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Primary Care

September 11, 2025 by Chus Arrojo

Searching for Pearls of Integration

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 […]

Category iconIntegrated Care News,  Provider & Patient Perspectives Tag iconPCBH,  Primary Care

September 4, 2025 by Chus Arrojo

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. […]

Category iconProfessional development,  Integrated Care News Tag iconProfessional identity,  integrated care,  Primary Care

Photo by Valery Fedotov on Unsplash

August 14, 2025 by Travis Cos, PhD, ABPP

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 […]

Category iconImplementation,  Interventions,  Integrated Care News Tag iconPrimary Care,  behavioral health,  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 iconPrimary Care,  Opioid,  Family Medicine,  Population health

The New York Public Library for Unsplash

February 13, 2025 by Alexander Blount

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 […]

Category iconIntegrated Care News Tag iconPrimary 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,  mental health,  pediatric

January 30, 2025 by Chus Arrojo

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 […]

Category iconHealthcare Legislation,  Integrated Care News Tag iconPrimary 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 iconCEO's Desk,  Integrated Care News Tag iconPrimary Care,  CoCM,  membership,  integrated care,  PCBH

January 21, 2025 by Dr. Dan Mullin

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 […]

Category iconHealthcare Legislation,  Integrated Care News Tag iconLegislation,  Primary Care

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 iconintegrated care,  Primary Care,  Family Medicine,  PCBH

Matthew P. Martin
November 27, 2024 by Matthew P. Martin

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 […]

Category iconIntegrated Care News Tag iconFinance,  Quality Improvement,  Primary Care

Matthew P. Martin
August 29, 2024 by Matthew P. Martin

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 […]

Category iconIntegrated Care News Tag icontraining,  Primary Care,  Family Medicine

June 12, 2024 by Jen Thomas, MD

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 […]

Category iconIntegrated Care News Tag iconteam,  mental health,  Primary Care,  Family Medicine

Matthew P. Martin
May 7, 2024 by Matthew P. Martin

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 […]

Category iconIntegrated Care News Tag iconProfessional identity,  medical family therapy,  Primary Care,  Family Medicine

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 iconworkforce,  integrated care,  Primary Care,  PCBH

Matthew P. Martin
February 15, 2024 by Matthew P. Martin

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 […]

Category iconIntegrated Care News Tag iconSocial medicine,  community health workers,  Primary Care,  Population health

Matthew P. Martin
December 11, 2023 by Matthew P. Martin

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 […]

Category iconIntegrated Care News Tag iconorganized labor,  union,  workforce,  burnout,  integrated care,  Primary Care

November 27, 2023 by Julie Geiler

“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 […]

Category iconIntegrated Care News Tag iconretail,  mental health,  Primary Care

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Neftali Serrano, PsyD, CEO
Maria Jesus (Chus) Arrojo, LMFT, Blog Editor
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Grace Pratt, LMFT, Podcast Editor

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