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Neftali Serrano

Neftali Serrano
May 19, 2025 by Neftali Serrano

Position Statement on Measurement Based Care

Introduction The Collaborative Family Healthcare Association (CFHA) recognizes the utility and potential for Measurement Based Care (MBC) as a core feature of high-quality integrated healthcare. MBC supports optimal clinical practice, demonstrates the value of integrated care teams, and improves outcomes. MBC is much more than simply administering behavioral health measures. Rather, it is an evidence-based, […]

Category iconIntegrated Care News Tag iconCFHA,  quality,  measurement based care,  integrated care

An image showing an unhealthy person laying their head down on a desk.

Neftali Serrano
April 16, 2025 by Neftali Serrano

An Open Letter to Robert F. Kennedy, Jr. On Why Integrated Care Should Be a Cornerstone of the HHS Agenda

Dear Mr. Kennedy, First, thank you for bringing urgency and passion to the nation’s conversation on health and the chronic disease epidemic. Your desire to reimagine our approach to well-being is one that we share as a 30-year-old upstart association rooted in the fundamental idea that our health system is disintegrated. At the Collaborative Family […]

Category iconCEO's Desk Tag iconPopulation health,  Family Medicine,  Opioid,  Primary Care

Neftali Serrano
March 21, 2025 by Neftali Serrano and Chus Arrojo

Implementation of Combined PCBH and CCBHC Models: Key Considerations

1. Clarify Overlapping and Distinct Goals 2. Leverage the CCBHC Funding to Enhance PCBH Capacity 3. Enhance Care Coordination Across Both Models 4. Address Workforce Challenges 5. Leverage Technology and Data 6. Communicate a Unified Vision to Staff and Leadership 7. Culture, culture, culture! References Reiter, J. T., Dobmeyer, A. C., & Hunter, C. L. […]

Category iconIntegrated Care News,  Implementation

Neftali Serrano
February 11, 2025 by Neftali Serrano

The African-American Experience: A Masterclass on Resistance For Healthcare Providers

Howard Thurman, a spiritual founder of the civil rights movement once wrote, “Don’t ask what the world needs. Ask what makes you come alive, and go do it. Because what the world needs is people who have come alive.” His words challenge us to resist stagnation, conformity, and systems that stifle our ability to effect meaningful change. […]

Category iconCEO's Desk Tag iconintegrated care,  mental health,  pediatric,  Primary Care

Neftali Serrano
January 27, 2025 by Neftali Serrano

Community as Resistance: US Healthcare Teams Need Strengthening In Turbulent Political Times

I’m going to make an argument here that the antidote to political uncertainty and rapid change in the healthcare landscape is community, particularly local community. And in so doing I’m also tying us to a promise that this community, the Collaborative Family Healthcare Association (CFHA), will be a nexus of moral strength and innovation for […]

Category iconIntegrated Care News,  CEO's Desk Tag iconPCBH,  Primary Care,  integrated care,  membership,  CoCM

The modern care team is depicted with some members not yet fully at the table.

Neftali Serrano
January 9, 2025 by Neftali Serrano

It’s Going To Take More Work: A Call to the Integrated Care Community in 2025

If you are a clinician you know the feeling. It’s that moment in a care process with a patient where you could do more or choose to do less. You battle internally to decide what to do and ultimately you know you can’t live with yourself if you choose to do less. That’s our moment as […]

Category iconCEO's Desk Tag iconPCBH,  Family Medicine,  Primary Care,  integrated care

Neftali Serrano
April 8, 2024 by Neftali Serrano

Mea Culpa: What My Generation Of Integrated Care Leaders Ignored

5 Minute Read. As a seasoned professional in integrated care, I’ve been part of a pioneering generation that sought to blend medical and behavioral health services to improve patient outcomes, particularly with the advent of the Primary Care Behavioral Health service delivery model (PCBH). Reflecting on this journey, it’s clear that while we’ve made significant […]

Category iconCEO's Desk Tag iconPCBH,  Population health,  Quality Improvement,  measurement based care

Neftali Serrano
March 20, 2024 by Neftali Serrano

The #1 Reason Why Integrated Health Care Teams Lose Mental Health Clinicians To Online Therapy Companies

By Neftali Serrano, PsyD, 2 Minute Read In recent years, the struggle to retain and recruit behavioral health providers has intensified within primary care. A closer examination of this trend reveals a significant underlying cause: the selection bias rooted in the mental health provider training process. This bias not only shapes the career preferences of […]

Category iconCEO's Desk Tag iconPCBH,  Primary Care,  integrated care,  workforce

Neftali Serrano
March 6, 2023 by Neftali Serrano

The Integrated Care Map Turns Three!

Three years ago the Collaborative Family Healthcare Association (CFHA) set out to report on the spread of integrated care across the United States primary care system. Our initial report on findings in 2020 elicited interesting findings on the breadth and types of care being provided. Here we provided updated data which appears to demonstrate greater […]

Category iconIntegrated Care News Tag iconPrimary Care,  integrated care,  workforce,  public health

Shuttle launch image.

