At the 2024 CFHA Annual Conference (Session G13), the presenter shared 20 years of PCBH education at HealthPoint, the largest FQHC in King County, WA — covering onboarding, precepting, and common sticking points for learners new to integrated care. This session picks up where that one left off. HealthPoint launched its PCBH program in 2002 and began training BH learners in 2004 and has been an internship site in the APA-accredited Cascades Region of NPTC since 2017, currently training 8 pre-doctoral interns and up to 5 post-doctoral fellows annually across a 103,000-patient, 20-clinic FQHC. Drawing on intern outcome data stratified by prior primary care experience, this session examines who stays in primary care after PCBH training, what predicts that commitment among trainees without prior primary care backgrounds, and how training directors can identify resilient candidates and build the professional durability that sustains careers in high-demand integrated care settings.

Move beyond the “why” of pediatric Collaborative Care and into the operational “how.” Drawing on implementation experience across more than 25 diverse pediatric practices, this multidisciplinary panel addresses common real-world challenges in scaling pediatric CoCM. Topics include caregiver dynamics, school collaboration, hybrid care design, pediatric measurement-based care, and billing optimization. The session concludes with an interactive Case-Solving Lab where attendees bring persistent implementation barriers for real-time troubleshooting.

Adverse childhood experiences (ACEs) are well-established drivers of poor mental health outcomes in children. Yet, to our knowledge, they are not consistently screened for in pediatric Collaborative Care (CoCM) Models, and the relationship between ACEs and positive outcomes in CoCM is unknown. This presentation examines how ACE burden influences the level of psychiatric services required by pediatric patients within a tiered collaborative care framework, exploring whether higher ACE scores are associated with escalation beyond what a pediatrician can manage within a traditional integrated care setting. Additionally, we look at if ACE scores are predictive or poorer outcomes in collaborative care and the need for long term care from a psychiatrist. Our findings suggest that ACE burden is a meaningful predictor of care escalation and but not necessarily long term care needs, with implications for how collaborative care models can be structured to better identify and support children with adverse childhood experiences.

The Medicare Annual Wellness Visit (MAWV) helps older adult patients and their physicians develop a personalized prevention plan to address major health needs. Although this routine visit provides important information to improve health outcomes, professionals often fail to utilize family members and larger social networks to help increase retention for patients to these visits. This presentation will introduce a collaborative and systemic approach to help older adult patients complete their wellness visits, incorporating medicine, behavioral health, nursing, and case management to help assess for the "4Ms" of care (mobility, mentation, medications, and What Matters). The presenters will highlight an ongoing pilot clinic that has been embedded in both Family Medicine and Geriatrics to help triage services and referrals effectively for patients and family members.

This presentation describes the process of adapting integrated behavioral health consultations for a predominantly Hispanic and Spanish-speaking population in the Rio Grande Valley. It highlights practical strategies for translating and culturally adapting Acceptance and Commitment Therapy (ACT) experiential interventions into Spanish within the time constraints of primary care. The session will demonstrate how clinicians conduct contextual interviews in Spanish, assess emotional processes, and deliver brief ACT-consistent interventions in culturally responsive ways.

While food insecurity is highly prevalent in households with children, few interventions have been developed that reduce food insecurity. Integrative solutions that draw on practitioners/clinicians expertise from multiple disciplines and sectors that work with families on a day-to-day basis are needed to inform interventions. This presentation will share results from focus groups that used Human Centered Design principles with multidisciplinary practitioners/clinicians working across health care, education, hunger relief, faith-based, and policy sectors to identify potential integrative intervention approaches to reduce food insecurity with primary care as a base for delivery.

Patients of all ages frequently bring grief-related concerns to primary care, but many clinicians struggle to assess these concerns within the limited time frame of integrated visits. This session will review practical screening tools that help distinguish prolonged grief disorder, depression, PTSD following traumatic loss, and non-clinical grief responses in adolescents and adults. Presenters will also walk through brief strategies for standard 30-minute behavioral health consultations to help patients stabilize, cope, and stay connected to care. Common challenges—such as cultural considerations, time pressures, and questions about when to refer—will be discussed with an emphasis on realistic, everyday application. The session is designed to be interactive, giving participants space to reflect on their own clinical experiences and strengthen their confidence in addressing grief in primary care.

Adolescent depression and suicide rates are increasing, underscoring the urgent need for effective treatments. This retrospective cohort study (of over 16,000 adolescents) investigated whether Collaborative Care Management (CoCM), a team-based primary care approach, could accelerate depression remission compared to usual care. The findings revealed that adolescents enrolled in CoCM achieved remission of depressive symptoms nearly twice as fast as those receiving usual care (HR=1.85). This research supports CoCM as an effective intervention for improving depression outcomes in adolescents.

To examine collaborative strategies between PCPs and BHCs to support lifestyle changes among Hispanic patients.To highlight challenges, opportunities, and recommendations for implementation.

Addressing the long wait times for autism diagnostic evaluations is a critical challenge, but pediatric primary care offers a powerful setting for change. In this session, a cross-disciplinary team featuring a primary care psychologist and the clinic’s medical director will share how they successfully built an integrated behavioral health pathway to expedite autism evaluations of toddlers. Attendees will explore real-world data evaluating the extent to which this model reduces wait times and advances health equity for historically underserved families. Furthermore, the presenters will highlight their unique, community-engaged research, through which they partner with autistic self-advocates and parents of autistic children to co-design continuous primary care support after diagnosis. Join us to learn practical strategies for bridging the gap between primary and specialty care while keeping the perspectives of patients and families at the forefront.

Primary care teams are uniquely positioned to identify and manage dementia and cognitive concerns, yet fragmented workflows, unclear roles, and limited interdisciplinary diagnostic support often impede timely and accurate evaluation. This presentation outlines the development and regional implementation of an integrated cognitive screening and diagnostic support workflow designed to enhance primary care’s ability to assess cognitive changes, support earlier diagnosis, and initiate appropriate treatment and care planning. Through a multidisciplinary, collaborative design process, the workflow standardizes handoffs, clarifies team roles, and embeds cognitive assessment tasks into real world clinic operations. Attendees will learn how behavioral health providers, nurses, and PCPs coordinate screening, functional assessment, and preliminary interpretation to streamline cognitive evaluation. The session provides actionable design principles and rollout strategies that health systems can adapt to strengthen cognitive care within primary care settings.

Women experience distinct behavioral health risks across reproductive and midlife transitions, yet guidance for implementing Collaborative Care within women's health settings remains limited. This session shares insights from a newly formed national workgroup focused on advancing women's health CoCM. Presenters will highlight emerging themes, implementation barriers, and strategic priorities identified through cross-sector dialogue. Attendees will engage in discussion to help shape the future direction of this work.

Behavioral health (BH) faculty in Family Medicine Residencies (FMR) play a critical and often under-recognized role in preparing the next generation of physicians to deliver integrated, whole-person care. However, findings from the inaugural CFHA Family Medicine Behaviorists Workgroup (FMBW) survey reveal a number of structural barriers including lack of protected time for educational duties. The first half of the session analyzes the FMBW data, focusing on the impact of "invisible labor" around teaching integrated care. The second half offers evidence-informed educational strategies, such as integration-centric teaching drills and real-time coaching, that align with ACGME milestones and STFM competencies.

The California Quality Collaborative (CQC), part of the Purchaser Business Group on Health, has been convening a Behavioral Health Integration (BHI) Payer Workgroup in 2026 to accelerate adoption of integrated behavioral health and primary care across California. While many health systems and primary care organizations are implementing integrated care models such as the Collaborative Care Model (CoCM) and Primary Care Behavioral Health (PCBH), payment and data infrastructure within commercial health plans often lag behind clinical innovation. Commercial payer policies can unintentionally create barriers to implementation of behavioral health integration through fragmented payment models, limited data infrastructure, and misaligned incentives. At the same time, health plans play a critical role in scaling integrated care through value-based purchasing, network requirements, and strategic data use. Join to hear progress, alignment with purchaser and policymakers and recommendations from the workgroup to apply in your own partnerships.

This session presents a comprehensive, multimodal approach to integrated behavioral health in pediatric primary care settings using Walpole Pediatric Associates (WPA) as a case study. WPA’s approach to integrated behavioral health provides preventive, diagnostic, episodic, and long-term psychotherapy, as well as psychiatric medication management services as both direct and consultant service provision. By offering a continuum of psychotherapeutic services within the child’s pediatrician’s office, patients receive timely and accessible treatment, provided with multidisciplinary provider collaboration. The continuum of care also provides financial sustainability through established, dependable, and long-term funding sources.

This presentation will review methods and outcomes from a multisite trial that examined the effectiveness and implementation potential of a brief cognitive behavioral therapy(bCBT) intervention for anxiety delivered either in-person or via video telehealth. Brief CBT was delivered by existing Primary Care Mental Health Integration (PCMHI) providers at three large VA Medical Centers (Houston, New Orleans, and San Antonio). Outcomes examined the clinical effectiveness of the bCBT intervention vs. Enhanced Usual Care (EUC) for anxiety at 4-, 8-, and 12-month follow-ups.

The ASPIRE Study aims to expand access to behavioral health services across the cancer care continuum by embedding a high-fidelity Primary Care Behavioral Health (PCBH) model into a primary care clinic in the Rio Grande Valley, a predominantly Hispanic, Spanish-speaking region with limited access to health services. An additional key aim of the ASPIRE project is to develop a 4-visit PCBH pathway grounded in focused Acceptance and Commitment Therapy (fACT) for patients with a history of cancer treatment, patients undergoing active treatment, and individuals at elevated cancer risk due to chronic disease or health behaviors. This presentation will describe the CARE pathway protocol, the pilot testing process, and lessons learned from early implementation. Attendees will gain insights into delivering brief ACT-based interventions for cancer-affected and high-risk patients within primary care settings.

Family-centered care (FCC) is an essential component of pediatric collaborative care that supports treatment engagement and improved outcomes; however, barriers to using patient and caregiver feedback to improve practice are well-documented. This presentation draws on the experience of a pediatric collaborative care program, which is part of an academic-community partnership that has served nearly 400 children and adolescents, to describe how our interprofessional team measured FCC and applied caregiver insights to improve the quality of integrated services. We will share lessons learned in collecting survey-based input from caregivers on the quality of integrated care.

This presentation describes how a large, non‑profit healthcare system transformed its Behavioral Integrated Program—comprising over 50 licensed psychologists embedded in primary care, specialty care, and assessment—from losing millions of dollars annually to achieving financial break‑even. At a time when healthcare is at a crossroads, we outline the strategic, operational, and cultural shifts that aligned integrated psychology with value‑based care while improving access and quality. The session highlights the importance of role clarity, brief population‑based care models, and system‑level leadership in achieving sustainability.

Cascadia Health is a Certified Community Behavioral Health Center (CCBHC) and Federally Qualified Health Center Look-alike (FQHC LA) located in Portland, OR that serves individuals with serious mental illness (SMI) and substance use disorder (SUD). With funding and technical support from our primary Medicaid payor, Cascadia developed and tested a new Contingency Management (CM) program for individuals with active methamphetamine use (MeU). In this session we will share the evaluation stage of our CM pilot, including our approach to evaluating fidelity. Participants will actively engage in discussion around challenges of balancing rigor and reality of program evaluation in community healthcare and leave with strategies and tools they can apply in their healthcare setting.

Meet Barbara, a retired schoolteacher living in the Bitterroot Valley, and Sarah, a licensed clinical social worker specializing in integrated care, and see how the Integrated Behavioral Health (IBH) Initiative is helping improve the lives of Montanans. "Barbara & Sarah" is an intimate, 7-minute documentary that follows a patient and a BHC from their lives to the exam room. This film is a vulnerable look at the importance of finding mental health resources through local primary care providers. This session will share one patient’s story, one organization’s journey, and one state’s efforts to achieve widespread implementation of IBH. Film screening followed by Q&A with BHC Sarah McNair, LCSW, and Liz Davies, LCSW, Montana Healthcare Foundation.

This session will highlight the role of behavioral health consultants as part of a multidisciplinary team in addressing vaccine-related distress among children and adolescents. Attendees will learn about best practices in vaccine administration for pediatric patients experiencing internalizing or externalizing symptoms related to the need for a vaccination. This session will highlight evidence-based brief interventions for BHCs in a pediatric primary care setting. We will also share about recent introduction of Buzzy Bee in our clinic, a FDA approved non-pharmacological pain management device used during vaccinations. Preliminary findings of Buzzy Bee versus a standardized brief behavioral health intervention will be shared in terms of group differences on variables such as anxiety, pain, and overall patient satisfaction.

This presentation aims to prepare clinicians with practical assessment and intervention tools for supporting patients with digestive conditions. We will unpack the role of the brain-gut axis and review current evidence-based behavioral strategies for improving management of GI symptoms and addressing common comorbid mental health concerns. This presentation is designed for healthcare providers working in either primary care or specialty care settings who are likely to see patients presenting with gastrointestinal symptoms.

Primary Care Associations (PCAs) serve as a critical bridge between policy, practice, and community in the delivery of integrated healthcare. This session explores how PCAs support community health center teams in advancing collaborative, whole‑person care through technical assistance, workforce development, quality improvement, and systems‑level coordination. Attendees will learn how PCAs help translate integrated care principles into sustainable, real‑world practice across diverse settings. Practical examples from Iowa, Michigan and Georgia will illustrate how PCAs partner with health centers to address challenges related to operationalizing models of integration, policy and finances, and team‑based care dynamics. This session is designed for participants seeking a systems‑level perspective that complements day‑to‑day clinical integration work.

CFHA’s Family-Centered Care Workgroup developed a set of best practice recommendations to support stakeholders across the healthcare system in implementing family-centered approaches to care. This session will provide an overview of tangible action steps for every level of the healthcare system, including: clinicians across all disciplines and care delivery models (e.g., CoCM, PCBH), clinical administrators, medical and behavioral health educators, researchers, EHR developers, payors, and policymakers.

Collaborative relationships between Primary Care Providers (PCPs) and Behavioral Health Consultants (BHCs) are essential to effective behavioral health integration. This engaging session highlights lessons from a three-year Primary Care Behavioral Health (PCBH) initiative that paired PCPs and BHCs during clinical practice to strengthen collaboration and expand integrated care delivery. Initially launched as a pilot, the initiative grew to include five PCP–BHC groups with evolving pairings and expanded into additional settings including women's health GYN clinics and senior residential care. This session will share strategies used to address PCP buy-in, implementation challenges, and practical lessons from scaling the model. Participants will also review qualitative insights and quantitative outcomes, including improvements in visit volume, patients served, and population penetration rates associated with the pairing initiative.

