Behavioral Health Integration Complex Care Initiative
INTEGRATED
BEHAVIORAL HEALTH
Elizabeth Morrison LCSW, MAC
Michael Mabanglo LCSW, PhD
We are integrated BH clinicians ourselves 
What is the core of
integrated behavioral
health?
We can bring our
real life into the
visit!
Under one roof… one team… one plan.
Why in primary care?
Why in primary care?
02
01
Defacto MH
03
We are whole people
04
Patient
preference
EvidencedBased
Primary care visits driven by
psychosocial factors
70%
Blending of Cultures
Medical Model
BH Model
• Diagnosis Driven
• Prescriptive
Treatment
• Target based on
illness
• Conclusive
communication
• Client driven
• Strength and
relationship -based
• Target based on
patient goals
• Explorative
communication
BH Clinician: Qualities
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•
•
•
High level of interpersonal skills
Relationship focused
Cultural humility
Leadership skills
BH Clinician: Knowledge & Skills
•
•
•
•
•
Deep and broad range of assessment and
treatment skills for mental health conditions
Skills to engage in a range of treatment lengths,
(single sesion, brief treatment,
comanagement, cycling courses of therapy…)
At minimum, SUD screening, assessment and
OP skills; MAT knowledge
MI and related skills to engage clients in health
related behavior changes
Excellent relationship building and
maintenance skills (team and patients)
BH Clinician: Culture Change Leader
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Patient experience the center of our work
Employee experience and wellbeing as a core
focus
Privileging empathy, relationships and
connection in clinical, operational and
administrative decisions
Advancing the importance of evidenced based
communication as a fundamental treatment
IBH: The defining feature of ICCM
Traditional Complex
Care Focus
Integrated Complex
Care Focus
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Medical condition
Medical hospitalizations
•
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•
Medication management
Behavioral health needs
viewed as part of a
specialty referral
•
•
Behavioral Health
understood as an integral
part of whole health
BHC is part of the complex
care team
All team members engage
client about behavioral
health issues
Distinction between IBH and BHICCI
All clinic patients 100%
BH Integration 60%
Integrated complex
care management
(BHICCI): 5-10%
Empathy Exercise
Empathy
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Affirmation- noticing strengths
Acknowledgement –repeat feelings
Normalizing – assuring commonality
Non-judgement– articulating directly
PRACTICE!
THANK YOU!