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Helpful Web Links
At the direction of the Joint Committee on Ways and Means, Subcommittee on Human Services, AMH is moving forward with the establishment of two or three demonstration projects that will integrate addictions, mental health, and physical health services in Oregon. The system change will also focus on an integrated service management and payment system. These two changes will result in a simpler, more efficient use of state, federal and local resources and better services to those in need.
The Best Beginning (PDF) Partnerships Between Primary Health Care and Mental Health and Substance Abuse Services for Young Children and Their Families. Enhancing PCCM programs (PDF) This report describes several options for enhancing PCCM programs with a particular focus on strategies that can improve care management for beneficiaries with chronic illnesses and disabilities. The paper is aimed at states that are seeking to enhance accountability for beneficiaries with complex needs, but may not have the option of contracting with fully capitated managed care organizations and/or want to consider non-capitated options. Particularly now as many states face widening budget deficits, enhancing PCCM programs offers a potential strategy for targeting limited resources to improve care for high-need populations. A comprehensive presentation of the status of oral disease and factors affecting the oral health of Oregonians throughout their lifespan. Ensuring U.S. Health Reform Includes Prevention and Treatment of Mental and Substance Use Disorder (PDF) This publication was developed by the National Academy for State Health Policy, which is an independent academy of state health policymakers working together to identify emerging issues, develop policy solutions, and improve state health policy and practice. National Association of State Mental Health Program Directors
Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality Chasm Series (PDF file) This is an Executive summary which applies the Quality Chasm framework for improving health care to mental and substance-use conditions and "describes a multifaceted and comprehensive strategy". It also addresses specifically coordination of care between physical and behavioral health providers and health systems. Consumers of mental health services die an average of 25 years earlier than the general public. Many of the health conditions that are associated with the premature death in mental health consumers can be prevented and managed with positive health habits. This report contains the results of a seven-year mortality data analysis to assess how Oregonians who received public substance abuse and mental health treatment compared with the general population in terms of mortality and other factors. June 2009 report by the Medicaid Institute at United Hospital Fund
DHS Recommendations for Linking and Integrating Behavioral Health and Primary Care (Word file) Recommendations were developed by a workgroup that included representatives of fully capitated health plans, mental health organizations, community health centers, rural health centers and state staff. The work of this group provided the foundation for initiatives to promote behavioral health and primary care integration. The report identifies populations to be served as well as barriers to integration and coordination. It also identifies key principles for various aspects of integration and makes specific recommendations for a process to promote statewide integration of care using different approaches to care.
Integrating Publicly Funded Physical and Behavioral Health Services: A Description of Selected Initiatives (PDF file) This report produced for the Robert Wood Johnson Foundation "illustrates the variety of integration goals and approaches undertaken by providers, payers, and public agencies in the pursuit of improved service integration....highlights commonalities across initiatives, including the existence of a common framework, the use of communication tools and processes, the consistent use of screening tools, collaboration in the use of identified clinical approaches, the identification of funding mechanisms, and the need for sustainability planning."
TeenScreen - National Center for Mental Health Checkups Providing mental health checkups and/or depression screening in medical settings strengthens the idea that mental and physical health are equal contributors to a young person's overall health and development. Two recent national health advisory organization reports from The Institute of Medicine (IOM) and the U.S. Preventive Services Task Force (USPSTF) underscored the need for mental health checkups to take place in primary care settings and recommend integrating mental health checkups as part of regular adolescent health visits. The reports can be viewed at:
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