Implementing Integrated Healthcare in Community Settings: Factors to Consider in Designing and Evaluating Programs Toni Watt, PhD, Associate Professor of Sociology, Texas State University; Michele Guzman, PhD, Assistant Director of Research and Evaluation, Hogg Foundation for Mental Health; Cate Graziani, MSSW/MP Aff Candidate, Graduate Research Assistant, Hogg Foundation for Mental Health Collaborative Family Healthcare Association 14 th Annual Conference October 4-6, 2012 Austin, Texas U.S.A. Session # October __, 2012

Faculty Disclosure I/We have not had any relevant financial relationships during the past 12 months.

Objectives Understand challenges encountered by a number of community health centers in Texas that implemented IHC models. Be familiar with results from evaluations of a number of community health centers in Texas that implemented IHC models. Apply information shared to current experiences with IHC implementation. Improve evaluation efforts with respect to their own programs.

Learning Assessment A learning assessment is required for CE credit. Attention Presenters: Please incorporate audience interaction through a brief Question & Answer period during or at the conclusion of your presentation. This component MUST be done in lieu of a written pre- or post-test based on your learning objectives to satisfy accreditation requirements.

Integrated Health Care Basics – What is your definition of IHC? – There are different models – We know from rigorous trials that it works – Limited studies on IHC in community settings 5

Overview of findings – Type of sites – Models (IMPACT) – Populations they serve 6

Implementation Lessons What works, what doesn’t? Challenges-breadth and depth Future directions

Types of outcomes Quantitative-depression and anxiety Qualitative stories Subgroups-did outcomes vary by subgroups Primary Care & Cost

Evaluation Why is an evaluation system important? Key components Future directions

Application  Thinking about an evaluation  Goals, outputs and outcomes  Using the logic model 10

Case Scenario  Get into small groups  Start logic model process based on case example 11

Group Discussion – What outcomes did you identify? – How will you measure your outcomes? – What challenges did your group encounter? 12

Tips for working with evaluators  How to use logic model to work with evaluator  Using external evaluator or not? – Internal – External 13

Questions or Comments? Please contact Dr. Michele Guzmán with any comments, questions or concerns regarding the evaluation project

Session Evaluation Please complete and return the evaluation form to the classroom monitor before leaving this session. Thank you!