Online Program

Completing the Puzzle: The Necessary Pieces of Behavioral Health and Primary Care Integration

Wednesday, November 4, 2015

Mary Colleran, MSAW, Trilogy Behavioral Healthcare, Chicago, IN
Sara Gotheridge, MD, Trilogy Behavioral Healthcare, Chicago, IL
Alice Geis, DNP, APN, Trilogy Behavioral Healthcare, Chicago, IL

Integrating behavioral health and primary care services is extremely complex and goes beyond co-location of services.  Developing a sustainable model of care that results in improved outcomes requires time, energy, commitment and a variety of practical tools and workflow adaptations.  Using the successful Trilogy Heartland Integrated Healthcare Program (IHP) as a case study, participants in this session will learn how to break down the complex puzzle of Integrated Healthcare into practical pieces that can be operationalized in any program.


This session will cover various aspects of Trilogy’s IHP including culture, development of strategic partnerships, sustainability planning, interdisciplinary workforce development, peer involvement, and wellness services.  In addition, the session will stress the importance of managing with outcomes and use examples of how the Trilogy IHP has used various data, reports and dashboards to achieve program success.


Lessons learned include incorporating ongoing staff training, being flexible and patient, focusing on qualitative results as well as quantitative outcomes, and taking the time to recognize successes.   Data from a monthly outcome dashboard shows that clients in the THIH program have lower rates of HGA1c (diabetes risk) than clients in HHC’s other clinics.  In addition, smoking rates have reduced significantly in the past two years and clients report increased social connections and increased functioning in everyday life. 


Paying attention to organizational culture, strategic planning, sustainability development, and management with outcomes are key to the success of integrating primary and behavioral healthcare and Trilogy’s successful model could be replicated in other settings.

Learning Areas:

Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
Define at least five necessary components of a successful Integrated Healthcare program. Identify a simple dashboard to report program data. Analyze the role organizational culture plays in developing and sustaining a successful Integrated Healthcare Program.

Keyword(s): Mental Health Treatment &Care, Primary Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-principal of multiple federally, state and city funded grants focusing on integrating primary and behavioral healthcare.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.