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Integrated Behavioral Healthcare Project: County DMH and Primary Care Clinic Collaboration

Integrated Behavioral Healthcare Project: County DMH and Primary Care Clinic Collaboration. Shasta County: Constructing a County/Clinic Contract Catherine Camp. Community Environment. Hospital closures Anti-managed-care environment Little positive public/private collaboration

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Integrated Behavioral Healthcare Project: County DMH and Primary Care Clinic Collaboration

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  1. Integrated Behavioral Healthcare Project: County DMH and Primary Care Clinic Collaboration Shasta County: Constructing a County/Clinic Contract Catherine Camp

  2. Community Environment • Hospital closures • Anti-managed-care environment • Little positive public/private collaboration • Strong network of primary care clinics

  3. Shasta Mental Health Services Act Plan • Unserved/underserved rural areas • Large access problems countywide

  4. MHARC Process • Mental Health Assessment/Redesign Collaborative funded by foundation, led by the Shasta Consortium of Primary Care Clinics • MHSA planning and MHARC process overlapped • MHARC reviewed private and public mental health systems • Products included proposals for crisis care and rural access, among other issues

  5. Process to County/Clinic Contract • Rural Policy Council established • Pilot test of outstationed case management/linkage staff and crisis service in rural hospital • Contract group established: county consultant, clinic consultant, legal support • Decision maker negotiations over outcomes and cost • Review by DHS and DMH

  6. Project Strengths • Clinics are trusted, non-stigmatized community partners • Clinics have independent, non-capped Medi-Cal billing capacity • Clinics have telemedicine infrastructure • Clinics provide physical (sometimes dental) health care to mental health clients

  7. Project Cautions • Clinics have regulatory barriers to full recovery service • Mental Health and FQHC speak different languages • Data systems are separate • Trust is a requirement

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