Neftali Serrano
December 7, 2022 by Neftali Serrano

Primary Care’s Moonshot Program For The Next Decade

5 Minute Read There is no single issue in the movement to integrate physical and behavioral health system that trumps the workforce shortage and training problem. Primary care needs a moonshot initiative to bridge that gap. I have some ideas. They are mine alone – I can’t speak for all of the Collaborative Family Healthcare […]

Category iconCEO's Desk Tag iconPrimary Care,  behavioral health,  workforce,  data

Neftali Serrano
October 26, 2022 by Neftali Serrano

Behaviorists In Family Medicine Deserve An Upgrade

5 Minute Read Family medicine residency programs have long had behaviorists as part of the educational experience for physicians-in-training, but the role has not kept up with the many changes in training and healthcare over the last few decades. And so you have behavioral science faculty with unclear and often conflicting mandates for their work, […]

Category iconCEO's Desk Tag iconFamily Medicine,  integrated care,  mental health,  residents

Neftali Serrano
March 31, 2022 by Neftali Serrano

Filling Integrated Care Positions Challenges Health Clinics

5 Min Read. Filling that integrated care position at your clinic feel tough? You are not alone. Positions for mental health professionals of all types in primary care have grown in the last few years (see our job board and our map) and the options for mental health professionals have also expanded with telehealth uptake, […]

Category iconCEO's Desk Tag iconPCBH,  Population health,  Primary Care,  workforce

Stressed Behavioral Health Consultant

Neftali Serrano
January 10, 2022 by Neftali Serrano

A Hidden And Fixable Reason For Why Your Behavioral Health Staff Might Be Burning Out

There are many good reasons for the strain and experience of burnout among healthcare professionals at-large and primary care teams specifically, but there may be a hidden factor affecting your integrated behavioral health staff that you may not have yet considered: role diffusion. The shorthand version for this phenomenon is, “your staff is trying to […]

Category iconCEO's Desk Tag iconPCBH,  Primary Care,  wellness

Neftali Serrano
April 15, 2021 by Neftali Serrano

Tech Survey Results: This Is How Healthcare Professionals Engage Social Networking Tools

Five Minute Read We were curious about how our members utilize social media and connectivity tools, so we asked and they answered. The results are fascinating and will help us plan future efforts to support networking amongst the members of our association, the Collaborative Family Healthcare Association (CFHA). Why should you care? Well, read on […]

Category iconIntegrated Care News Tag iconPrimary Care,  social media

Neftali Serrano
March 23, 2021 by Neftali Serrano

Video, Phone, In-Person: A Morning As A BHC During COVID

Five Minute Read Operating as a behavioral health consultant (BHC) in primary care has always demanded flexibility but never more so than during the pandemic. Things have changed significantly and it’s worthwhile for us to reflect on those changes, not with resistance, but simply with acknowledgment and mindfulness about what those changes mean. So, this […]

Category iconIntegrated Care News Tag iconPCBH,  Primary Care,  behavioral health,  COVID-19

Neftali Serrano
February 17, 2021 by Neftali Serrano

Healthcare Policy Principles Our Community Supports

Our community is a rarity in the healthcare world. We do not represent a guild. We do not represent a sector of the healthcare industry. We do not represent a disease category. We represent an idea. That idea is that healthcare works best when professionals, in tandem with families and their communities, work together within […]

Category iconIntegrated Care News Tag iconPrimary Care,  integrated care,  mental health,  policy,  healthcare

Neftali Serrano
December 17, 2020 by Neftali Serrano

Here’s What You Were Talking About In 2020

10 Minute Read Our conversations tell us a lot about who we are, so we thought it would be a good idea to review our top list serve conversations for 2020. Before those of you who are not members of the Collaborative Family Healthcare Association (CFHA) stop reading, let me convince you as to why […]

Category iconIntegrated Care News Tag iconPrimary Care,  integrated care,  behavioral health,  COVID-19,  workforce

Map showing sites across the United States that offer integrated care services.

Neftali Serrano
September 30, 2020 by Neftali Serrano

How widespread is integrated care?

5 Minute Read This is a first. To our knowledge no systematic effort to account for the number of practices providing integrated behavioral health services in the United States has been undertaken, other than efforts to identify colocated providers in a geographical space. To be sure the data collected has its limitations and this blog […]

Category iconIntegrated Care News Tag iconPopulation health,  Primary Care,  integrated care,  behavioral health,  workforce

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Collaborative Family Healthcare Association (CFHA)
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Key Contributors

Neftali Serrano, PsyD, CEO
Maria Jesus (Chus) Arrojo, LMFT, Blog Editor
Bridget Beachy, PsyD, Social Media
Leiana Edwards, Social Media
David Bauman, PsyD, Vlog Contributor
Grace Pratt, LMFT, Podcast Editor

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