Skip to main content

Abstract

This column describes the planning and implementation of an integrated behavioral health project which was facilitated and endorsed by a developing accountable health community, the Washtenaw Health Initiative (WHI). The WHI is a voluntary countywide coalition of academic, community, health system, and county government agencies dedicated to improving access to high-quality health care for low-income, uninsured, and Medicaid populations. When lack of access to mental health services was identified as a pressing concern, the WHI endorsed pilot testing of collaborative care, an evidence-based treatment model, in county safety-net clinics. Challenges, outcomes, and relevance of this initiative to other counties or regional entities are discussed.

Formats available

You can view the full content in the following formats:

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services

Cover: Assinibone hand drum, by Werner Forman. From the Plains Indian Museum, BBHC, Cody, Wyoming. Photo credit: HIP/Art Resource, New York City.

Psychiatric Services
Pages: 476 - 478
PubMed: 26927581

History

Published online: 29 February 2016
Published in print: May 01, 2016

Authors

Details

Marcia Valenstein, M.D., M.S.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Gregory W. Dalack, M.D.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Teague Simoncic, M.S.W.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Karla Metzger, M.S.W.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
D. Edward Deneke, M.D.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Caroline R. Richardson, M.D.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
John A. Hopper, M.D.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Ray Rion, M.D.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Brent C. Williams, M.D., M.P.H.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Adam Miller, M.D.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Patricia Ryan, M.D.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Sara Cuson, M.S.W.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Melissa McLaughlin, M.S.W.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Kristyn Spangler, M.S.W.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Dayna LePlatte-Ogini, M.D.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Nancy Baum, Ph.D.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Carrie Rheingans, M.S.W., M.P.H.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Marianne Udow-Phillips, M.H.S.A.
Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: [email protected]). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.

Funding Information

This work was supported by the Washtenaw Health Initiative, University of Michigan Health System, St. Joseph Mercy Hospital, Blue Cross Blue Shield Foundation of Michigan (1975.II), a Michigan Department of Community Health Innovation Grant (contract 20142892), and Medicaid match grants (contract 20151601-00).The authors report no financial relationships with commercial interests.

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format
Citation style
Style
Copy to clipboard

View Options

View options

PDF/EPUB

View PDF/EPUB

Full Text

View Full Text

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

Figures

Tables

Media

Share

Share

Share article link

Share