (KINNEY Charmaine)
>
>
>----------------------------------------------------------------------
>
>Message: 1
>Date: Tue, 27 Jan 2009 20:44:02 -0700
>From: "Bill Schlesinger" <bschlesinger.pv at tachc.org>
>Subject: Re: [PC-BH-Integration] integration proposals
>To: <pc-bh-integration at lists101.his.com>
>Message-ID: <0E7033AE8B274C51AD1629C60E74E6C0 at DGQV6V61>
>Content-Type: text/plain;       charset="us-ascii"
>
>We've been working with the Hogg Foundation for Mental Health for about
>three years.  We're an FQHC and using the care manager model similar to
>IMPACT.  We tried co-location - it didn't work.  We've been funded for
>service expansion funds from HRSA which stabilized the project.  I'll
be
>glad to respond to specific requests for information -- the Hogg
website has
>a lot of the model information at
>http://www.hogg.utexas.edu/programs_ihc.html
>
>
>Bill Schlesinger
>Project Vida
>3607 Rivera Ave
>El Paso, TX 79905
>(915) 533-7057 x 207
>(915) 490-6148 mobile
>(915) 533-7158 fax
>bschlesinger.pv at tachc.org
>
>
>
>
>
>
>------------------------------
>
>Message: 2
>Date: Wed, 28 Jan 2009 09:22:23 -0500
>From: Louise Haddock <lhaddock at yimaine.org>
>Subject: [PC-BH-Integration] HIPAA Issue Related to Computer Lock Out
>         Interval
>To: "'pc-bh-integration at nccbh.net'" <pc-bh-integration at nccbh.net>
>Message-ID:
> 
><ABC7EF350BDC014483782625EF606EAC55490C9BE4 at chuck.ad.youthalternatives.
local>
>
>Content-Type: text/plain; charset="us-ascii"
>
>We are searching for information related to the length of time that 
>organizations have in place related to computers locking users out 
>of the system. We are attempting to gather information from our 
>colleagues to assist us in establishing a benchmark. We have had a 
>request from 2 areas within our organization to lengthen the amount 
>of time at which the system locks a user out. They are as follows:
>
>1. A 24X7 crisis hotline unit that is located in a secure area with 
>key pad entry. Currently the system locks the user out after 10 
>minutes of no activity causing frequent log ins. No clients enter 
>this area, only employees.
>
>2. An outpatient clinic providing medication management services and 
>outpatient psychotherapy services. The minimum length of service is 
>30 minutes and the maximum is 90 minutes. This unit is in a secure 
>area with key pad entry, each provider of service is in a private 
>office, clients are escorted in and out of the office area by the 
>clinician treating them. The system locks users out after 10 minutes 
>of no activity.
>
>We would appreciate any information you may will willing to share with
us.
>
>Thank you for your consideration.
>
>Louise Haddock
>VP Continuous Improvement
>Youth alternatives Ingraham
>lhaddock at yimaine.org<mailto:lhaddock at yimaine.org>
>207-523-5043
>
>
>
>________________________________
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>------------------------------
>
>Message: 3
>Date: Wed, 28 Jan 2009 10:06:25 -0500
>From: "Kessler, Rodger S." <Rodger.Kessler at vtmednet.org>
>Subject: Re: [PC-BH-Integration] integration proposals
>To: "'pc-bh-integration at lists101.his.com'"
>         <pc-bh-integration at lists101.his.com>
>Message-ID:
> 
><4CF36A3AB2AEF1408C6593AAE50EDD348439E704F0 at EMAIL1.fahc.fletcherallen.o
rg>
>
>Content-Type: text/plain; charset="us-ascii"
>
>Hi Bill, Why do you think the co location didn't work??Rodger
>
>Rodger Kessler Ph.D. ABPP
>Research Assistant Professor
>Department of Family Medicine
>Center for Translational Science
>University of Vermont College of Medicine
>Berlin Family Health
>Fletcher Allen Healthcare
>
>
>-----Original Message-----
>From: pc-bh-integration-bounces at lists101.his.com 
>[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of 
>Bill Schlesinger
>Sent: Tuesday, January 27, 2009 10:44 PM
>To: pc-bh-integration at lists101.his.com
>Subject: Re: [PC-BH-Integration] integration proposals
>
>We've been working with the Hogg Foundation for Mental Health for about
>three years.  We're an FQHC and using the care manager model similar to
>IMPACT.  We tried co-location - it didn't work.  We've been funded for
>service expansion funds from HRSA which stabilized the project.  I'll
be
>glad to respond to specific requests for information -- the Hogg
website has
>a lot of the model information at
>http://www.hogg.utexas.edu/programs_ihc.html
>
>
>Bill Schlesinger
>Project Vida
>3607 Rivera Ave
>El Paso, TX 79905
>(915) 533-7057 x 207
>(915) 490-6148 mobile
>(915) 533-7158 fax
>bschlesinger.pv at tachc.org
>
>
>
>
>_______________________________________________
>Reply to this message to send to the group
>Help can be found at 
>http://lists101.his.com/mailman/listinfo/pc-bh-integration
>or call Bob Beckwith at (301) 984-6200
>
>
>
>------------------------------
>
>Message: 4
>Date: Wed, 28 Jan 2009 10:53:08 -0500
>From: "Blount, Alexander" <Alexander.Blount at umassmemorial.org>
>Subject: Re: [PC-BH-Integration] integration proposals
>To: <pc-bh-integration at lists101.his.com>
>Message-ID:
> 
><1BB849C1E05F0F448C0A46B1B7B2F11B0160EA28 at UMMHCEXCHMB04.umassmemorial.o
rg>
>
>Content-Type: text/plain;       charset="US-ASCII"
>
>As someone who trains mental health professionals to work in primary
>care
>(http://www.integratedprimarycare.com/Certificate%20Program_Email.htm)
I
>am not surprised to hear you say the co-location doesn't work, but I
>wonder if you would be willing to say a bit more about what is behind
>that statement.  I think it could be helpful to people who are earlier
>in the process.
