Integrating Mental Health into Primary Care

Sustainable Partnerships

Presented at The 9th All-Ohio Institute on Community Psychiatry Conference: Working Together: New Paradigms for Integrated Mental Health Services by

Jane Hamel-Lambert, MBA, PhD

Karen Montgomery-Reagan, DO,

Sherry Shamblin, PCC-S

Dawn Murray, DO


Overview of Presentation

Two community mental health centers, our regional federally qualified health center (Family Healthcare, Inc), private practitioners and our university-affiliated, not- for-profit medical practice group (University Medical Associates (UMA)), have over the past 1 ½ years months developed models for integrating mental health providers into four primary care sites (3 family medicine, 1 pediatrics).


During this workshop both participating physicians and mental health professionals will highlight lessons learned while co-locating mental health providers in primary care settings and implementing early identification protocols for children with developmental and behavioral health needs. Our experiences illustrate the importance of defining roles and responsibilities to create sustainable partnerships. Designing an infrastructure that addresses scheduling, billing, chart management, and cross-provider communication requires being flexible and responsive to the missions and mandates of the individual agencies, and discipline specific health delivery patterns. Specifically, the rules and regulations governing the FQHC demanded a fiscal model distinct from that employed by the university affiliated medical group practice, whereas types of patients served informed MH provider selection. All models benefit from strong interdisciplinary leadership.


This project was possible because of funding from HRSA's Office of Rural Health Policy (P10RH06775, D06RH07920).


View the Presentation: PDF | PPT