Integrated behavioral health models have transformed primary care, but have we carried forward a generalist diagnostic culture into contexts where greater diagnostic specificity better serves patients and systems alike? This session presents a novel behavioral health clinician-led pre-visit diagnostic review workflow designed to interrupt diagnostic momentum, support primary care providers in refining behavioral health diagnoses, and examine what becomes possible, clinically and financially, when diagnostic precision is treated as a team priority. Attendees will engage with QI outcome data on diagnosis acceptance rates and risk adjustment factor lift, and explore a replicable process through a spirit of curiosity and openness.

Despite significant investment in expanding behavioral health access, many Federally Qualified Health Centers struggle to translate screening and referral efforts into measurable population-level outcomes. This session describes how Oak Orchard Health, a multi-site rural FQHC in Western New York, redesigned its integrated behavioral health model by embedding standardized screening, automated referral pathways, and real-time performance dashboards directly into the electronic health record. A cross-trained care management team integrating Collaborative Care, Chronic Care Management, and social care coordination created closed-loop workflows and shared accountability for follow-up. The approach increased follow-up after positive depression screens from 22% to 79% in under two years and expanded social determinants of health outreach to thousands of patients. Participants will learn practical strategies for building technology-enabled, financially sustainable models that improve behavioral health outcomes and reduce disparities in underserved populations.

This presentation will explore how cultural humility promotes health equity within pediatric health care settings. Drawing on current literature and integrative health frameworks, the session will highlight how culturally responsive approaches can improve patient engagement, communication, and health outcomes among diverse pediatric communities. Participants will be able to differentiate cultural humility from cultural competence and discuss the importance of ongoing self-reflection, partnership with families, and awareness of social and cultural influences on health. Participants will also learn practical strategies that multidisciplinary care teams can incorporate into clinical practice to support culturally responsive care. Emphasis will be placed on collaborative approaches that strengthen trust, improve communication, and allow for more equitable care.

Family medicine residents frequently encounter patients with behavioral health needs but receive limited practice‑based training to manage these needs. This session describes a psychologist co‑precepting model implemented in continuity clinic to reinforce biopsychosocial reasoning and enhance skills in the areas of communication, motivational interviewing, trauma‑informed care, and risk assessment. The session will include review of mixed‑methods program evaluation data, including impacts on resident confidence, resident skill development, and patient‑level process outcomes (the latter may not be available at the time of this conference). Attendees will observe demonstrations of co‑precepting strategies and engage in applied micro‑skills practice relevant to integrated primary care settings. The session is ideal for clinicians, educators, and program leaders seeking scalable approaches to behavioral health training in residencies.

Integrated care models emphasize whole‑person, biopsychosocial treatment, yet many Behavioral Health Clinicians continue to receive predominantly mental‑health‑focused referrals, limiting their impact on medical conditions such as chronic disease, chronic pain, and lifestyle‑related concerns. This misalignment not only reduces the effectiveness of integrated care but also contributes to clinician burnout when expectations for team‑based medical collaboration do not match day‑to‑day practice. This presentation will explore system‑level factors that drive mental‑health‑only referral patterns and discuss their implications for patient care, team functioning, and BHC role sustainability. Practical strategies will be offered to help BHCs advocate for and increase medical‑based referrals within their clinics, strengthening comprehensive care and reinforcing the full scope of their professional expertise.

The traditional collaborative care model (CoCM) clearly sets the standard for treatment of mild-to-moderate depression and anxiety in primary care. Our patients with severe mental illness (SMI) who are connected to primary care have traditionally been excluded from CoCM even if they are not linked to current behavioral health services, which has been a frustration point for both primary care providers and patients. We will present a model of care for expanding collaborative care to patients with SMI that respects the tenets of collaborative care, while also adapting to the realities of caring with patients with SMI. This presentation is applicable to clinicians, policy makers, and health administrators involved in fee-for-service and value-based care.

Effective supervision of Behavioral Health Care Managers (BHCMs) is critical to successful implementation of Collaborative Care (CoCM). This session reviews practical strategies for supervising BHCMs using program and fidelity metrics—such as follow-up rates, screening completion, registry use, and caseload size to guide supportive supervision. Participants will have the opportunity to use sample metrics to practice data-driven performance support. Participants will also consider how factors like education, clinical experience, and whether a BHCM is new or transitioning roles can shape supervisory style, expectations, and professional development. The session highlights the role of the psychiatric consultant in providing BHCMs with education, case-based guidance, and support for treatment-to-target decision making through the Systematic Caseload Review (SCR). Attendees will leave with actionable approaches to balance accountability and mentorship while maintaining high-fidelity CoCM implementation.

Inflammatory Bowel Disease (IBD)—encompassing Crohn’s disease and ulcerative colitis—is a chronic, relapsing condition that extends far beyond gastrointestinal symptoms to affect mental health, intimate relationships, social functioning, and overall quality of life. Despite this, behavioral health remains largely absent from IBD care teams, and the research on integrated behavioral health interventions for this population is sparse compared to other chronic illness populations. This interactive workshop invites clinicians, primary care providers, and researchers to explore the biopsychosocial burden of IBD, examine the current research landscape and its gaps, and engage with practical frameworks for integrating behavioral health into GI care settings. Attendees will leave with greater clinical awareness, concrete strategies for supporting IBD patients, and a shared call to generate the research this population urgently needs.

This session presents a training curriculum and supervision model developed for bachelor's-level behavioral health care managers (BHCMs) working within the Collaborative Care Model in an academic medical center setting. Although no national degree requirement exists for the BHCM role, workforce constraints have made it necessary to expand beyond traditional master's-level hiring pipelines. Attendees will learn how a competency-based curriculum and psychologist-led supervision — combined with weekly psychiatric case consultation — can prepare bachelor's-level providers to take on this role effectively. BHCM perspectives on training, skill development, and working in collaborative care are centered throughout the presentation.

Integrated behavioral health improves outcomes and reduces healthcare utilization, yet little research examines how IBH functions in rural charitable clinics. This session describes the implementation and evaluation of an IBH program within a rural Appalachian charitable clinic. Using a mixed-methods design, data from electronic medical records patients, patient satisfaction surveys, interprofessional team surveys, and patient and provider interviews were analyzed. Results show high patient satisfaction, strong perceived impact on emergency room avoidance and work stability, and improved team collaboration, while also identifying challenges to program implementation. Participants will leave with practical insights into adapting IBH models, selecting appropriate outcome measures, and collaborative program evaluation processes in rural settings with an underserved patient population.

This session presents a Year One evaluation of an adapted Primary Care Behavioral Health (PCBH) model implemented in a smaller community-based primary care clinic with one embedded LCSW. Participants will learn how same-day warm handoffs, needs-responsive follow-up care, and structured EMR tracking were operationalized to support sustainability and scalability. We will share data from first year including:

• volume and utilization
• payer-mix and demographics
• patient risk composite scores
• patient and provider satisfaction
• workflow, lessons learned

The session highlights how this donor-initiated pilot is being evaluated for replication across UNC Health Medical Group to bridge behavioral health access gaps. Als share and discuss strategies for successful implementation in community-based primary care practices.

An organization-wide implementation of a behavioral health topic of the month to advance integration through growing knowledge and skills of BHCs and PCPs alike. Each month has a new topic to explore, identifying fundamental knowledge, evidence-based interventions, and highlighting opportunities for collaboration in the care of several common medical concerns of primary care. We will explore how this project came to be, buy-in across leadership for proper implementation, and the flourishing engagement and enthusiasm for this format of on-going learning from clinic teams.

Given the often competing expectations of our primary care providers and the PCBH model, our presentation seeks to provide a pragmatic approach towards maintaining model fidelity while caring for our patients' needs. Taking into account more common scenarios, such as complex family dynamics, ADHD, and SDOH needs, the three presenters navigate the often disparate world of providers, supervisors, organization structure, and, most importantly, the families themselves.

This presentation aims to demonstrate how to leverage interprofessional training to achieve the following: 1.Equip diverse healthcare professionals—including those in behavioral health, medical, nursing, and other allied health fields—with the skills to apply a family/systemic framework effectively in team communication and patient care, recognizing and navigating varied professional "languages," conceptual "frames," and clinical foci. 2.Illustrate the practical implementation of interprofessional training approaches through three distinct examples: an inpatient rotation, interprofessional group supervision, and collaborative evaluation of family-framed skill development, highlighting strategies for fostering cross-disciplinary understanding. 3.Provide an experiential learning opportunity for participants to either develop skills in facilitating such interprofessional training (for educators, supervisors, preceptors, or teachers) or to actively engage in the training process (for students, trainees, residents, or clinician-learners), thereby enhancing their capacity for integrated communication and collaboration.

To learn how the Mood, Anxiety, ADHD Collaborative Care (MAACC) program at Lurie Children’s Hospital is leveraging their relationship with a network of community therapists to increase their patients’ access to evidence-based mental health treatment. Will discuss how the MAACC Program has identified 285 clinicians across the state who have a level of expertise in delivering evidence-based treatment (EBTs) to youth. Additionally, the program will discuss avenues for training and supporting this network of community therapists in implementing EBTs. For example, the MAACC program holds monthly meetings focusing on an EBT. Additionally, they are building out a well-established website to include training materials on EBTs for community therapists.

We would like to share our process for developing our Adult ADHD Battery, experiences working with our operations department to ensure this service is financially beneficial, experiences with the testing and report writing process, as well as feedback received from the physicians and APPs who refer patients for our ADHD evaluations. We hope to hear from others who are attempting this as well as to encourage other primary care psychologists to offer these services within the primary care setting given that often, adults are presenting with ADHD symptoms and requesting treatment in the primary care setting. We will share preliminary data; patient demographic data of those who have completed evaluations, results of the evaluations (what percentage of patients met criteria for ADHD and adherence with recommended treatment plan) and results from a questionnaire we created to assess physician and APP satisfaction with the service. We are interested in a 30 min oral presentation or a poster presentation, with a preference for consideration for the 30 min oral presentation.

Chronic pain is highly prevalent yet behavioral health treatments remain underutilized, particularly in rural underserved primary care settings. This presentation describes a randomized controlled study examining whether brief biopsychosocial pain psychoeducation influences patients’ intentions to seek behavioral health care. Findings suggest that psychoeducation increased endorsement of psychological pain beliefs and increased willingness to pursue behavioral health treatment. Provider recommendation also significantly increased treatment-seeking intentions. Implications for integrated primary care workflows and behavioral health engagement strategies will be discussed.

Pediatric primary care is uniquely positioned to address nutrition as a foundational driver of lifelong health, yet few practices have fully integrated sustainable nutrition services into routine care. This presentation will share a practical, interdisciplinary roadmap for launching and scaling a pediatric nutrition program within a busy primary care setting. Attendees will learn strategies for engaging clinical teams, designing efficient workflows, aligning reimbursement and value-based revenue, and demonstrating patient impact. Real-world lessons will highlight common barriers, solutions, and measurable outcomes.

Mental health conditions are among the most common complications and a leading cause of maternal mortality during the perinatal period, yet many obstetric clinics lack integrated behavioral health services to address these needs. This session describes the development and early implementation of an integrated perinatal mental health clinic, supported by a maternal health innovation grant, embedded within an academic OBGYN residency practice in St. Louis, Missouri. The clinic is comprised of an interdisciplinary care team comprised of an OBGYN, Medical Family Therapist, Clinical Pharmacist, Nursing, Social Work, Community Health Workers in order to provide patient centered care that includes psychotherapy, psychopharmacological treatment, consultation, and care coordination for patients experiencing perinatal mood and anxiety disorders, trauma histories, and social determinants of health challenges. Additionally, the clinic serves as bridge to perinatal psychiatric care; utilizing internal and community resources. Presenters will share early clinical outcomes, discuss interdisciplinary collaboration, workflow integration, and strategies for addressing barriers to care in maternal health settings. Attendees will leave with practical lessons for implementing integrated behavioral health services within obstetric practices serving diverse and underserved populations.

Research demonstrates that medical residents gain substantial benefits from working closely with behavioral health providers, enhancing both their behavioral health competencies and their readiness for practice within integrated teams. Subsequently, behavioral health training has become increasingly prioritized in residency education. In this presentation, we will share how behavioral health faculty at Geisinger Health System have implemented behavioral health training within the system’s pediatric and family medicine residencies. We will explore the similarities and differences of the residency-specific training approaches, as shaped by faculty background, program needs, and clinical workflows. Finally, we will highlight barriers we’ve encountered, adaptations made based on resident feedback data, and lessons learned to support the re-imagining of integrated care training across diverse residency programs and healthcare delivery systems.

People with intellectual and developmental disabilities (I/DD) experience significant health disparities and fragmented access to care. Missouri recently launched one of the nation’s first statewide Developmental Disabilities Health Home programs, integrating medical, behavioral health, and social supports for approximately 11,000 individuals. This session highlights the innovative care model, early implementation lessons, and qualitative success stories from the program. Presenters will also discuss emerging evaluation strategies and future research priorities aimed at improving outcomes and reducing health disparities for people with I/DD. Attendees will gain practical insights for replicating integrated care models for complex populations.

Elimination disorders (constipation, encopresis, enuresis, “accidents”) are common concerns in pediatric primary care. Treating these disorders often involves behavioral changes in addition to medication options. PCBH providers are well situated to support families and medical providers in implementing these changes. However, they often lack the foundational knowledge of elimination disorders and their treatment, which is necessary for them to provide the needed support. This poster aims to provide that foundation.

This workshop covers postpartum PTSD linked to childbirth, a key factor in disparities in maternal mental health among marginalized women. It highlights gaps in screening and the disconnect between obstetric and behavioral health systems. Echoing “Breaking Boundaries,” the session promotes integrating trauma-informed PTSD screening into perinatal care. Participants will engage in interactive training to enhance research, evaluation, and quality-improvement skills. By the end, they will have a draft, equity-focused plan to expand maternal mental health services in their institutions.

Is integration different for youth? This presentation synthesizes evidence from two meta-analyses and a scoping review with taxonomic analysis summarizing what is known about integrated primary care for youth. Overall, the evidence indicates that integrated pediatric primary care improves access to behavioral health services and clinical outcomes. However, the literature reveals substantial inconsistency in how integration models are defined, implemented, and reported. Most studies reporting use of a specific model (e.g., PCBH, CoCM) do not meet essential model components, and several pediatric-specific components and workforce configurations emerged. We conclude by facilitating discussion about whether pediatric research should better report and adhere to adult-derived models or whether pediatric-specific models are needed.

This session will explore clinician perspectives on the use of the Behavioral Health Consultant Observation Rating Scale (ORS) as a tool for monitoring fidelity to the primary care behavioral health (PCBH) model. Behavioral Health Consultants (BHCs) piloted the tool after completing a training workshop and provided feedback on its perceived feasibility, acceptability, and usefulness. Guided by the Consolidated Framework for Implementation Research (CFIR), this study examines barriers and facilitators to implementing the ORS within PCBH clinics. Implications for real-world implementation of observational fidelity monitoring tools in PCBH settings will be discussed.

