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 […]
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 […]
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 […]
CFHA Conducts First-Ever Behavioral Health Workforce in Integrated Care Salary Survey
Neftali Serrano, CEO of CFHA, first approached me in late 2021 to design and distribute a salary survey to the integrated care workforce. I looked at my overloaded plate and thought, “This is too good to pass up”. So, I made room on the plate. As an educator, I’ve been involved in workforce projects for […]
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 […]
Medicare Mental Health Workforce: Adding LMFTs and LMHCs
In January 2021, Representative Mike Thompson introduced the Mental Health Access Improvement Act of 2021 (H.R. 432) that, among other things, would authorize Medicare payment for covered mental health and substance use services provided by licensed marriage and family therapists (LMFT) and licensed mental health counselors (LMHC. The bill was referred to the Subcommittee on […]
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, […]
New Federal Health Workforce Strategic Plan: What does it mean for the integrated care field?
5 minute read The Department of Health and Human Services recently released their new health workforce strategic plan. There is a lot of good information here. I’ll share a few thoughts below. The plan is worth looking over and will undoubtedly inform future federal spending in workforce development. The new plan has four goals: expand […]
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 […]
What Big Bird Can Teach Us About Integrated Care
5 minute read. Original post available here. Starting and sustaining a movement in healthcare is tough business, unless there is a plan and resources for dissemination. The movement to integrate behavioral health services into primary care began in diverse places, but now appears to have serious momentum. The challenges facing integration today are many and include […]
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 […]
Don’t Quit: We Can Outlast All Of This
3 Minute Read I’ve been tempted to throw my laptop/ iPhone across the room in recent weeks. This coronavirus thing and the political and economic chaos it has wrought, not to mention the morbidity and mortality that accompanies it have pushed me to the brink. And many healthcare professionals have intimated to me that they […]