A True Story of Solidarity in Action Just weeks earlier, on September 20, Hurricane Maria struck Puerto Rico, claiming many lives and leaving widespread destruction in its wake. In response, the people of Holyoke, Massachusetts, mobilized. Residents and local leaders joined forces to send food and clothing to the island and to welcome newly arrived […]

Rainbows Light the Way
I lift and share my voice (well… my lyrics—because my singing, at my children’s request, is reserved for showers and car rides) with you. Together, we are a chorus singing in exam rooms, classrooms, courtrooms, boardrooms, voting booths, chat rooms, and every room we can and do squeeze into. You may not always hear this […]

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, […]
Vaccine Uptake Strategies & Ethical Considerations- Part II
Addressing vaccine hesitancy requires tailored, evidence-based strategies to address the causes. WHO grouped these determinants into contextual, individual, and group influences and vaccine/vaccination-specific issues. However, most vaccine hesitancy measurement tools have limited psychometric validation. Further studies correlating measurements with vaccination behavior and validating these tools in different populations, including pediatric populations, are warranted. Evidence-based strategies for […]

Artificial Intelligence in Health Care
That small win reminded me that artificial intelligence is already shaping the way our patients (and our families) search for health advice. I believe that as clinicians, educators and supervisors, we are called to guide this shift. Below, I share three reasons why. Three reasons why learning Artificial Intelligence in health care may be a responsibility and […]

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 […]
In Search for the Antivax Vaccine: Strategical & Ethical Considerations
It has been suggested that psychology’s role in this post-truth era should be to help people differentiate between beliefs and facts by studying and developing the meta-cognitive skills necessary for searching, evaluating, and applying information. This would entail developing practical tools to foster critical thinking and reflexivity and exploring ways to make psychological information accessible […]
Doctors Within Borders
It is nighttime, the sky is cloudy, and the sea is dark. Giant radio antennae gyrate as a voice over a speaker says, “Your position” to obtain the boat coordinates. Of course, the question can also serve as an interpellation for the spectator on their position on the issue. Rosi’s camera accompanies members of the […]

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. […]
Gathering Family Perspectives on Integrated Care
Patients experience primary care firsthand, offering valuable insights into the accessibility, scope, coordination, and continuity of services. Their feedback can help identify gaps, refine innovations, and ensure that enhancements truly improve patient-centered care. By integrating patient perspectives, healthcare systems can more effectively tailor and assess improvements in the 4Cs, leading to more responsive, efficient, and […]

Making Science Happen in Challenging Times
References Hodges, A. (1983). Alan Turing: The Enigma. Princeton University Press. http://www.press.princeton.edu Kuhn, T.S. (1962, 1970, 1996, 2012). The Structure of Scientific Revolutions. University of Chicago Press. http://www.press.uchicao.edu Raman, I.M. & Ferster, D.L. (2021). The Annotated Hodgkin & Huxley: A Reader’s Guide. Princeton University Press. http://www.press.princeton.edu Schrodinger, E. (1944, 1958, 1967). What is Life? Cambridge […]

Lessons from the Land: Connecting Agronomy and Integrated Healthcare
The SWAPA Framework One of the key tools my husband’s team uses is SWAPA, which stands for Soil, Water, Air, Plants, and Animals. This framework evaluates land health by examining the relationships between these five elements. Each one is important on its own, but together, they reveal the full picture of an ecosystem’s well-being. As […]

Advancing Integrated Care: Bridging Research and Implementation
Integrated Care Models Improve Outcomes for Co-Occurring Diabetes and Depressive Symptoms People with diabetes are about twice as likely to develop depressive symptoms. Further, people with diabetes report that their diabetes care teams rarely (less than 50% of the time) assess their mental health generally or their depressive symptoms more specifically. When people present with […]

BHI: Been There, Done That, Got the T-Shirt
One other thing that made this meeting memorable was the appearance of T-shirts that express loyalty to a model of integrated care. It started with the PCBH T-shirts, but by the end of the conference I was seeing CoCM T-shirts as well. This made literal the process that I have been thinking about for several […]

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. […]

GATHER for Integrated Care
A few months ago, I was experiencing some significant stress in multiple microsystems of my life and was implementing many of my tried-and-true strategies to ground myself in my values and practice self-compassion. One night at dinner, my children were asking about differences I had in schools. It is important to know that, as the […]
The Intersection of Immigration Policies and Behavioral Health
The review underscores the importance of integrating behavioral health into the public health agenda, opposing the health-detrimental effects of anti-immigration policies and calling for collective efforts to advocate for policy changes. This call for action urges healthcare professionals, policymakers, and advocates to evaluate the intersection of immigration policies and behavioral health, emphasizing that global health […]

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 […]