Learn about this newly funded program through Innovations in Nutrition to connect adults age 60+ with a diagnosed mental illness to their local senior meal. This student-integrated program is exploring community connections and evaluating effectiveness in improving nutrition, reducing isolation, and achieving wellbeing. Preliminary results from community needs assessment and collaborative relationship development will be shared.

In this presentation, attendees will learn how Hahnemann Family Health Center, an urban primary care clinic, developed a feasible model for conducting autism spectrum disorder (ASD) evaluations entirely within integrated behavioral health visit structures. Presenters will walk through the assessment protocol — including use of the CARS-2, structured family interviews, and collateral gathering — and describe how evaluations are typically completed across just two 30-minute visits. Audience members will hear preliminary findings from approximately 10 families, including patterns around long-standing unaddressed developmental concerns and the apparent impact of the COVID-19 pandemic on early identification. Attendees will leave with a concrete understanding of how primary care teams can offer timely, ASD assessment to underserved urban communities — often scheduling evaluations within two weeks compared to the months-long waits typical of specialty referrals. This presentation will be of particular interest to integrated behavioral health providers, primary care clinicians, and anyone working to expand equitable access to developmental services.

This session will detail the implementation of a communication coaching and leadership development program and its impact on Internal Medicine learners and physicians across the career span. Survey results from participants indicate that a majority found the program helpful. Respondents reported benefits to communication skills, clinical care, and professional satisfaction, suggesting that the program may contribute to core competencies and components of the quintuple aim, including improving clinician and patient experiences.

Discover how one independent pediatric practice is successfully scaling its Collaborative Care Model (CoCM) program beyond initial implementation to achieve true sustainability and reach more children in need. This practical session will share real-world strategies for expanding integrated behavioral health services across multiple locations while building and retaining a skilled team of behavioral health care managers. Learn evidence-based solutions to the most pressing challenges facing CoCM programs: achieving financial viability, developing robust staff training pipelines, reducing turnover, and keeping collaborative care top-of-mind for busy pediatric primary care providers. Attendees will leave with actionable implementation strategies and tools to grow their own integrated behavioral health programs within the pediatric medical home model.

This presentation challenges behavioral health leaders and clinicians to recognize that the Collaborative Care Model's evidence base was not built with marginalized communities in mind — and that without cultural responsiveness, even well-implemented CoCM will fall short for the patients who need it most. Drawing on 20 years of clinical leadership and CoCM expertise, Giorgio Chatelain examines how race, gender norms, historical trauma, and systemic mistrust shape patient engagement, and offers concrete adaptations to make integrated care more equitable. Attendees leave with practical tools, a team culture framework, and a clear lens for evaluating whether their CoCM implementation is truly closing health disparities — or quietly widening them.

Although many older adults are resilient to common stressors and aging processes, some present to primary care with depression, anxiety, cognitive impairment, and complex medical comorbidity, yet implementation guidance for geriatric-focused Collaborative Care remains limited. This session shares insights from a newly convened national Older Adult CoCM workgroup. Presenters will highlight emerging clinical, operational, and policy themes identified through cross-sector dialogue. Attendees will engage in discussion to help shape future directions for geriatric Collaborative Care.

This session explores how to implement Contingency Management (CM) in primary care through strong interdisciplinary collaboration. Presenters will review key components such as workflow design, staffing, sustainable funding, fidelity safeguards, and lessons from rural and urban pilots. Attendees will learn about common barriers and practical strategies to address them while building coordinated support systems. The session provides actionable steps to help clinicians and program leaders translate CM from evidence into everyday practice.

Growing behavioral health service lines create fragmentation, including bottlenecks in scheduling, inconsistent handoffs, redundant triage processes, and increasing operational strain across hospital systems. To address these gaps, CentraCare developed a “Traffic Controller” role, titled the Behavioral Health Access Manager (BHAM)—to centralize navigation, streamline communication, manage referral flow, and operationally support a rapidly expanding Integrated Behavioral Health (IBH) program. The role focuses on workflow mapping, KPI development, equity‑guided redesign, and cross‑department collaboration to reduce system inefficiencies. The session will feature system leaders describing the development, implementation, and evolution of the BHAM role, offering practical strategies for problem identification, role creation, and operational improvement.

As healthcare systems increasingly emphasize value-based care, addressing behavioral drivers of health is essential to improving outcomes and controlling costs. This presentation describes the implementation of a Collaborative Care Model (CoCM) within a value-based primary care practice of more than 60 providers, where weekly interdisciplinary in-person case reviews include the primary care team, their behavioral health consultant, and a psychiatrist. Program data from the electronic health record and claims data demonstrate reductions in emergency department visits and hospitalizations among enrolled patients, contributing to lower overall healthcare costs. Provider survey results show strong engagement, with 80% of clinicians regularly using the service, 90% reporting increased confidence in medication decisions, and many noting improved patient adherence and reduced burnout. These findings highlight the value of behavioral health–primary care integration in building provider satisfaction, and encourage its application in caring for older and often medically complex patients, with the invitation to expand integration into chronic disease management programs such as CMS Chronic Care Management services to support person-centered care for high-risk populations.

This presentation focuses on a study examining the relationship between couples’ dyadic coping and health behaviors. Using secondary data from the Health and Relationships Project, United States, 2014–2015 (ICPSR Study No. 37404), the study investigates how dyadic coping in stressful situations is associated with individuals’ own health behaviors as well as those of their partners, including smoking, sleep duration, exercise, and alcohol consumption. To examine these associations, the Actor–Partner Interdependence Model is used.

This presentation demonstrates how Burlington Pediatrics/Mebane Pediatrics has operationalized team-based care coordination to extend the reach and impact of pediatric primary care providers. By strategically deploying care navigators, social workers, and referral specialists to manage low-complexity patient needs, the practice has created "force multipliers" that enhance patient engagement, improve access to community resources, and allow care managers to focus on higher-complexity clinical decision-making. The integration of text messaging platforms for broad, low-touch outreach has further amplified the team's capacity to proactively connect with families, demonstrating a scalable model for comprehensive pediatric medical home implementation.

In this session we’ll begin by briefly discussing the hallmarks of Dialectical Behavior Therapy and why it can be so life-changing for chronically suicidal people. We’ll then discuss the ways in which Borderline Personality Disorder, and other disorders of dysregulation, show up in primary care practice. Then we’ll connect the dots and discuss the ways in which DBT can be adapted and applied in a primary care setting, accepting that it will never be fully adherent DBT. We’ll finish with an introduction to DBT case consultation for the benefit of reducing provider burnout.

Emotional and behavioral disorders in children and adolescents are rising, and the Integrated Behavioral Health Prevention (IBH-P) model offers a way to address this need by embedding prevention and early intervention services during routine well-child visits. This quality improvement initiative applied a Plan-Do-Study-Act framework to refine and standardize how prevention services are documented in the electronic health record. Findings indicated variability in practices, highlighting a need for standardization. Lessons learned from this implementation effort offer practical guidance for pediatric IBH programs seeking to operationalize prevention services within routine care.

This presentation will focus on how the mental health crisis effected a rural community hospital system in East Central Illinois. We will show how everyone from the board of directors to the patient have been affected by the shortage of care. Using a panel discussion led by a psychiatrist/board member, hospital CEO, clinic director, family physician, and a family member we will illustrate how focusing on the unmet needs of all involved lead to the production of a successful integrated behavioral health program that was both efficient and effective. We will focus on what has been accomplished by implementing this initiative and reflect on issues that need to be addressed in order to sustain the viability of the program.

School-based health centers (SBHCs) are increasingly asked to expand behavioral health access while maintaining financial sustainability. This session describes a structured planning approach used at Denver Health to transform SBHC behavioral health services using the Primary Care Behavioral Health (PCBH) model while embedding evaluation from the outset. Participants will learn how program design, operational workflows, financial modeling, and evaluation metrics were developed simultaneously to guide implementation. The session emphasizes practical methods for defining access, financial, and integration metrics before launch. Attendees will leave with a replicable framework for designing integrated care programs with built-in evaluation.

Preparing the healthcare workforce to respond. effectively to youth suicide risk requires training that is interprofessional, collaborative, and experiential. This session describes the development and implementation of a virtual reality (VR) within the SHINE program, an interprofessional training initiative focused on suicide prevention and crisis management with youth. Graduate students from Marriage and Family Therapy, Nurse Practitioner, and Occupational Therapy programs participated in the immersive training experience designed to simulate a youth behavioral health crisis, requiring a coordinated team response. Presenters will outline the collaborative process used to design the VR scenario, integrate the simulation into interprofessional training, and implement the experience with students. Lessons learned from student feedback and early implementation will also be shared to inform future project iterations and guide other programs seeking to incorporate immersive simulation into integrated behavioral health training.

This presentation aims to describe the implementation of the Collaborative Care Model (CoCM) in a rural, academic primary care practice with preexisting Primary Care Behavioral Health (PCBH) services. More specifically, this presentation outlines the process of exploration, installation, and initial implementation of CoCM into a well-integrated Family Medicine practice with multidisciplinary faculty and resident physicians, advanced practice providers, and master’s- and doctoral-level learners in marriage and family therapy, clinical health psychology, and pediatric school psychology. This presentation also describes the experiential and didactic training provided to interprofessional learners to enhance their clinical skills, facilitate utilization of a registry to support population health, and gain experience in consulting with psychiatric providers. Additionally, this presentation will examine the strengths and barriers of this program’s parallel CoCM-PCBH implementation, discuss learner experiences with these models, and identify future directions for growth and efforts to increase measurement-based care. By the end of this presentation, participants will be able to describe key milestones of this program’s implementation process and consider applications to their own clinical settings and training programs.

This session will offer a practical guide for how health systems can elevate and integrate the voices of frontline healthcare professionals when undergoing large-scale change. To illustrate this approach, we will draw on two recent projects from Northwestern Medicine’s Collaborative Care rollout: qualitative interviews with behavioral care coordinators and with primary care physicians. Session attendees will learn how rapid qualitative methods can be used to efficiently gather perspectives and translate insights into meaningful improvements in integrated care delivery. Examples will demonstrate how listening to and acting on clinician perspectives strengthens implementation and enhances team-based care.

Mid‑career integrated health professionals often find themselves balancing deep expertise with growing pressures, and this ELO creates space to acknowledge both. The Work Ahead brings professionals together for meaningful connection, honest conversation, and renewed purpose. Through networking, a professional Q&A panel, and interaction, participants will explore the realities of the mid‑career while identifying opportunities for growth and impact. Attendees will leave with greater clarity, strengthened community, and a sense of optimism about the path forward.

Join us to explore a quality improvement (QI) project aimed at strengthening measurement-based care (MBC) in pediatric integrated behavioral health. This session will first establish the critical importance of MBC in pediatric primary care. We will then present a real-world example of how one clinic successfully enhanced its fidelity to MBC utilizing the DMAIC (Define, Measure, Analyze, Improve, Control) framework for QI. Learn from our journey, including both our achievements and the obstacles we navigated, while gaining an overview of the DMAIC process in action.

Primary Care Behavioral Health (PCBH) is an integrated care model in which Behavioral Health Consultants (BHCs) are embedded in the primary care team to provide onsite behavioral health care. The model’s core practice elements are summarized by the acronym GATHER; BHCs act as Generalists who see patients with a wide range of presenting concerns across the lifespan, remain Accessible for same-day visits and consultations, work in a Team-based environment, maintain High productivity, serve as Educators to the care team, and function as a Routine part of patient care. The aims of the present study were to examine how each of the GATHER components are associated with PCP satisfaction and explore which components are the strongest predictors of satisfaction. Because successful PCBH implementation depends on PCP buy-in, understanding how aspects of PCBH integration relate to PCP satisfaction may inform efforts to implement and sustain the model.

Despite strong evidence supporting integrated behavioral health care, clinicians rarely receive training in how to engage the policy processes that shape it. This extended learning session offers behavioral health and primary care professionals a grounded introduction to the history and current policy landscape of integrated care, alongside practical skills for legislative and advocacy work. Participants will learn how to build productive relationships with policymakers, communicate effectively across the research-to-policy divide, and craft advocacy messages rooted in their own clinical experience and program data. The session moves from foundational knowledge to applied practice, equipping attendees to become informed and effective advocates for integrated care in their states and communities.

The United States faces a severe behavioral health workforce shortage that limits timely access to care, including in integrated behavioral health settings. While traditional strategies focus on expanding the pipeline of licensed clinicians, these approaches take years to impact workforce supply. This session highlights emerging workforce innovations that expand access now by equipping individuals without clinical licensure to deliver evidence-based behavioral health services within integrated care teams. Drawing from a national white paper and real-world implementation examples, panelists will describe scalable models including bachelor’s-level behavioral health care managers in the Collaborative Care Model, community health workers and peer specialists delivering structured behavioral interventions, and competency-based workforce training pathways. Attendees will learn practical strategies for expanding behavioral health capacity while maintaining quality, fidelity, and team-based care.

Fellowship programs have been proven to increase: job satisfaction, competence, leadership skills, career advancement and exposure to diverse professional networks. Primary Care behavioral health is a team-based approach to providing behavioral health interventions, managing behavioral health and supporting primary care teams. Unity Health Care implemented a two-year behavioral health fellowship to train newly graduated social workers in the PCBH model. The fellowship aims to expand the behavioral health workforce and patient access in underserved communities by the largest community health system in Washington, D.C.

Bachelor-level behavioral health providers are quickly emerging in both academic programs and state credentialing as a potential novel workforce within integrated care. Typically, these provider types deliver psychological treatment under the supervision of independently licensed providers. While there are points of intersection between bachelor and graduate level supervision, there are also distinct differences. This session will explore models of supervision for the bachelor-level workforce through an interprofessional lens highlighting best practices in the clinical supervision literature, emerging frameworks, and experiences from participants.

In fast-paced primary care settings, the Behavioral Health Consultant’s (BHC’s) introduction sets the tone for the entire clinical encounter. This interactive workshop teaches participants how to use the AIDET framework (Acknowledge, Introduce, Duration, Explanation, and Thank You) while embedding core principles of Single-Session Therapy and functional contextualism into the first minute of contact. Attendees will learn how to set clear expectations that patients may get what they need from a single visit and that the focus will be on actionable steps toward living a life of value and purpose. Participants will draft and practice a personalized PCBH introduction designed to strengthen engagement, communicate professional identity, and reinforce the population-based, whole-person model of care.

The “Belly Rubs for Burnout” facility dog program was developed to address rates of burnout and professional distress among resident physicians. Lean quality improvement methodology was utilized to develop and implement the “Belly Rubs for Burnout” program to most effectively address the needs of resident physicians. This session will review the emotional benefits of facility dogs including those related to burnout and mental health. Additionally, this session will address common obstacles and considerations in implementing a facility dog program at an academic health center.

