Oral

Among health reform’s “calls- to-action” is the integration of behavioral health within the primary care delivery system. Within the framework of the Affordable Care Act (ACA), this session’s goal is to describe the complexity, successes and barriers to move the continuum forward of achieving increased primary care and behavioral health integration via three different health service delivery models with different target populations. The session will be moderated by Ann Mahony who will present the relevant section of ACA to behavioral health and primary care integration. The first presenter is Hal Zawacki, of the Health Resources and Services Administration’s (HRSA) Region IX, will report on the progress, gaps and challenges in achieving health integration in the region’s safety net among providers in the Community Health Centers, Ryan White, and the Centers for Medicare and Medicaid Services (CMS) systems. The second presenter, Dr. Alanna Rahm of the Institute for Health Research, Kaiser Permanente, Colorado will describe a qualitative study of provider and patient perceptions of Screening, Brief Intervention and Referral to Treatment (SBIRT), an evidence-based screening tool for alcohol and drug problems. SBIRT is also is a foundational primary care and behavioral health integrative approach. The last presenter, Dr. Robert Carroll will present the National Institute of Drug Abuse’s (NIDA) on-line outreach initiative, NIDAMED, to help physicians and medical students address the complex problem of screening, brief interventions, and treatment referrals for non-medical prescription drug use, alcohol and other substance use. The moderator will lead a discussion and question and answer session following the three presentations.

Session Objectives: Demonstrate understanding of the sections of the Affordable Care Act which call for behavioral health and primary care integration; Explain the new target audiences impacted by ACA regarding behavioral health and primary care integration models impacted by HRSA’s health service delivery models including the Community Health Centers, Ryan White and the Medicare and Medicaid; Describe the process of implementing SBIRT in primary care in a large healthcare system through feasibility and pilot demonstration projects; and Differentiate marketing approaches targeting physicians, medical students, and other clinicians for Screening, Brief Intervention and Referral to Treatment focused on-line tools and resources.

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH)