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CEO's Desk

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
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 iconPrimary Care,  integrated care,  pediatric,  mental health

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 iconPrimary Care,  PCBH,  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 iconQuality Improvement,  measurement based care,  Population health,  PCBH

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

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 iconbehavioral health,  Primary Care,  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 iconPrimary Care,  wellness,  PCBH

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Collaborative Family Healthcare Association (CFHA)
11312 US 15-501 N.
Suite 107-154
Chapel Hill, NC 27517
info@CFHA.net

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

What We Do

CFHA is a member-based, 501(c)(3) non-profit organization dedicated to making integrated behavioral and physical health the standard of care nationally. CFHA achieves this by organizing the integrated care community, providing expert technical assistance and producing educational content.

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