Women leaders in healthcare face intense professional pressures combined with disproportionate family and home responsibilities, increasing their risk for stress and burnout. They also encounter gender inequities and workplace bias, which undermine autonomy and add emotional strain. High emotional demands and limited control within healthcare systems further accelerate emotional exhaustion. Together, these intersecting challenges create conditions in which burnout becomes highly prevalent among women in healthcare leadership. After an introduction to a few salient and sobering points and statistics, hear from 6 members of the CFHA Women in Leadership workgroup, who will share their personal experience with burnout and how they coped.

Mental health tech companies have seen explosive growth over the past few years. They offer the promise of fast-paced innovation and delivering care in new ways to reach patients. However, the shift into this type of work environment can be a difficult one for those coming out of traditional healthcare settings. This interactive session focuses on workforce mentorship and professional development for clinicians interested in—or actively navigating—this career shift. Led by two clinician-leaders who have successfully made the transition into healthtech, the session focuses on the challenges, opportunities and lessons learned in these environments. Participants will walk away with a better understanding of how to make this transition and ways to increase effectiveness in this exciting workplace environment.

This presentation describes the partnership between Community Health of Central Washington (CHCW), HealthPoint, and the National Psychology Training Consortium (NPTC) to develop APA-accredited doctoral internship and fellowship programs within the Primary Care Behavioral Health (PCBH) model. Presenters will outline the multi-year journey of building an academic training infrastructure inside community health centers and how this transformation strengthened PCBH services, leadership development, and organizational culture. Attendees will receive a practical blueprint for developing training programs, including curriculum design, supervision structures, and strategies for graduate retention in integrated and underserved settings.

This session presents a practical, replicable approach to using provider needs assessment data to drive implementation of Collaborative Care Models (CoCM) in academic primary care settings. Attendees will learn how semi-structured interviews were conducted and coded across multiple clinic sites to identify barriers — including low program awareness, role confusion among team members, and clinical inertia — as well as facilitators such as embedded behavioral health clinicians and targeted electronic communication strategies. Findings were translated directly into a tailored implementation intervention, which will be shared and discussed in detail. Participants will leave with tools and methods they can adapt to assess provider readiness and inform behavioral health integration in their own clinical environments.

This workshop will present lessons from the development and implementation of a digital behavioral health platform designed to bridge Gen Z engagement, measurement-based care, and integrated care workflows. Participants will examine how patient-generated digital data can be translated into clinically meaningful insights to support treatment planning, supervision, and care coordination. Presenters will also demonstrate how AI-driven simulated patient encounters can support clinician training and workforce development within integrated behavioral health settings. Interactive discussion and case examples will allow participants to explore strategies for integrating digital tools into outpatient and training environments.

Did you know there is a free, online technical assistance resource designed to help primary care teams implement integrated behavioral health? Join three leaders in the field for a hands-on training exploring the newly updated AHRQ Integration Academy Integrating Behavioral Health and Primary Care Playbook. Participants will learn how this practical, evidence-based implementation guide supports key components of integrated care, including team-based workflows, sustainable financing strategies, addressing health-related social needs, and patient-centered behavioral health treatment. Through brief instruction, case examples, and interactive exercises, attendees will apply Playbook tools to real-world practice scenarios. Participants will leave with practical strategies and freely available resources to strengthen integrated, collaborative, and equitable care in primary care settings.

While health plans continue to see increased spend on low-acuity therapy, their highest risk members with significant behavioral health components go un-or under-identified, ending up in the ED or inpatient setting. Independent Health Association solved this triage failure by embedding AI-powered EMR parsing into primary care to find rising-risk members before crisis, connecting them to a tech-enabled collaborative care model that achieved 89% retention and 222–335% ROI. In this fireside chat, IHA's President & CEO and Integral Health's CEO share the three-party blueprint — health plan, primary care, and tech-enabled BH — that turned identification into measurable impact.

Women remain underrepresented in leadership positions, a disparity influenced by multiple factors including the prevalence of Imposter Syndrome. This phenomenon can lead women to underestimate their capabilities, resulting in hesitancy to pursue or accept career opportunities. Studies show that employing both individual approaches and organizational frameworks, such as mentorship programs, can effectively reduce the effects of Imposter Syndrome. A panel of five members from the CFHA Women in Leadership workgroup will present research-based evidence on this subject, followed by personal accounts detailing their strategies for addressing Imposter Syndrome throughout their professional journeys.

Mental health workforce shortages create opportunities for innovative training pathways that support the transition from student to provider. This session will highlight one system’s approach to developing and implementing an integrated behavioral health (IBH) internship that supports trainees as they move from graduate training to pre-licensed practice. A recent MSW graduate, now practicing as an LGSW within the same clinic where they completed a year-long internship, will share their experience transitioning from trainee to provider on an integrated care team. The presenter will provide a brief overview of the internship program’s development, describe structured learning opportunities designed for trainees within the clinic, and discuss how these supports continue during the early pre-licensure phase of practice. The session will conclude with a Q&A panel featuring key contributors to the program—including the Director of IBH, clinical supervisors, and program developers—who will discuss lessons learned, implementation strategies, and considerations for replicating similar workforce development initiatives in mental health shortage areas.

This interactive session introduces three complementary resources designed to help health systems evaluate and advance IBH through a shared, adaptable measurement framework: the forthcoming AAMC Integrated Behavioral Health (IBH) Playbook, its AI chatbot companion, and insights from the 2025 IBH Symposium supported by the Collective to Strengthen Pathways for Health Research. Together, these initiatives reflect a shift from viewing IBH as a discrete intervention toward embedding behavioral health integration within core health system strategy. Co-developed by the Collaborative Family Healthcare Association (CFHA) and AAMC through a national academic learning collaborative, the AAMC IBH Playbook is an innovative, action-oriented resource turning over 500 complex IBH metrics into actionable “plays” and “game plans.” It provides a flexible, purpose-driven framework to improve care delivery and track outcomes. The chatbot further enhances the Playbook by enabling teams to respond to local health system needs and goals. Grounded in the IBH Compass—Care Continuity, Person-Centered Care, Sustainability, and Growth—it complements, rather than replaces, existing quality improvement and business performance strategies.

Primary care is increasingly the frontline for behavioral health treatment, yet workforce shortages and specialty access barriers limit timely care. Digital mental health technologies (DMHTs) offer scalable stepped-care interventions but frequently fail to achieve sustained patient engagement when implemented without human support or integration into clinical workflows. This oral presentation describes the implementation of a culturally responsive Digital Navigator model embedded within Collaborative Care serving primary care patients. Using early findings from the Emory ACCESS implementation pilot, presenters will demonstrate how digital navigation can support patient engagement, strengthen team-based care, and create sustainable workflows for integrating DMHTs into routine behavioral health care. Practical implementation lessons for health systems and integrated care teams will be highlighted.

In this session we will share our experience developing and implementing a comprehensive suicide identification and response pathway within our healthcare system. Participants will learn how screening, risk assessment, and ongoing monitoring tools can be integrated into primary care workflows to support early identification, guide clinical responses, and ultimately reduce suicide deaths across the healthcare system

This session will describe SFHN’s early-stage expansion of the HealthySteps model to primary care clinics across the network, building on its initial implementation at one site since 2019. Presenters will outline the clinical, operational, and financial rationale for adopting a dyadic care model to fill gaps in serving children ages birth to five within a PCBH system designed primarily for adults. Participants will learn how SFHN is approaching implementation in clinics with very low pediatric volumes as a strategy to advance equity and improve access to developmental and caregiver supports. The session will also highlight sustainability planning, including dyadic billing, programmatic financing, and partnership with the San Francisco Department of Early Childhood (DEC). A panel discussion will offer cross-sector perspectives on opportunities and challenges in scaling dyadic care in a public health system.

Healthcare and integrated care organizations face increasing expectations to demonstrate measurable impact on patient outcomes, access, equity, and system sustainability. Yet many still rely on activity-based metrics—services delivered, programs launched, or trainings completed—without clearly connecting those efforts to meaningful health outcomes. This session introduces a performance intelligence framework that helps leaders move beyond reporting activity to demonstrating measurable impact. Participants will explore how to align strategy, workforce development, and care delivery with outcome-based indicators that reflect real system performance.

Healthcare equity is not just about what care exists; it is about where it exists and who it reaches. This session challenges the field to shift from asking "where can we afford to be?" to "where are we needed most?" Drawing on a real-world, multi-site partnership between Dignity in Healing Collective, Helios Behavioral Health, and Mirah, we present a community-first framework for scaling the Collaborative Care Model (CoCM) with fidelity across diverse landscapes and demographics. Attendees will explore strategies for upskilling local workforce members to serve their own communities, and leave with a practical blueprint for designing growth plans that prioritize patients who have historically been excluded from traditional mental health systems.

Opioid management is a major challenge for primary care professionals. Developing an interdisciplinary concentrated clinic to address patient’s concerns helps overcome some of these barriers. Behavioral health providers and physicians with specialization in addiction medicine will introduce a pilot clinic to help address psychosocial in community needs for patients with poor opioid management. This integrated clinic is based on the strong collaboration between providers and patients to find effective triage services after initial and follow-up appointments. The presenters will also reflect on specific lessons learned for improvements to the integrated care model and ways to include family members earlier in the treatment process.

Health care transition (HCT) from pediatric to adult care is a crucial developmental step in the lifetime care of adolescents and young adults (AYA). Despite published guidelines from the American Academy of Pediatrics and Got Transition, supports for HCT are reportedly provided less than 25% of the time for patients in primary care. The current presentation describes the results of two studies that assessed HCT for AYAs in integrated primary care at a large pediatric academic hospital and highlights barriers and facilitators to HCT for primary care patients. Recommendations for HCT and how to study HCT processes will be discussed.

This session explores the growing crisis of burnout, secondary traumatic stress, and moral injury within the behavioral health workforce, particularly for clinicians embedded in integrated care settings. Drawing from current data and real-world practice, presenters will highlight the operational, cultural, and clinical drivers that erode provider well-being and compromise care quality. Participants will learn practical strategies, including measurement-based care workflows, supportive supervision models, and emotional offloading practices, that strengthen resilience and team functioning. The session emphasizes workforce wellness as an organizational imperative, not an individual responsibility, offering tools that leaders and clinicians can apply immediately. Attendees will leave with a clear roadmap for sustaining a thriving, collaborative care environment.

Previous research reports that pregnant and postpartum individuals with a history of chronic illness, including polycystic ovary syndrome (PCOS), often experience invalidation in medical settings. This presentation will discuss the results and implications of an online survey examining the relationship between invalidating communication by healthcare providers and the outcomes of pregnancy and birth complications, postpartum depression, and postpartum anxiety. Study findings will illustrate whether individuals with PCOS face an increased risk of poor perinatal health due to their negative healthcare experiences.

his session is a call to action for the entire healthcare leadership spectrum, including executives, physicians, and nurses to embrace high-impact coaching as a catalyst for systemic transformation. As healthcare systems face unprecedented complexity, ranging from financial strain to massive workforce disruption, there is a need for highly skilled leaders to manage themselves and their teams effectively. We transition from conceptual wellness to an applied, practice-heavy framework utilizing a 1:1:1 Triad Rotation (Coach, Coachee, and Observer). This interactive model allows participants to move beyond superficial task-fixing to master high-impact coaching that addresses the whole person rather than just the problem.

This session presents a mixed-methods evaluation of motivation-based interviewing (MBI) in a predoctoral Primary Care Behavioral Health (PCBH) internship selection process and translates those findings into practical guidance for integrated care hiring. We will briefly review why traditional interviews often miss the qualities needed in integrated care, then share implementation and interview-day results from three interview waves. The session will demonstrate how to adapt MBI for integrated care, including skill questions, listening for internal versus external locus of control, and assessing passion and fit for a fast-paced, team-based generalist role. We will also discuss what required refinement in our setting, including probing consistency, pacing, and interviewer calibration. Attendees will leave with concrete strategies, a worksheet, and practical handouts they can use in practicum, internship, fellowship, and staff interviews.

This session will highlight the critical role Registered Dietitians play in improving patient outcomes and strengthening integrated care delivery. We will demonstrate how structured collaboration among Registered Dietitians, Behavioral Health Consultants, and Primary Care Providers enhances communication, continuity, and overall quality of care. The presentation will also address financial sustainability by outlining effective billing strategies and approaches for navigating diverse insurance requirements and payor mixes. Real‑world patient outcomes and data will illustrate the measurable clinical and economic benefits of embedding dietitians within interdisciplinary teams. Together, these insights will underscore the value of a fully integrated model that supports whole‑person care.

Behavioral health concerns are common among patients with complex medical conditions, highlighting the need for integrated, whole-person care in all healthcare settings. This interactive panel, hosted by CFHA’s Specialty Integrated Medicine (SIM) Workgroup, will feature clinicians and leaders who have implemented integrated behavioral health programs within specialty care. Panelists will share lessons learned about launching programs, navigating barriers and facilitators to implementation, and developing specialty-specific behavioral health expertise. Attendees will have opportunities to engage in discussion, ask questions, and learn practical strategies for advancing integrated behavioral health in specialty medical environments.

The Health Federation of Philadelphia (HFP) has supported the implementation, expansion, sustainability and quality improvement of integration of behavioral health in primary care across the Philadelphia region since 2006. Within this context, since 2018, HFP has partnered with Community Behavioral Health (CBH), Philadelphia’s Medicaid Behavioral Health Managed Care Organization, to develop, implement, and refine a process to annually assess health centers’ level of integration. During this session, you will understand the history of this work and the importance of nurturing partnership and collaboration across stakeholders. You will learn how the meaningful and actionable feedback that emerges each year tells the story of how integration has evolved. You will leave empowered to identify components of the process that are applicable in your setting to promote sustainable and effective integrated care.

Learners will be introduced to a new model of integration for psychology professionals in primary care settings. We will review levels of integration in current primary care integrated psychology programs with discussion about the strengths and weaknesses of these models. Then, we will provide introduction of our unique program, how it was built, medical physicians response, and what has made it successful. Learners will gain knowledge about how to access resources for implementation in their own practice, be given opportunity to ask questions, and delve into ways we have grown this program beyond its roots in our own setting.

This presentation will describe the implementation of the HealthySteps program on a pediatrics team at an FQHC. We will discuss strategies used to sustain this program through optimization of staffing and new covered preventive visits. We will also share how implementation of this program has increased access to behavioral health and community health worker services in our youngest patients.

During this project, NYSOMH will share how they led quality improvement projects as part of a larger pediatric CoCM implementation grant. Grant sites were funded to improve their program using a PDSA approach. Sites developed their plans and used data to track progress, which will be shared during this session with some examples of the results. Dr. Laura Sidari from the Cayuga Health team will share their experience and lessons learned.

