1. Mental Health/Substance Abuse/Primary Care Integration Presented by: Susan Bower, MSW, MPH Alcohol and Drug Services Deputy Director

2. Substance Abuse Integration Goals Universal Screening – Early intervention for those at-risk People in Treatment – Diagnosis and management of physical health issues People in Recovery – Continued care maintenance

3. Overcoming Challenges The Big Q: What if they reveal a problem? – MOUs/MOAs with treatment programs – Referral Form 42 CFR, Part 2 – Consent to Release Information Time/Resources – Flexibility and Adaptability

4. Mental Health Integration Paired Clinics Pilot Project – Primary Care staff in MH Clinic – MHSA funding of MH/AOD Staff in Primary Care Clinic

5. Integration Summit 2 nd Annual Summit held 9/20 350 attendees; diverse representation from primary care, substance abuse, mental health Development of Learning Communities

6. Integration Institute: Learning Communities Vision: Shared Population Management Comprehensive, coordinated care that emphasizes continuous healing relationships instead of reactive, episodic treatment Goal: Support Mental Health providers, Alcohol and Drug providers, and Primary Care providers to make progress in enhancing intra-organization integration and in achieving inter-organization, bi-directional integration of primary care, mental health, and substance abuse services

7. I 2 Expectations Participating Agencies designate 2-3 senior level staff 9-month initial commitment to the cohort – 3 in-person, one day meetings – 6 one-hour webcasts/coaching sessions – Pre- and post-integration needs assessments – Sign MOUs – Complete/execute an individualized change plan around Integration and Change Management

8. For More Information: Cchealthnetwork.com