The Value of a Pearls Gathering At the end of the first pandemic year, BHCs from multiple sites at the Pediatric Physicians’ Organization at Children’s (PPOC) convened to reflect on what we called the “Pearls of 2020 – Staying Integrated During the Pandemic.” The Pearls initiative identified six key elements of integration, each of which […]
Third Culture Clinicians in Integrated Care
Third Culture Kids (TCKs) are children of expatriates who spend a significant part of their upbringing in a culture different from their own or their parents’ nationality. The term TCK stems from the presence of three cultural influences in their lives: their heritage culture(s), the host country culture(s), and the culture of expatriates and other TCKs. […]

Reverse Jenga: Building Toward Workable, Personalized, Strong Solutions in Integrated Care Visits
Interestingly the word “Jenga” does not mean “angst derived from a predestinated tower of calamity.” Jenga’s roots are in Swahili from the word “kujenga” meaning “to build” (“Jenga”, 2025). Jenga got me thinking about integrated care on one of these fun Saturday nights. We take the warm handoff on the behavioral health side (or provide […]

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 […]

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. […]
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 […]

Primary Care 4 U Legislation: A Behavioral Health Perspective
The following was prepared by the UMass Center for Integrated Primary Care, for more information about CIPC courses for behavioral clinicians, physicians, and other members of the primary care team, visit: www.umassmed.edu/cipc Daniel Mullin, PsyD MPH, director of the Center for Integrated Primary Care (CIPC), began his involvement with primary care transformation more than a […]

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 […]

Behind the Curtain: Learning The Business of Integrated Care
5 minute read My first job after postdoctoral training was at a family medicine residency program in central North Carolina. It was exactly what I wanted: a combination of direct patient care, graduate medical education, and program development. I took over for Dan Marlowe, another medical family therapist who left to join the faculty at […]

Why Culture Matters: Insights from an Integrated Care Internship
Five minute read “She was visibly upset while she talked about the confrontation with her brother,” I said. “And then suddenly she stood up, arms wide open, asking for a hug.” “And what did you do?” my clinical supervisor asked. “What else could I do? I gave her a hug!” My supervisor smiled. “I want […]
Calling All Docs! Code BH: Behavioral Health
7 minute read From the fifth floor window of the resident lounge, I could see the downtown Chicago skyline in the distance from Hinsdale Hospital. The Hinsdale Family Medicine Residency building was across the street from the hospital I would call home for the next 3 years, connected by an underground tunnel that came in […]

From Intimidation to Integration: How I Learned to Stop Worrying and Love Primary Care
5 minute read “Welcome to day one of your integrated care practicum. The first step you’ll take is to purchase two books and begin reading them right away. OK, let’s talk about Centricity!” Fall semester of 2009. I am a new student in the Medical Family Therapy doctoral program at East Carolina University (ECU). My […]

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 […]

Integrating Social Medicine: Are We Ready to Evolve?
5 minute read Is the Healthcare System Ready? Our current integrated care models break down silos between physical and behavioral health, allowing for comprehensive screening, warm handoffs, care coordination, and streamlined referrals. Many patients, though, have unmet social, material, AND behavioral health needs. Here are some examples. • A 40-year-old man experiencing homelessness struggles to […]

Should Integrated Care Be Organized Too? Reflections on Shortages, Burnout, and Unions
5 minute read A Provocative Question Recently, I attended a session on healthcare workforce development at the Arizona State of Reform conference in Phoenix. The State of Reform is a national organization that facilitates healthcare policy meetings across the country. This session focused on problems and opportunities related to healthcare workforce in Arizona. During the […]

“Your Costco Provider is Ready to See You”: When Mental Health Goes Retail
5 minute read Most people wouldn’t think of CVS, Kroger, Walgreens, Walmart or Costco as their primary care home. Even fewer would consider these retailers as their behavioral health provider location. However, each of these retail giants is reaching for larger portions of the health care marketplace to supplement their core business. Consumers, frustrated […]