Despite efforts to improve maternal mental health screening nationally, significant barriers have persisted. In this project, we implemented improved universal maternal mental health screening in ambulatory and inpatient settings in a public safety net hospital. Our initial goals were to reduce disparities in screening, improve risk assessment and treatment referral, and ultimately help address high mental health related mortality in New Mexico, which is nearly twice the national level. We have evaluated and identified several implementation strategies we believe contributed to the project’s success. We will provide a brief description of a real-world implementation of universal perinatal mental health screening in complex system with implementation strategies and lessons learned for success. Will provide concrete examples of implementation barriers and the strategies used to address them; and provide an interactive learning opportunity for applying those strategies to both hypothetical and audience member's real challenges.

This presentation will explore the implementation of an integrated behavioral health screening program designed to identify mental health concerns among collegiate student-athletes. The session will discuss the importance of early identification of conditions such as depression, anxiety, substance use, and trauma within athletic populations. Attendees will learn how structured screening tools can be integrated into existing athletic health systems to improve access to behavioral health support. The presentation will also highlight practical strategies for collaboration between behavioral health providers, athletic departments, and medical staff to enhance student-athlete wellbeing and performance.

Training both behavioral health and medical clinicians in evidence-based, team-based integrated care delivery increases early detection, appropriate and timely treatment, and overall population health. We designed and administered a 12-month interprofessional training program and assessed changes in integrated care practices that have been found to contribute to higher quality of care, care coordination, and patient satisfaction.

Cancer-related distress contributes to missed oncology appointments, infusion disruptions, and reduced adherence to cancer therapies, yet many community oncology practices lack integrated behavioral health models to address psychosocial barriers to treatment adherence. This quality improvement initiative embedded Collaborative Care–based behavioral health services within community oncology practices and incorporated patient-reported measures of oncology treatment adherence (appointment attendance, infusion continuity, medication adherence, and emergency department utilization) alongside validated distress measures (PHQ-9, GAD-7, FACT-G7) to guide measurement-based behavioral health care planning. Early implementation demonstrates the feasibility of integrating adherence metrics into behavioral health workflows to identify treatment barriers and support patients in remaining engaged with oncology treatment.

We will discuss strategies for improving the assessment and treatment of individuals with psychosis-spectrum concerns presenting to primary care settings. As part of this discussion, we will highlight the role of integrated care and importance of effective screening tools, an area where the current psychosis-spectrum literature is limited. We will present and discuss data on multiple psychosis-spectrum measures, the IPRI and PRIME, across multiple clinical settings including integrated primary care settings.

This session describes our work with leadership to develop integrated behavioral health curriculum to embed in a Family Medicine Clerkship for third year medical students (MS3s). Presenters will outline how the team translated the concept into an operational training model with clear workflows and learning objectives. The session highlights the key stakeholders whose engagement was essential to successful implementation. Attendees will gain practical strategies for building similarly integrated training experiences for medical trainees in their own settings.

This panel explores the critical role of payer alignment in the success and scalability of integrated behavioral health (IBH) models. Moderated by a family physician, three psychiatrists serving as Medical Directors for major commercial health plans will share how insurers evaluate IBH initiatives, design reimbursement models, and use quality metrics and utilization management to guide adoption. Panelists will provide insider perspectives on how payers assess value, manage risk, and collaborate with provider organizations to improve behavioral health outcomes. Attendees will gain practical strategies for aligning clinical innovation with payer priorities and building financially sustainable, outcome-driven IBH programs.

This session presents an adapted training and supervision model for behavioral health learners in integrated primary care (IPC), developed in response to workflow, competency, and financial challenges that limit traditional approaches. Presenters will outline their system’s framework—which mirrors family medicine resident training and incorporates narrative‑based reflective practice—along with financial implications and trainee experiences. Attendees will leave with practical, scalable steps for implementing similar strategies within their own organizations.

In response to behavioral health access and workforce challenges, several institutions within the University of Texas System have developed HRSA funded training programs that prepare learners to address the unmet behavioral health needs of underserved communities in Texas. This presentation will present four programs representing both urban and rural areas, each of which has successfully trained interdisciplinary cohorts of learners training in low-resourced and underserved communities. Each program will present an overview, including program data, and approaches to creating, funding, and sustaining quality interprofessional training in a low-resourced region.

CFHA leadership identified a specific aim to expand its membership beyond primary care to welcome clinicians providing integrated care in medical specialties. To support this mission, the Specialty Integrated Medicine (SIM) Workgroup had its first meeting in February 2026. The workgroup consists of members providing integrated care across numerous medical specialties, including oncology, cardiovascular care, neurology, obstetrics and gynecology, gastroenterology, obesity medicine, and endocrinology. This session will report on lessons learned from the first 6 months of the workgroup. Session content will focus on similarities and areas of divergence between medical specialties and between primary and specialty care.

This poster describes outcomes from Tandem Care, a primary care–embedded Collaborative Care program operating across multiple senior primary care centers. The program integrates behavioral health services and behavioral support for chronic pain management within routine primary care workflows. Data from standardized screening tools, patient feedback, and provider surveys demonstrate improvements in patient outcomes and high provider satisfaction. Operational strategies that support program sustainability and scalability across multiple sites will also be highlighted. This model demonstrates how integrated behavioral health can improve access, patient engagement, and provider support in complex healthcare environments.

This session presents a pragmatic evaluation of integrating behavioral health into HIV primary care, routine PHQ-9 depression screening, same-day warm handoffs to an embedded Behavioral Health Consultant and stepped-care follow-up supported by EHR documentation. The presentation highlights why addressing depression at the point of HIV care is essential for improving ART adherence, retention in care, and overall health outcomes. Attendees will learn how implementation strategies (workflow mapping, role-based training, and audit-and-feedback) strengthen reliable screening and follow-up in busy clinical settings. The session will share an applied evaluation approach using feasible clinic metrics (screening completion, warm handoff rates, documentation fidelity, PHQ-9 change, and adherence indicators) to demonstrate impact. Participants will leave with practical ideas, for adopting integrated behavioral health workflows and monitoring outcomes in their own primary care settings.

Female sexual dysfunction is a relatively common problem, impacting women across the lifespan, with some data suggesting that up to 50% of women will experience at least one episode of FSD. The purpose of the session is to provide information about current models of the sexual response cycle (i.e., how they do/do not represent women’s sexual experiences) and how to apply the biopsychosocial approach to women’s sexual health. The session will cover population-specific considerations (e.g., cancer, gender diverse patients, perinatal complaints) and identify barriers to care for women’s sexual health. The session will end with novel recommendations for comprehensive sexual health assessment and treatment applications using evidence-based modalities, adapted for use in primary care settings and in collaboration with all members of the healthcare team.

This presentation showcases an innovative integrated care delivery model that addresses the critical gap in pediatric obesity treatment access by embedding intensive health behavior and lifestyle treatment (IHBLT) within primary care pediatric practices. Burlington Pediatrics/Mebane Pediatrics has developed a comprehensive program integrating nutrition services, behavioral health support, and care management to deliver evidence-based obesity treatment based on American Academy of Pediatrics (AAP) guidelines. By delivering care within the medical home where families already receive services, the program reduces transportation barriers and missed appointments, and addresses food insecurity, housing instability, and other social determinants that disproportionately affect low-income and minority populations.

As integrated behavioral health expands into primary care, training models must prepare clinicians for collaborative, culturally responsive practice within complex medical systems—yet clinical supervision training in psychology is often treated as an afterthought. This session presents an interprofessional supervision framework developed in integrated clinics where psychology trainees and medical residents work side by side while training within distinct professional pathways. Panelists will discuss strategies for supporting learner development across practicum, internship, postdoctoral, and residency training, with particular attention to sustaining psychological safety within steep professional hierarchies. Participants will leave with practical frameworks and supervision tools to strengthen interdisciplinary training and build the integrated care workforce.

This session presents evaluation findings from the Vanderbilt Interprofessional Health Education Collaborative’s (VIPHEC) Patient Mentor Home Visit. Interprofessional student teams from medicine, nursing, pharmacy, social work, counseling, and marriage and family therapy conducted structured home visits with patient mentors to better understand the lived experience and social drivers of health. Using pre- and post-visit survey data, we assessed changes in student perceptions of teamwork, communication, and professional roles, alongside patient mentor perspectives. Attendees will learn how to implement and evaluate a similar interprofessional, community-based educational model.

This presentation will explore the Collaborative Problem Solving (CPS) model as a valuable and highly effective intervention for pediatric providers and integrated behavioral health teams working with children experiencing behavioral challenges. We will demonstrate how CPS aligns with and enhances the Collaborative Care Model (CoCM) framework, providing practical skills that empower multidisciplinary teams to work cooperatively and support families. This session will address the core principles of Collaborative Problem Solving (CPS) and its application in pediatrics. We will also share preliminary insights from a recent pilot project implementing CPS in an integrated behavioral health setting, which included foundational training for Behavioral Health Care Managers (BHCMs) and a self-paced, internet-based parent course. This model offers a strength-based, non-punitive approach to understanding and addressing challenging behavior, moving the focus from modifying behavior to building skills.

The Pediatric Physicians’ Organization at Boston Children’s Hospital (PPOC) is the largest association of independent pediatric primary care providers in Massachusetts. The Behavioral Health Integration Program provides QI guidance and technical assistance for BHI to over 100 practice sites. In 2025, nine pediatric practices enrolled in a pilot to implement best practices for suicide screening and intervention and improve care coordination efforts through use of a newly created registry. This program will review qualitative and quantitative data from these pilot practices and insights gained on training all members of a care team to care for suicidal youth.

Southcentral Foundation (SCF), an Alaska Native customer-owned health care system, first integrated behavioral health (BH) services into primary care 22 years ago. Since then, SCF has expanded its integrated behavioral services greatly, with demand increasing as customer-owners became more comfortable with requesting BH care. This session covers what stakeholders and influences cultivated SCFs first integrated behavioral services, how SCF uses Behavioral Health Consultants (BHC) to support comprehensive and changing primary care over the lifespan, and how SCF has expanded BHC responsibilities to meet these needs. Also covered will be the challenges SCF faced in integrating services, how SCF navigated those challenges, and how integration has benefited both customer-owners and primary care clinics.

This interactive workshop will explore the uses of AI to inform clinical planning and quality improvement approaches supporting improved patient outcomes. The first half of the session will demonstrate the use of an AI tool to identify evidence-based interventions in preparation for a scheduled patient encounter. The second half of the session will demonstrate the use of an AI tool supporting a quality improvement process that retrospectively assesses a previous intervention with a patient. Participants will also explore how these approaches can be applied in academic and teaching settings, including training students and trainees to identify evidence-based interventions, as well as in supervision to support reflective practice and clinical skill development. The workshop will highlight practical ways these tools can enhance both applied clinical care and the education and training of future healthcare professionals.

This panel will explore the financial foundations necessary to successfully implement and sustain the Collaborative Care Model (CoCM). Panelists will discuss practical billing strategies, common reimbursement challenges, workforce efficiency strategies, and key considerations for optimizing payment across payers. The session will also highlight the role of financial modeling and pro forma development in forecasting revenue, supporting operational decisions, and accelerating the path to sustainability by balancing growth and cost. Attendees will gain actionable insights to strengthen both the clinical and financial infrastructure of their CoCM programs.

Rural communities face barriers to behavioral health care, including workforce shortages and limited access to psychiatric services. The Collaborative Care Model (CoCM) offers an evidence-based approach to expanding behavioral health access by integrating behavioral health into primary care settings. This session highlights lessons learned from implementing and scaling CoCM across rural clinics in underserved Arkansas communities, including strategies for assessing clinic readiness, supporting interdisciplinary care teams, and adapting workflows for resource-limited environments. Attendees will gain practical insights into how collaborative care can strengthen behavioral health access and improve outcomes in rural communities.

Our team has spent the last three years trying to provide tools and education and support for implementing MBC, with some successes, with plenty of room for improvement. Our team implemented multiple changes to have MBC be our standard of care (i.e., create a Workbench to view a BHP’s panel of patient’s scores on PHQ-9 etc., develop a peer review process in which MBC was included in evaluation, etc.). We assessed the frequency of the use of multiple patient reported outcome measures (PROMs) based on presenting diagnosis over the course of three years, from 2023 through 2025. Multiple efforts have helped incrementally increase the various elements of MBC (e.g., collect, share, act), with lessons learned shared to promote continual progress toward better documenting/quantifying the impact that BHPs have on patient’s lives.

This session from the Case Management Society of America focuses on the emotional side of case management work, especially the often-unspoken dynamics of transference and countertransference. It helps participants understand how clients’ past experiences and emotions can shape their interactions—and how case managers’ own emotional responses can influence care. The training offers practical guidance on recognizing these patterns early, setting healthy boundaries, and responding thoughtfully rather than reactively. Overall, it’s designed to strengthen self-awareness, improve professional relationships, and support more effective, compassionate case management practice.

Personality disorders can complicate communication, assessment, and treatment planning within primary care and collaborative care models (CoCM). This one-hour session equips providers with practical strategies to recognize key symptoms, approach challenging behaviors with empathy, and communicate effectively with individuals who may present with personality disorders. This session highlights how collaboration and structured implementation can lead to better outcomes for patients and care teams alike.

This interactive session examines how to position Collaborative Care (CoCM) in ways that resonate with the distinct priorities of primary care providers, health system leaders, and payers. Although CoCM is strongly evidence-based, adoption and sustainability depend on how effectively its value is communicated to those responsible for clinical operations, strategy, and financing. Drawing on more than a decade of statewide implementation experience, presenters will share practical lessons on aligning messaging with stakeholder motivations. A psychologist from the University of Michigan PRISM team will offer real-world implementation insights, alongside a payer leader who will discuss how health plans assess value, outcomes, and return on investment. Participants will leave with concrete strategies to strengthen buy-in and support long-term sustainability of CoCM programs.

University Health began the implementation of the Comprehensive Suicide Prevention Blueprint for Adults and Youth (CoSPLAY) program to expand Zero Suicide (ZS) services to local youth utilizing ZS conceptual frameworks. The purpose of this study is to evaluate CoSPLAY and ZS client information maintained through routine weekly monitoring of electronic medical records. While the study is still in progress, preliminary results convey descriptive statistics about client demographic distributions and suicide risk level scores. Conclusion of the study will provide insights into the program’s served population and clients’ mental health progress.

Substance use disorders are common in primary care, yet few Collaborative Care programs use structured, validated tools to guide treatment decisions. This session translates the evidence for measurement-based care in SUD into practical workflows for integrated teams. Through case illustration and implementation guidance, presenters will demonstrate how to select, interpret, and operationalize validated SUD tools within CoCM. Attendees will leave with a concrete workflow and implementation checklist.

