Name
B11 - One Organization: Three Systems of Care - Reverse Integration in Action
Description

In response to the long-standing challenges and risk of poor health outcomes associated with traditional models of behavioral health services, Merakey’s Reverse Integration System of Care (SOC) brings the individuals served, their families, and supports together to improve outcomes for those with complex behavioral health challenges, multi-system involvement, and need. The SOC approach emphasizes that types and combinations of services should be based on the individualized needs of every person walking through the door, with “no wrong door” as the entry point. Rather than traditional “intakes” for specific service, a SOC embodies a philosophy of assessment and referral. Individualized assessment and treatment planning determines the intensity and type of services and supports that would be most beneficial to the individual. This requires understanding that “one size does not fit all.” We will walk through three models of Reverse Integration: CCBHC clinics, COE in a Methadone clinic, innovative program involving coordination of 13 different programs into one System of Care.

Date & Time
Thursday, October 24, 2024, 1:00 PM - 2:00 PM
Jena Fisher Natalie Weaver
Co-Authors
Joshua Vigderman, Mark O'Dwyer, Holly Karalus
Content Level
All Audience
Tags
Bidirectional, Complex Patient Care, Innovations, Population and public health, Social determinants of health (SDoH), Team-based care
Session Type
Concurrent
Location Name
Presidio C
Objective 1
Identify different models of Reverse Integration within a behavioral health system of care
Objective 2
Understand ways to assess for and define levels and elements of a System of Care
Objective 3
Recognize differences in outcomes for systems of care compared to more traditional and siloed service delivery models
Content Reference 1
Satcher, D., & Rachel, S. A. (2017). Promoting mental health equity: the role of integrated care. Journal of Clinical Psychology in Medical Settings, 24, 182-186.
Content Reference 2
Das, P., Naylor, C., & Majeed, A. (2016). Bringing together physical and mental health within primary care: a new frontier for integrated care. Journal of the Royal Society of Medicine, 109(10), 364-366.
Content Reference 3
Wells, R., Kite, B., Breckenridge, E., & Sunbury, T. (2018). Community mental health center integrated care outcomes. Psychiatric Quarterly, 89, 969-982.
Content Reference 4
Sunderji, N., Ion, A., Ghavam-Rassoul, A., & Abate, A. (2017). Evaluating the implementation of integrated mental health care: a systematic review to guide the development of quality measures. Psychiatric Services, 68(9), 891-898.