>
>Alexander Blount, EdD
>Clinical Professor of Family Medicine and Psychiatry
>University of Massachusetts Medical School
>Director of Behavioral Science
>Department of Family Medicine and Community Health
>Editor, Families, Systems, & Health
>O. 508 856-2147, F. 508 856-1212
>blounta at ummhc.org
>http://umassmed.edu/fmch/faculty/Blount.cfm?start=0
>http://www.IntegratedPrimaryCare.com
>
>-----Original Message-----
>From: pc-bh-integration-bounces at lists101.his.com
>[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Bill
>Schlesinger
>Sent: Tuesday, January 27, 2009 10:44 PM
>To: pc-bh-integration at lists101.his.com
>Subject: Re: [PC-BH-Integration] integration proposals
>
>We've been working with the Hogg Foundation for Mental Health for about
>three years.  We're an FQHC and using the care manager model similar to
>IMPACT.  We tried co-location - it didn't work.  We've been funded for
>service expansion funds from HRSA which stabilized the project.  I'll
be
>glad to respond to specific requests for information -- the Hogg
website
>has
>a lot of the model information at
>http://www.hogg.utexas.edu/programs_ihc.html
>
>
>Bill Schlesinger
>Project Vida
>3607 Rivera Ave
>El Paso, TX 79905
>(915) 533-7057 x 207
>(915) 490-6148 mobile
>(915) 533-7158 fax
>bschlesinger.pv at tachc.org
>
>
>
>
>_______________________________________________
>Reply to this message to send to the group
>Help can be found at
>http://lists101.his.com/mailman/listinfo/pc-bh-integration
>or call Bob Beckwith at (301) 984-6200
>The information transmitted is intended only for the person or
>entity to which it is addressed and may contain confidential and/or
>privileged material.  Any review, transmission, re-transmission,
>dissemination or other use of, or taking of any action in reliance
>upon this information by persons or entities other than the
>intended recipient is prohibited.  If you received this in error,
>please contact the sender and delete the material from any
>computer.
>
>
>------------------------------
>
>Message: 5
>Date: Wed, 28 Jan 2009 08:51:02 -0700
>From: "Bill Rosenfeld" <brosenfeld at mphc-az.org>
>Subject: Re: [PC-BH-Integration] integration proposals
>To: <pc-bh-integration at lists101.his.com>
>Message-ID:
>         <DC2C2E9D4E1497428DA242C644D4A7F4013BA30F at mail01-mph.MPHC.com>
>Content-Type: text/plain;       charset="us-ascii"
>
>Because the lucky 100 who get the service doesn't match the mission of
>primary care, which serves everybody who walks through the door.  That
>is one of another 300 reasons that I could cite.    Hope you are well!
>
>-----Original Message-----
>From: pc-bh-integration-bounces at lists101.his.com
>[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of
>Kessler, Rodger S.