As programs expand to deliver Collaborative Care for more complex conditions, like bipolar disorder and PTSD, it is more important than ever to measure the quality of care being delivered. This presentation will review the development and implementation of metrics to assess system-level care processes and outcomes, psychopharmacological management of bipolar disorder and PTSD, and delivery of behavioral activation. Practical tips for defining numerator and denominators for these measures and strategies for presentation of the data to team members will be discussed.

At the Veteran Health Administration, there are veterans who have never sought psychiatric care during or even many years after their military service and when they are screened positive for depression on their Patient Health Questionnaire-9 (PHQ9) or finally come in requesting help for the PTSD, they remain fearful of any kind of psychotropic medication trials and opt for psychotherapy, thinking it is only one or the other treatment option. This session will look at the barriers associated with treatment resistance to medications and various ways team members in an integrated care system can address them appropriately to improve patient adherence and overall outcomes. Even though psychotropic medication use is the focus here, there should still be awareness of evidenced-based treatment for EACH individual without so-called “mindless prescribing”. Lastly, building trust, improving communication, and strengthening the clinician-patient relationship remain at the heart of both health psychology and psychodynamic psychopharmacology views on patient adherence.

Attention-deficit hyperactivity disorder (ADHD) is often underdiagnosed in women and girls (Attoe and Climie, 2023). Misdiagnosis and underdiagnosis of ADHD in women can have lasting impacts on social emotional wellbeing, feelings of control, and the ability to form and maintain relationships (Agnew-Blais, 2024; Skoglund et al., 2023). There are a number of challenges associated with diagnosing ADHD in women, including lower likelihood of diagnosis in childhood, past misdiagnoses, gender roles, changes in hormonal life stages and more (Babinski and Libsack, 2025, Osianlis, et al., 2026). Integrated healthcare providers are uniquely positioned to address earlier and more accurate ADHD diagnosis rates for women and girls. This presentation will explore up-to-date research on the key differences in the lived experience of women diagnosed with ADHD and how awareness of these experiences is critical to improving care. We will discuss how screening and assessing for ADHD in integrated healthcare settings can help with the ultimate goal of increasing accuracy and timeliness of ADHD diagnoses in women. We will also provide case examples showcasing common examples of screening for ADHD in integrated healthcare settings.

This session highlights feasibility trials of brief, evidence-based behavioral interventions designed for pediatric primary care. We describe the Bedtime Pass Study, an intervention for bedtime resistance and the Adaptive Behavioral Counseling (ABC) Study, which pilots a clinical decision tool to guide parent management strategies for common early childhood concerns. Preliminary findings in terms of feasibility, acceptability, and outcomes will be presented. This session will also address lessons learning in intervention development and implementation within integrated primary care settings, with discussant-led conversation regarding the role of single-session interventions in clinical practice, research, and policy.

Large hospital systems face highly fragmented behavioral health access pathways, with patients entering through multiple high‑volume, high‑acuity sources that operate with inconsistent workflows and urgency standards. This fragmentation contributes to prolonged wait times, inconsistent levels‑of‑service (LOS) decisions, referral leakage, and care mismatches. Integrated Behavioral Health (IBH) is uniquely positioned to address these gaps through rapid triage, stepped‑care routing, and interdisciplinary coordination, but its impact is often limited by operational barriers across scheduling, intake, and transfer workflows. CentraCare developed the Behavioral Health Access Manager (BHAM) role to redesign and govern these “doors,” align metrics, and embed equity-minded, system-wide access standards. Key deliverables include improved access metrics and more consistent LOS decisions, offering a replicable model for health systems seeking practical, scalable solutions aligned with CFHA priorities.

It is of paramount importance that resources that are made available are utilized in appropriate fashion, and warm hand-offs are no exception. We sought to determine if warm hand-offs offered virtually (scheduled same-day brief tele-health visits) improve physician engagement, and what factors influence use of them and what are the consequences of this different delivery mechanism. We collected metrics used to determine physician engagement pulled from our EHR including (yet not limited to): # hours/week a BHP was available in the clinic, # WHOs completed per month, IBH engagement (completed first appointments with a BHP after referral and beyond the WHO), and PCP satisfaction. As compared to a WHO occurring less than once every 3 hours it was available prior to the transformation, analyses showed a doubling of WHOs after they were made virtual.

Just as a patient’s vital signs predict clinical decline, your CoCM registry data holds the key to the operational health of your program and workforce. This session moves data out of the exam room and into the boardroom, teaching leaders how to diagnose and treat common program ailments. Stop guessing about staffing needs and start using evidence-based "vital signs" to inform sustainable scaling and ultimately improved access to care for patients. We will demonstrate how metrics like referral velocity, symptom acuity, and community resource availability influence sustainable CoCM expansion across diverse settings like Primary Care and OBGYN.

This session examines leadership team development as a critical driver of successful integrated care. Drawing on implementation science, team science, and complexity leadership literature, the presentation explores how shared leadership structures, psychological safety, and systems thinking support sustainable behavioral health–primary care integration. Designed for clinical leaders, executives, and emerging leaders across integrated settings, the session combines evidence-informed content with practical self-assessment and case-based application. Participants will leave with concrete strategies to strengthen interprofessional leadership teams and advance whole-person care within their organizations.

This session examines leadership team development as a critical driver of successful integrated care. Drawing on implementation science, team science, and complexity leadership literature, the presentation explores how shared leadership structures, psychological safety, and systems thinking support sustainable behavioral health–primary care integration. Designed for clinical leaders, executives, and emerging leaders across integrated settings, the session combines evidence-informed content with practical self-assessment and case-based application. Participants will leave with concrete strategies to strengthen interprofessional leadership teams and advance whole-person care within their organizations.

A service dog can be life-changing for patients with physical, psychiatric, and developmental disabilities. Yet many healthcare teams feel uncertain about definitions, eligibility, documentation, and ethical boundaries. In this interactive, case-based learning hour, a multidisciplinary team representing physician, behavioral health, and psychology perspectives uses real-world vignettes to clarify what distinguishes service dogs from therapy and emotional support animals, who may appropriately qualify, and how integrated care professionals can engage responsibly in assessment and care planning. Participants will explore practical realities through a team-based lens, including workflow impact, access and equity barriers, financial considerations, and how to identify reputable training programs. Attendees will leave with clear frameworks, shared language, methods for educating PCPs, and actionable strategies to confidently and ethically support patients seeking service dogs within integrated care settings.

This session will focus on a pilot program combining the forces of two separate programs within an FQHC system to provide geriatric, largely homebound, patients holistic healthcare. At Community Health of Central Washington (CHCW), there is a program called Senior Residential Care (SR Care) wherein primary care providers go into Assisted Living Facilities (ALFs) and Skilled Nursing Facilities (SNFs) to provide primary care to homebound patients (both short-term & long-term residents) who otherwise cannot physically come into a clinic. CHCWs Primary Care Behavioral Health (PCBH) department has spent the last 18 months piloting a program where one Behavioral Health Consultant and one SR Care Primary Care Provider pair up to provide holistic care to residents of ALFs and SNFs in the local eastern Washington area. Primary and behavioral healthcare can be difficult for these patient-residents to access, despite best efforts of integrating telehealth modalities since the COVID-19 pandemic back in 2020; therefore, this pilot program has aimed to bridge that gap and provide services to those who would otherwise suffer from lack of physical and behavioral healthcare.

Pediatric practices are broadening their Collaborative Care programs to embrace the whole family across the age spectrum in pediatrics. Hear from two practices that have focused on innovative approaches and evidence-based clinical strategies to meet the needs of their families from young childhood to adulthood. One practice will highlight the role of the community health worker and the other will highlight Healthy Steps in pediatric primary care and how they have combined these approaches to complement their Collaborative Care programs. They will share implementation tips for doing effective integrated care in pediatrics, redefining what whole family care can look like.

This session aims to dismantle the outdated belief that trauma cannot be effectively addressed within the time constraints of integrated primary/specialty care. Through three live roleplays—covering the warm handoff, patient education, and active intervention—experienced clinicians will provide a "how-to" roadmap for real-world implementation. Attendees will leave with the explicit permission and practical examples needed to bridge the gap between evidence-based theory and daily clinical practice, appropriate to the pace and flow of work in the medical setting, and with time to consider implementation in their setting and provision of trauma resources for patient/family dialogue and further clinical training.

CFHA’s technical assistance partnership with The Pew Charitable Trusts examined how federally qualified health centers (FQHCs) identify, engage, and treat patients with polysubstance use (PSU). The PEW-funded project combined landscape analysis, in-depth site visits and interviews, case studies from participating health centers, expert interviews, and a stakeholder convening to produce a summary report and practical TA resources for FQHCs and policy audiences. This session will present key findings from the work, describe replicable clinical and operational approaches for FQHCs, and offer an interactive discussion of TA tools CFHA developed to support implementation and scale-up. Polysubstance use is increasingly common in primary care panels and presents clinical, workflow, financing, and workforce challenges. FQHCs need practical, turnaround-ready strategies and targeted technical assistance to integrate PSU screening, intervention, medication and psychosocial treatments into team-based care.

This presentation describes the development and cultural adaptation of The Mindful Mother’s Journey, a community-based bilingual maternal behavioral health intervention designed to support pregnant and postpartum mothers in the Rio Grande Valley, Texas. Grounded in Acceptance and Commitment Therapy (ACT), the intervention promotes psychological flexibility and is delivered by Community Health Workers (CHWs), or promotoras, to expand access to culturally responsive behavioral health support. The session will describe the multi-phase process used to develop, adapt, and translate the intervention materials into Spanish, as well as the bilingual training model used to prepare CHWs to deliver the intervention. Preliminary findings from the CHW training will highlight pre–post outcomes and lessons for workforce development and implementation of community-delivered maternal behavioral health interventions.

This presentation and panel discussion will teach the audience how to increase same day access in integrated care through the use of an online referral form on Microsoft Teams Chat and hybrid virtual/in person care. In an effort to increase access to same-day services across the 11 locations, the STL PCHI program implemented an online notification form available in Microsoft Teams. The goals of the form included: increase ease of referral for busy primary care providers, increase engagement of PCMHI providers working virtually, equal distribution of warm hand-offs across the team of psychologists, and monitoring of response time to PCP requests. The form has proven to distribute work across each location, allows for team support during high demand days and/or provider absence, and increased communication among PCMHI providers regarding nuances of clinical care and sharing information about VA and community resources, and provision of immediate emotional support for providers facing challenging clinical situations. The implementation of this form is one of the major factors contributing to VISN leading same-day access numbers at the St. Louis VAMC as well as low employee turnover rates relative to specialty care clinics.

Primary Care Behavioral Health (PCBH) services are hypothesized to lead to increased patient access, better patient experience, and improved treatment outcomes; however, rigorous research associated with these domains for this model of care is lacking. For example, research on patient satisfaction with PCBH visits is limited, partially because patient satisfaction has been notoriously difficult to define. Prior research suggests that current patient satisfaction measures being used in PCBH settings may not capture the complexity of care being provided. This presentation will describe the development and psychometric evaluation of the Primary Care Behavioral Health Patient Satisfaction Scale (PCBH-PSS), a measure of patient satisfaction specifically for PCBH settings.

This scoping review systematically maps and synthesizes research examining DNA methylation changes occurring before and after psychotherapy across psychiatric and psychological conditions. The review evaluates whether genes identified in psychotherapy-related epigenetic studies converge on meaningful biological pathways, such as systems involved in stress regulation, immune functioning, and neuroplasticity. Both candidate-gene and methylome-wide studies will be included, with analytic strategies tailored to each study type to determine when pathway-level interpretation is empirically justified. Findings will also be examined in relation to methodological features such as tissue type, assay strategy, timing of measurement, and psychotherapy modality. By identifying convergent biological systems and methodological gaps, the review aims to clarify how sustained psychosocial interventions may influence biological processes relevant to mental health.

What if you could build a custom integrated care-specific digital tool in a single session, with no coding experience required? AI-powered “vibe coding” tools are putting that capability directly into clinicians’ and educators’ hands. In this workshop, attendees will learn about the landscape of available tools, see working examples built for integrated care settings, and participate in a live build from idea to usable product. Attendees will come out of the session with the skills and a starting point to build something tailored for their own setting.

Racial trauma is increasingly recognized as a critical contributor to psychological distress, yet little is known about how it operates within psychotherapy processes in systemic therapy contexts. This study examined whether therapeutic alliance functions as a relational mechanism linking racial trauma to treatment outcomes in systemic therapy. Mediation models tested the role of alliance in predicting post-treatment depression and anxiety while controlling for baseline symptoms. Contrary to expectations, therapeutic alliance did not mediate the relationship between racial trauma and outcomes. However, racial trauma demonstrated a consistent direct association with improved post-treatment symptoms, suggesting that clients reporting greater racial trauma may experience meaningful symptom reduction in relational therapy contexts.

Behavioral Science (BS) faculty in primary care residency programs frequently navigate role ambiguity, competing expectations, and evolving organizational demands. This interactive workshop helps faculty clarify core responsibilities, visualize role distribution, and explore how professional identity formation influences their daily work. Structured activities will encourage participants to examine gaps between expectations and aspirations and how advocacy can help close the gaps. Facilitators will integrate concepts from organizational psychology, professional identity formation, and integrated care models. Attendees will leave with clearer role conceptualization and actionable strategies for advocating within their organizations.

In a time when behavioral health is urgently needed but challenging to sustain financially, this session will examine the transformation of a behavioral health department from traditional, co-located care—which was not meeting the organizational goals—into a collaborative care model (CoCM) that clearly demonstrates how behavioral health contributes to improved patient outcomes, improved satisfaction, and cost reductions. Whenever such shifts occur, it is essential to assess the needs of the population served and secure buy-in from both administration and providers. This process involves working together to develop a shared vision for what can be accomplished collectively, fostering cultural change, and building strong teams. Finally, the effectiveness of the new approach must be evaluated by collecting data that shows the program is meeting its objectives. We will look at practical steps to rebuild a stronger collaborative program or plan for implementation of a new program and ways to collect the data needed to show impact and value based on the quintuple aim of healthcare.

The goal of this presentation is to enhance engagement with older adult populations and highlight assessment approaches that are tailored to their unique clinical presentations. Participants will review how behavioral health symptoms may present differently in older adults and how screening and intervention strategies can be adapted based on patient needs, symptom profiles, and functional status. The session will explore practical strategies for improving engagement in behavioral health care among older adults, including the use of brief behavioral health interventions that can be effectively delivered within integrated care settings. Emphasis will be placed on the role of the Collaborative Care Model (CoCM) in supporting population health approaches to behavioral health treatment for older adults. Through screening, measurement-based care, and team-based coordination, integrated care models can expand access to behavioral health services while addressing preventable utilization.

