Faculty and staff in the UW Department of
Psychiatry and Behavioral Sciences provide a variety of training and clinical
consultation services to community clinics participating in the Mental Health Integration Program (MHIP), a statewide program serving clients with
medical, mental health, and substance abuse needs. MHIP, supported and
administered by the Community Health Plan of Washington in partnership with Public
Health - Seattle and King County, provides high quality mental health screening
and treatment as part of an evidence- and outcome-based Collaborative Care
approach to treat common mental conditions experienced by patients who are
being served primarily in Federally Qualified Community Health Centers.
Department faculty provide adult psychiatric
consultation to on-site behavioral Care Coordinators and primary care providers
via a combination of telephonic, video, in-person, and email consultation.
Consultations focus on patients who present with severe symptoms and those who
are not meeting treatment expectations. Treatment recommendations can include
medication, behavioral interventions, or both. UW psychiatrists assist and
guide primary care staff in developing a referral plan for patients needing
more intensive mental health services.
The Collaborative Care team uses a clinical
decision-making tool and patient registry (CMTS) to track and measure patient goals and clinical
outcomes, and to facilitate treatment adjustment if a patient is not improving
as expected. MHIP also utilizes pay-for-performance mechanisms to support model
fidelity and prioritize patient outcomes. Training and workforce efforts for
this project focus on the whole team and all providers are trained on the
fundamentals of Collaborative Care.
Over 45,000 individuals have received
integrated mental health services through MHIP since its inception in 2007, and
the program now includes over 130 primary care clinics across the state.
Improvement With Pay-for-Performance Incentives in Integrated Behavioral Health
Care. An evaluation of MHIP’s quality
improvement program with a pay-for performance (P4P) incentive.