>Sent: Wednesday, January 28, 2009 8:06 AM
>To: 'pc-bh-integration at lists101.his.com'
>Subject: Re: [PC-BH-Integration] integration proposals
>
>Hi Bill, Why do you think the co location didn't work??Rodger
>
>Rodger Kessler Ph.D. ABPP
>Research Assistant Professor
>Department of Family Medicine
>Center for Translational Science
>University of Vermont College of Medicine
>Berlin Family Health
>Fletcher Allen Healthcare
>
>
>-----Original Message-----
>From: pc-bh-integration-bounces at lists101.his.com
>[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Bill
>Schlesinger
>Sent: Tuesday, January 27, 2009 10:44 PM
>To: pc-bh-integration at lists101.his.com
>Subject: Re: [PC-BH-Integration] integration proposals
>
>We've been working with the Hogg Foundation for Mental Health for about
>three years.  We're an FQHC and using the care manager model similar to
>IMPACT.  We tried co-location - it didn't work.  We've been funded for
>service expansion funds from HRSA which stabilized the project.  I'll
be
>glad to respond to specific requests for information -- the Hogg
website
>has
>a lot of the model information at
>http://www.hogg.utexas.edu/programs_ihc.html
>
>
>Bill Schlesinger
>Project Vida
>3607 Rivera Ave
>El Paso, TX 79905
>(915) 533-7057 x 207
>(915) 490-6148 mobile
>(915) 533-7158 fax
>bschlesinger.pv at tachc.org
>
>
>
>
>_______________________________________________
>Reply to this message to send to the group
>Help can be found at
>http://lists101.his.com/mailman/listinfo/pc-bh-integration
>or call Bob Beckwith at (301) 984-6200
>
>_______________________________________________
>Reply to this message to send to the group
>Help can be found at
>http://lists101.his.com/mailman/listinfo/pc-bh-integration
>or call Bob Beckwith at (301) 984-6200
>
>
>------------------------------
>
>Message: 6
>Date: Wed, 28 Jan 2009 08:48:45 -0800
>From: "KINNEY Charmaine" <charmaine.kinney at co.multnomah.or.us>
>Subject: Re: [PC-BH-Integration] integration proposals
>To: <pc-bh-integration at lists101.his.com>
>Message-ID:
>
<01BB3F15EC55414E9C407B342DBC5E1CEED26B at EXCH2.co.multnomah.or.us>
>Content-Type: text/plain;       charset="iso-8859-1"
>
>Are the "lucky" those who already have been identified and have been 
>in the Mental Health system? If so, how many are SMI?
>
>-----Original Message-----
>From: pc-bh-integration-bounces at lists101.his.com
>[mailto:pc-bh-integration-bounces at lists101.his.com]On Behalf Of Bill
>Rosenfeld
>Sent: Wednesday, January 28, 2009 7:51 AM
>To: pc-bh-integration at lists101.his.com
>Subject: Re: [PC-BH-Integration] integration proposals
>
>
>Because the lucky 100 who get the service doesn't match the mission of
>primary care, which serves everybody who walks through the door.  That
>is one of another 300 reasons that I could cite.    Hope you are well!
>
>-----Original Message-----
>From: pc-bh-integration-bounces at lists101.his.com
>[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of
>Kessler, Rodger S.
>Sent: Wednesday, January 28, 2009 8:06 AM
>To: 'pc-bh-integration at lists101.his.com'
>Subject: Re: [PC-BH-Integration] integration proposals
>
>Hi Bill, Why do you think the co location didn't work??Rodger
>
>Rodger Kessler Ph.D. ABPP
>Research Assistant Professor
>Department of Family Medicine
>Center for Translational Science
>University of Vermont College of Medicine
>Berlin Family Health
>Fletcher Allen Healthcare
>
>
>-----Original Message-----
>From: pc-bh-integration-bounces at lists101.his.com
>[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Bill
>Schlesinger
>Sent: Tuesday, January 27, 2009 10:44 PM
>To: pc-bh-integration at lists101.his.com
>Subject: Re: [PC-BH-Integration] integration proposals
>
>We've been working with the Hogg Foundation for Mental Health for about
>three years.  We're an FQHC and using the care manager model similar to
>IMPACT.  We tried co-location - it didn't work.  We've been funded for
>service expansion funds from HRSA which stabilized the project.  I'll
be
>glad to respond to specific requests for information -- the Hogg
website
>has
>a lot of the model information at
>http://www.hogg.utexas.edu/programs_ihc.html
>
>
>Bill Schlesinger
>Project Vida
>3607 Rivera Ave
>El Paso, TX 79905
>(915) 533-7057 x 207
>(915) 490-6148 mobile
>(915) 533-7158 fax
>bschlesinger.pv at tachc.org
>
>
>
>
>_______________________________________________
>Reply to this message to send to the group
>Help can be found at
>http://lists101.his.com/mailman/listinfo/pc-bh-integration
>or call Bob Beckwith at (301) 984-6200
>
>_______________________________________________
>Reply to this message to send to the group
>Help can be found at
>http://lists101.his.com/mailman/listinfo/pc-bh-integration
>or call Bob Beckwith at (301) 984-6200
>_______________________________________________
>Reply to this message to send to the group
>Help can be found at 
>http://lists101.his.com/mailman/listinfo/pc-bh-integration
>or call Bob Beckwith at (301) 984-6200
>
>
>------------------------------
>
>_______________________________________________
>Reply to this message to send to the group
>Help can be found at 
>http://lists101.his.com/mailman/listinfo/pc-bh-integration
>or call Bob Beckwith at (301) 984-6200
>
>
>End of PC-BH-Integration Digest, Vol 48, Issue 3
>************************************************

Nancy S. Halloran, MPH
Program Development, Proposals, & Project Management
Health Equity Partnership & Community Institute for Healthcare Equity
614 Grand Ave, Suite 400
Oakland, Ca 94610

510-847-3833
510-217-5940 (fax)  
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