Attention-Deficit/Hyperactivity Disorder (ADHD) affects approximately 11% of children across developmental stages, yet too many families still navigate delayed diagnosis, fragmented systems, and disconnected care (Reuben & Elgaddal, 2024). This presentation describes an interdisciplinary care model embedded in pediatric primary care practices in Southern California that integrates primary care, psychiatry, behavioral therapy, family-based treatment, and care coordination. Key components include structured parent behavior management groups, developmentally tailored executive functioning interventions, integrated psychiatric consultation for diagnostic clarification, medication management, and comprehensive care coordination. The model provides practical tools, workflows, and implementation strategies that participants can adapt to their own settings. By breaking down traditional silos, this approach offers a replicable framework for improving access, coordination of care, and long-term outcomes for children and adolescents with ADHD.

Emergency departments are increasingly the default access point for untreated behavioral health conditions. This session presents an implementation-guided model embedding behavioral health and case management into ED workflows to reduce repeat utilization among high-risk patients. Attendees will learn how milestone-based implementation, workflow integration, and ROI modeling can support sustainable integrated care. Practical tools and templates will be provided.

Join us for "Referral Revolution: Boosting Connections to CoCM!" where we will explore effective strategies for generating and enhancing patient referrals to the Collaborative Care Model (CoCM). This session will provide practical guidance and actionable strategies for increasing referrals to strengthen CoCM program effectiveness and sustainability. Attendees will learn about aligning CoCM with health system goals, developing referral pathways, and fostering collaboration among healthcare clinicians. Through engaging case studies and practical insights, participants will leave equipped to implement these strategies in their own health systems.

This session focuses on a systemwide effort to improve the accuracy, consistency, and equity of adult ADHD diagnosis within primary care by shifting from routine neuropsychological testing to a structured clinical assessment model within IBH. It outlines how historical overreliance on neuropsych testing created delays in care, despite guidelines emphasizing that ADHD should be diagnosed through comprehensive clinical evaluation. The project showcases a collaborative, IBH‑anchored pilot using the DIVA‑5 and stepped‑care decisioning to standardize assessment, clarify diagnostic roles, and reduce unnecessary testing. It highlights how cross‑departmental redesign led to a sustainable and scalable ADHD assessment pathway that increases access, improves diagnostic clarity, and aligns with CFHA’s priorities for integrated, data‑driven care.

This session will focus on the increasingly turbulent world in which we all live and consider how we deliver family therapy based on the principles of belonging, dignity, and justice. Social upheaval, conflict, political and environmental instability is growing often at an alarming rate. For those in the global north increasingly we are in it and not immune from the anxiety and concerns it may create. In this context in integrated healthcare, how do we deliver family therapy based on the principles of belonging, dignity and justice. This workshop will explore how as practitioners in integrated healthcare we manage our own and our families' anxieties and concerns. Whilst working effectively with those of our patients and their families. The workshop with use a variety of teaching methods, case studies, group discussion, presentation of theory and data, group tasks, and digital feedback software.

This presentation showcases an innovative partnership between Burlington Pediatrics/Mebane Pediatrics, Cone Health System, and Alamance-Burlington School System to deliver comprehensive school-based telehealth services. The model addresses critical gaps in pediatric healthcare access by bringing medical and mental health services directly to students during the school day, eliminating transportation barriers and reducing missed school time. By leveraging the deep community ties and integrated care offerings of an independent pediatric practice, the resources of a regional health system, and the infrastructure of a school district, this partnership demonstrates how cross-sector collaboration can promote health equity, expand mental health access, and reduce chronic absenteeism. The presentation will detail implementation strategies, partnership development, and preliminary outcomes that support the sustainability and scalability of this model.

Research has shown that mental health is a common reason why people are using Artificial Intelligence (AI) tools (e.g., Chat GPT) Our team sent invites to over 80,000 patients to complete a brief survey on their use of AI for mental health purposes, with over 10,000 patients completing the survey. Patients were grouped into one of three groups: 1) no documented behavioral health needs in previous 3 years, referred for behavioral health care but did not receive care, received behavioral health care in our health system in the previous 3 years. More detailed reasons for using AI than have been reported in the literature were revealed and signficant differences in use patterns were seen between the three groups.

As Collaborative Care expands nationally, demonstrating real-world effectiveness across diverse settings is critical for sustainability and policy advancement. This session shares insights from a national CoCM Research workgroup bringing together leading implementation organizations to aggregate and analyze outcomes across sites. Presenters will discuss cross-site data harmonization, measurement challenges, and emerging effectiveness trends. Attendees will gain perspective on how large-scale outcomes collaboration can strengthen the evidence base and inform policy.

Patients with cardiovascular disease often experience co-occurring mental health concerns, such as depression and anxiety, which can negatively impact cardiac outcomes, treatment adherence, and quality of life. This session, part of the Specialty Integrated Medicine (SIM) Training Series, will explore the current state of the science in cardiac psychology and the complex interactions between mental health and cardiovascular disease. Participants will learn evidence-based strategies for assessing and managing behavioral health concerns within integrated care teams. The session will emphasize practical, team-based approaches that improve both behavioral health symptoms and cardiac risk, helping clinicians feel more confident supporting patients with complex cardiovascular and psychosocial needs.

This session is part of the inaugural Specialty Integrated Medicine Training Series designed to help upskill clinicians working in primary care and other integrated medical settings. Attendees will learn the current state of the science in obesity care and how integrated care teams can come together to help patients with obesity. Specific topics that will be addressed include modernized conceptualizations of obesity as a chronic disease and current best practices in lifestyle counseling, obesity medications, and bariatric surgery.

New York has long been a pioneer in implementation of the Collaborative Care Model (CoCM). New York State was the first state to provide Medicaid reimbursement for the model and has one of the largest numbers of providers doing CoCM in the country. New York will share information on the unique state-level approach to scaling CoCM and achieving clinical outcomes consistent with the CoCM RCTs. They will share how they established their program, what resources are most important, what the barriers are for adoption and scale, and what’s next for CoCM in New York.

Integrated primary care teams frequently encounter patients experiencing behavioral health distress, yet many frontline staff—such as medical assistants, access associates, and security—receive little formal training in how to respond. At Highland Family Medicine, qualitative feedback from staff identified fear, uncertainty, and lack of clarity as barriers to peer intervention and coordinated team responses to challenging patient encounters. This workshop describes a practice-based initiative that integrates Mental Health First Aid training with broader efforts to strengthen team skills, relationships, and practice structures supporting biopsychosocial care. Presenters will share lessons learned from implementing this interprofessional training model and preliminary evaluation data, including staff confidence and real-world application of MHFA skills. Participants will explore strategies for building frontline capacity and fostering team-based responses to behavioral health distress in primary care settings.

This presentation features a) a new framework for delivery of structured microteaching by embedded behavioral health clinicians on interdisciplinary teams (IDTs) within an inpatient hospital setting using two examples; b) review of results from a pilot acceptability and feasibility study of delivering this structured approach to IDTs; c) audience Q&A discussion.

We will review mass incarceration in the U.S. along with the burden of chronic physical and psychiatric illness in carceral settings. We will then discuss health outcomes and the challenges of community reentry for the millions of people releasing from incarceration each year. Community health workers will discuss the heightened difficulty people with serious mental illness experience after leaving incarceration. We will spend the bulk of the session discussing the Formerly Incarcerated Transition (FIT) Wellness model, which embeds community health workers, people with lived experience of incarceration, into a primary care clinic with co-located psychiatric care. Preliminary data from the first 3.5 years of program implementation will be reviewed.

The Loma Linda University Family Medicine Residency program has created an extensive mental and behavioral health curriculum to train family physicians to identify, treat and refer patients and families who screen positive for mental health concerns. The curriculum includes diagnoses, skills, health behavior change skills with lectures, online modules and IBH activities in the FQHC based continuity clinic. Psychology students are placed in the clinic and hospital with the residents to implement the PCBH model with high fidelity GATHER competencies. A robust quality improvement team-based process ensures implementation is continuously refined.

Strong time-management skills help people working in healthcare enjoy higher levels of productivity and lower levels of stress/burnout, but most of us never receive formal training or guidance in these skills. If you oversee medical learners, integrated behavioral health trainees or staff, and/or simply struggle with your own time management skills, this presentation will provide you with both background knowledge and practical tips/tricks to help increase effectiveness at the time management skills needed to successfully juggle the many different demands of working in healthcare.

This session introduces key components of applying Focused Acceptance and Commitment Therapy (Focused ACT) principles and practices to primary care behavioral health work. For the most part, behavior change support in primary care is the result of connecting with a person or family and assisting them with developing a plan to vary their behavioral coping in response to an identified concern. In Focused ACT, we see behavioral variability as the goal of every visit, initial and follow-up. The Can-Do Plan is a quality assurance tool that all members of a primary care team can use to evaluate and structure the development of a plan likely to inspire meaningful behavior changes and boost self-efficacy. Participants will have an opportunity to view a demonstration and then practice the powerful package of skills embedded in this tool.

Why don’t PCPs consistently use the BHC? In this honest and practical panel, medical personnel share the “hard truths” about what builds trust, what disrupts workflow, and what makes behavioral health clinicians indispensable—or optional. Drawing from real world experiences in both PCBH and CoCM, presenters will discuss the do’s and don’ts that drive real uptake. Participants will leave with actionable strategies to strengthen alignment, deepen integration, and increase behavioral health penetration.

Every member of the integrated care team can contribute to improving the experience of youth who are transitioning from pediatric to adult healthcare. We will present considerations for healthcare transitions (HCT) applicable to behavioral health and medical providers across both pediatric and adult primary care contexts, and highlight examples of diverse youths’ lived HCT experience as documented in literature and media. This presentation has three primary aims: 1) To elucidate the outcomes associated with supported versus unsupported HCT; 2) Propose shoe-string solutions for incorporating formal HCT efforts into routine practice; and 3) Offer a menu of tools and resources individual providers and interprofessional teams can draw from to inform/devise their own efforts and workflows to facilitate HCT.

This presentation will describe a framework to orient behavioral health in primary care settings. The I-SHLAFF model guides behavioral health clinicians through an initial assessment devoted to psychosocial factors implicit in health functioning. Specifically, the framework uses the I-SHLAFF acronym to remind clinicians to address Identity, Safety, Home Environment, Lifestyle Behaviors, Adherence to Treatment, Family Relationships, and Feelings in early assessment to assist with treatment planning and interprofessional care.

This presentation will introduce the UTRGV PCBH PATHS and Companion Project, an educational solution for Primary Care Behavioral Health training in residency and other learning settings. PCBH Companion modules are designed to support learners in integrating behavioral health into primary care and meet all the Family Medicine Residency requirements. Materials are available via online training modules, podcast episodes, and curriculum for faculty to use. The poster will demonstrate how this multi-format approach enhances skill development, learner engagement, and adoption of integrated care practices.

Physician champions are often the catalyst for successful integrated care, shaping clinical culture, strengthening team collaboration, and accelerating adoption across healthcare settings. Yet many clinicians who step into these leadership roles describe the journey as uncertain, isolating, and without a clear roadmap for growth. In this interactive session, physician leaders at different stages of their journeys share candid stories, lessons learned, and insights grounded in the evolving integrated care evidence base. Together with the audience, we will explore what distinguishes physician champions, how leadership develops over time, and how interdisciplinary teams can effectively partner with physician leaders. Attendees will leave inspired and equipped with practical strategies to cultivate physician leadership and strengthen collaboration across integrated care teams.

The study examined the psychometric properties of the Primary Care Brief Intervention Competency Assessment Tool (BI‑CAT) for assessing brief intervention competencies among Behavioral Health Consultants in Primary Care Behavioral Health.

This session explores the day-to-day role of the psychiatric consultant in pediatric collaborative care. Through real-world examples and reflection, we will discuss how consultants support primary care teams, participate in structured registry review, and strengthen team-based care for children and adolescents. The focus will be on practical lessons that can be applied in a range of integrated care settings. This session is designed for psychiatric consultants, primary care clinicians, behavioral health care managers, and health system leaders involved in pediatric integrated care.

This submission is proposed as a poster presentation. The poster will present the study’s theoretical framework, analytic approach, and preliminary findings on the interdependence of biopsychosocial (BPS; Engel, 1977) health among older adult–caregiver dyads. Visual elements will illustrate the Biobehavioral Family Model (BBFM; Wood et al., 1993) pathways and implications for integrated care practice and research.

As burnout has increased significantly among nurses around the world, it impacts not only their physical health and mental well-being through ways such as impaired sleep and appetite, depression, anxiety, to name a few, but also their ability to make a balance between work and personal life. On the other hand, lack of work-life balance can lead to increased burnout. This session is about the interrelationship between burnout and work-life balance and how they impact each other.

This practical session walks through the art and science of an effective weekly Systematic Caseload Review (SCR) in Collaborative Care (CoCM), with a concentration on case presentation. We’ll cover concrete preparation strategies on how to efficiently present a case, from the learning stages for a new BHCM and Psychiatric Consultant dyad, to seasoned practice. A live SCR demo will showcase workflows, common pitfalls, and actionable tips to make your weekly review and case presentations more efficient and impactful.

Many of our PCBH managers are BIPOC, master’s-level clinicians walking into medical leadership structures that were never designed with them in mind. We will examine these dynamics honestly and through a justice and equity lens – because we cannot support our managers through an experience we have not named. We will share our team’s experience empowering a cohort of PCBH managers to effectively inhabit their positional power and navigate and challenge white supremacy culture to support integrated behavioral health within our primary care clinics. We will share the mistakes we made that cost us almost complete turnover across the team, and the lessons we have put into place since. Hear from both a PCBH manager and the PCBH director about this journey so you can stand on our shoulders as we collectively strive to transform systems to provide low barrier behavioral health access to the communities who need it the most.

Community Health Needs Assessments (CHNAs) are essential for understanding evolving community health priorities and for informing integrated care planning. Compass Health Network, an FQHC and Certified Community Behavioral Health Organization (CBHO), also runs a youth psychiatric hospital, and thus develops (at least) two coordinated but distinct CHNAs to meet HRSA and IRS requirements. This presentation shares a practical, replicable framework that integrates quantitative data, qualitative community input, and organizational strategic priorities. Methods include careful data-source selection, stakeholder engagement, focus groups and surveys, and synthesis across medical, dental, behavioral health, and social determinants domains, surfacing needs like access barriers, behavioral health service gaps, housing instability, and rural/underserved disparities. This session will provide insights and actionable knowledge/skills about conducting CHNAs and leveraging findings as strategic assets, with a focus on the implications for integrated healthcare as delivered at Compass and similarly situated organizations.

Early childhood represents a critical window for behavioral health intervention. This session explores how the Collaborative Care Model (CoCM) can be adapted to meet the developmental, relational, and systemic needs of children ages 0-5. Presenters will outline foundational early childhood mental health principles and demonstrate how CoCM’s structure can be leveraged to fill service gaps in pediatric primary care. Attendees will leave with practical guidance for clinical adaptation, systems alignment, and policy sustainability.

What makes psychiatric consultation in integrated care work, and what causes it to stall? This interactive, case-based session highlights high-yield lessons that help teams overcome the most common and challenging barriers to effective psychiatric consultation, with particular relevance to the Collaborative Care Model (CoCM). Drawing on research and extensive real-world experience, Dr. Ratzliff, a national expert in CoCM psychiatric consultation, and Dr. Sidari, CFHA National Medical Director, share practical strategies that help teams solve problems faster and make psychiatric consultation work in practice. Designed for the entire integrated care team, participants will leave with actionable insights to strengthen consultation processes and better leverage psychiatric expertise at any stage of implementation.

Are some patients simply “too complex” for PCBH? In reality, complexity is the rule in primary care and referral alone is rarely the solution. This session introduces the transdiagnostic "Matrix" framework, a structured approach for organizing complexity and delivering meaningful intervention within the visit. Participants will learn how to translate even multifaceted presentations into actionable, values-congruent behavioral targets while maintaining fidelity to primary care principles.

Training and education are paramount in addressing disparities in healthcare; however, there are few opportunities for individualized feedback on culturally humble and affirming communication that lay a foundation of trust and security for patients and colleagues from marginalized backgrounds. This presentation describes the role of the University of Rochester Medical Center Communication Coaching & Leadership Development Program in addressing physician communication within three marginalized populations: clinicians with disability, aging clinicians, and women of color clinicians navigating leadership and supervisory roles within healthcare teams. The presenters will overview the coaching program and highlight three case examples to illustrate program impact on skill enhancement with physician learners, leaders, and teams. These cases highlight how intersectional identities including race, gender, age, ability, and professional role—shape communication dynamics within healthcare teams. Participants will engage in small groups with presenters to discuss specific strategies that build insight into implicit bias, strengthen inclusive leadership communication, and support the professional growth of marginalized clinicians.

As increasing numbers of behavioral health clinicians enter primary care without prior primary care experience, a structured and consistent onboarding process becomes critical. This presentation outlines a comprehensive training model that begins before hiring and continues through a clinician’s early months in practice. Our approach incorporates strong training materials, standardized workflows, and hands‑on support to build confidence and core competencies. Guided mentorship and real‑world learning help clinicians adapt to the pace and complexity of primary care. Attendees will gain practical strategies to enhance onboarding programs, improve clinician readiness, and support high‑quality, patient‑centered care.

FQHCs face challenges with recruiting and retaining experienced behavior health staff. As such, it is essential that FQHCs become adept at training and retaining the early career therapists and students as they work with the often complex and diverse FQHC population. To address this issue, the training department at Lynn Community Health Center created innovative seminars for their students and early career staff that help build community, alleviate the cognitive and emotional labor associated with being a new therapist and support agency. This presentation offers a model for how training programs can serve as effective recruiting and retention tools for health centers.

This session presents findings from a study integrating adverse childhood experiences (ACEs), protective experiences (PACEs), and social determinants of health (SDoH) screening in inpatient rehabilitation. Results highlight how protective experiences predict resilience, while adversity and psychological distress relate to poorer quality of life. Attendees will learn how to interpret trauma-related screening data within a socio-ecological framework and apply findings in team-based care. Practical strategies for integrating behavioral health into rehabilitation settings will be demonstrated. This session emphasizes actionable approaches to advancing whole-person, trauma-informed care.

Borderline personality disorder is a debilitating condition that is characterized by difficulties with emotional and behavioral regulation, impulsivity, relationship stability, and fluctuating self-image. Recommended first line treatment for BPD is psychotherapy; however, these therapies tend to be time-intensive and costly to the patient and health system. This presentation will review an approach to management of BPD symptoms in the context of the Primary Care Behavioral Health team. The workshop will include opportunities to practice skills that are helpful when working with this population.

Social isolation can affect both teenagers and older adults, two age groups at opposite poles of the human lifespan, but why is human connection so crucial in these stages of our lives? While their circumstances may seem very different, both generations face unique challenges that can shape how they form and maintain relationships. What happens when a meaningful connection begins to fade during these critical stages of life? This presentation explores the surprising parallels between teen and elderly isolation and invites us to reconsider the role human connection plays in health across the lifespan.

This session will compare two pilot implementations of the Primary Care Behavioral Health (PCBH) model—one in a small community-based primary care clinic and the other in an academic medical primary care clinic. Although both clinics are part of the same health system, their PCBH programs were developed in notably different ways. Participants will explore how planning, implementation, and ongoing monitoring align across the two settings, as well as where they diverge.

Patients, and their families, suffering from the impacts of chronic PTSD and a history of a mild traumatic brain injury (mTBI) commonly report frustration with their care. The UNC THRIVE Program was developed to address these barriers through an integrated, multidisciplinary model of care for Veterans and First Responders experiencing chronic PTSD and sequelae of mTBI. Selected participants attend a fully funded, three day comprehensive assessment, with all travel, lodging, and meals provided. Insurance status and military discharge characterization do not affect eligibility. Participants identified as having multiple treatable domains are invited to return for THRIVE’s three week Intensive Outpatient Program (IOP). The IOP is delivered in small cohorts of three to five participants and emphasizes individualized, evidence based treatment.

Violence exposure is strongly associated with depression, PTSD, chronic disease, and increased mortality, yet it is rarely addressed systematically within primary care. This interactive session introduces a multi-level framework for integrating violence prevention into healthcare, including Universal Precautions for Violence Prevention at the policy level, the Four Ts (Training, Triage and Treatment, Tracking Outcomes, Team Care) for clinic implementation, and the AIMM model (Assess, Inoculate, Mitigate, Motivate) for brief clinical intervention. Participants will engage in short interactive exercises to explore how integrated care teams can identify risk, normalize prevention conversations, and respond to emerging safety concerns within routine visits. Attendees will leave with practical tools and implementation strategies for bringing violence prevention into integrated behavioral health and primary care settings.

Monitoring process and outcomes metrics is essential to ensuring fidelity and impact in Collaborative Care Model (CoCM) programs. During this session, Meadows Mental Health Policy Institute (Meadows Institute) and the New York State Office of Mental Health (NYSOMH) will partner to share an overview of recommended measures that promote fidelity to the evidence-base, target rates for these measures, and practical strategies for capturing actionable data for program evaluation in primary care settings. The session will share lessons learned in aligning national best practice recommendations and programmatic priorities to support a successful data-driven program that advances the quality of CoCM.

This proposal is a follow-up to a session given at CFHA in 2024 that presented on using the Practice Integration Profile 2.0 (PIP) in a primary care setting. The results from the original PIP administration identified key practice improvement areas. In collaboration with our clinic leadership, we implemented several changes based on the feedback and identified high priority areas. The presentation will share facilitators and barriers to implementing these changes. We will also present data from a second administration of the PIP 2.0, to be collected Spring 2026.

Establishing core competencies has been a critical component of behavioral health consultant (BHC) training under the Patient Centered Behavioral Health (PCBH) Model. Within family medicine programs, competency-based training is a new and significant paradigm shift. Building on the interdisciplinary team-based nature of integrated care, BHC training under the PCBH Model was invaluable in developing competency-based behavioral health education for first-year family medicine residents during their psychiatry block rotation.

This session presents early implementation findings examining warm handoff utilization as an operational indicator of integrated behavioral health activation in primary care. Using resident-month clinical workflow data, we explore how warm handoff rates change across stages of behavioral health integration exposure within a real-world training environment. Results show a progressive directional increase in warm handoff activation despite substantial clinical variability, highlighting the complexity of measuring integrated care adoption in practice settings. The session will discuss practical considerations for using operational metrics to monitor team-based care implementation and will outline next steps for advancing evaluation using longitudinal and multi-level analytic approaches. Attendees will leave with a pragmatic framework for translating workforce exposure into measurable implementation outcomes.

The Pediatric Physicians’ Organization at Boston Children’s Hospital (PPOC) is the largest association of independent pediatric primary care providers in Massachusetts. The Behavioral Health Integration Program provides QI guidance and technical assistance for BHI to 113 practice locations and 123 integrated Behavioral Health Providers, many of whom are the only behavioral health provider within their practice. The BHIP has created an onboarding program using a structured, cohort, team-based model to build connection and consistency across integrated care implementation. It includes synchronous and asynchronous learning with in-person and virtual support, ensuring that all new behavioral health providers and their practice care team staff engage in a shared learning process while receiving flexible and comprehensive training.

Initial concerns for child maltreatment often arise unexpectedly during routine primary care or behavioral health visits. Although clinicians are frequently trained not to interfere with a disclosure, many receive little guidance on how to respond in a compassionate, developmentally appropriate, and evidence-based manner in the moment. This interactive panel will review pediatric cases from initial disclosure through clinic response and follow-up, highlighting practical strategies that support the child and family while preserving the integrity of potential investigations. Participants will learn how behavioral health consultants and primary care clinicians can gather helpful information without conducting a forensic interview. Attendees will also engage in brief case-based discussion and optional role-play exercises to practice supportive language and clinical decision-making in real-world scenarios. Participants will leave with practical language and a clear framework for responding confidently and compassionately when a child or caregiver raises concerns about possible maltreatment in integrated care settings.

Due to barriers in accessing specialty care, primary care providers and the supporting primary care behavioral health providers can be in the position of managing a complex case while connecting to specialty care. This presentation will use a deidentified case example to demonstrate how the presenters navigated some of the specialty care barriers to treat a patient with a combined functional and pain disorder presentation. Additionally, literature on the barriers to specialty care and other ways to manage these barriers will be reviewed.

Behavioral Health Care Managers (BHCMs) are central to the success of Collaborative Care, yet the role is highly vulnerable to burnout, role drift, and clinical isolation. This session features both implementation leaders and a practicing psychiatric consultant (PC), offering complementary perspectives on how structured, system-level support strengthens BHCM effectiveness and protects model fidelity. Presenters will share practical approaches such as strengthening systematic case review through coaching and consultation, targeted skill development, and strategies to prevent scope creep. Drawing from real-world experience supporting hundreds of practices, participants will leave with actionable tools to improve BHCM retention, strengthen team collaboration, and sustain high-quality outcomes over time.

Suicide risk among healthcare professionals is an urgent but often unspoken crisis affecting both behavioral health and medical providers. This session explores how workplace culture, peer awareness, and interdisciplinary collaboration can create protective systems that support clinicians before crisis occurs. Participants will learn practical strategies to recognize warning signs in colleagues, initiate difficult conversations, and foster environments where seeking help is normalized. Through discussion and case examples, attendees will leave with actionable tools to strengthen a culture of shared responsibility for clinician wellbeing.

Integrated care depends on stable, mission-driven teams across primary care, behavioral health, and community health settings. Yet workforce shortages, burnout, and recruitment competition threaten sustainability and access, particularly in underserved communities. In this practical and interactive session, Christopher Sund shares actionable strategies healthcare organizations can use to strengthen their employer brand, improve retention, and compete for talent without large marketing budgets or additional staffing resources.

This presentation will review some of the barriers faced as a lone BHC in a system with low readiness to expand integrated primary care, and then strategies for how to flexibly adapt to this context in order to continue moving towards the values of whole-person and team-based care. Key topics of discussion will include evidence-based practices, assessing areas of need, efficient utilization of resources, provider burnout and job satisfaction, and prioritizing high quality patient care. We will review a transition process for pivoting integrated behavioral health from primary care to gastroenterology, lessons learned along the way, and strategies for maintaining one’s professional values while responding to changing contexts.

First-line PTSD treatments are effective but most people with PTSD will never access one of these interventions or complete an episode of care. Most of these first line treatments are provided in specialty mental health alone and require 8 to 15 sessions for an adequate dose. Providing an effective, brief version of Prolonged Exposure (PE), a first line PTSD intervention, in primary care reduces barriers to care and increases access. Processing Emotions in Primary Care (PEPC) is a brief version of PE that includes four to eight, 30-minute visits provided by an embedded behavioral health consultant (BHC) in the PC setting. PEPC has demonstrated effectiveness in veterans, military services members, and civilians with PTSD with about half of patients who initiate showing response with a clinically significant reduction in PTSD. This workshop will provide the full didactic portion of training in the PEPC model for BHCs and other mental health clinicians embedded in the primary care or integrated care setting. The training will include discussion of the elements of the PEPC model: written memory approach and processing, brief in vivo (taking your life back from PTSD), and psychoeducation. Didactic will cover emotional processing theory as applied to this brief PTSD model. Trainers will include video review, roleplays and discussion as tools to train attendees in how to provide PEPC to a variety of patient presentations. Trainees will be directed how to access consultation groups required if they intended to receive provider status in PEPC.

This model of PEPC training has been used in VA since 2018 to train providers with excellent success and over 450 providers trained to date. It has also been used in civilian and Department of War trainings with success. Data from training cases show clinically significant reductions in PCL-5 as well as good retention across all these initiatives.

Noon - 1 - One hour break for lunch on your own.

We are having a soft opening for registration. Stop by the registration desk to pick up your badge. 

Much of the staff will be in a meeting, so we won't be able to provide extra assistance for registrations that require it. On Thursday morning, we will be fully staffed and ready to handle everything.

Registration and Information Desk is open. Stop by with any questions. Pick up your badge here.

Kick start your CFHA Conference experience on the right foot in this session designed for new attendees flying solo or previous attendees who want to expand their networking and get in the inside scoop on what’s new at the Conference. We’ll discuss tips on how to navigate the agenda, maximize your time and meet other attendees.

Visit our conference exhibitors.

This 90-minute session begins with a 30-minute review of findings from a multisite primary care study showing that patients who experienced higher clinician empathy reported better mental and physical health, with associations persisting over two years. These results underscore empathy as a valuable clinical skill with meaningful impact on patients’ outcomes. The remaining 60 minutes is an experiential workshop introducing a brief communication approach for demonstrating empathy: the “Ordinary and Unique” procedure. Through self-reflection, paired practice, and discussion, participants will strengthen their ability to offer concise empathic reflections while bridging differences in identities and lived experiences.

Menopause and its mental health effects are increasingly in the spotlight due to social media and greater access to publication and research. Women are beginning to challenge long‑standing gaps in care. With the FDA’s 2025 removal of the estrogen black box warning, hormone discussions have become more common among midlife women, especially in Primary Care. Despite this, many are prescribed antidepressants without adequate attention to their menopause stage. In integrated care settings, clinicians must know how to ask the right questions, recognize key symptoms, and provide validating, evidence‑based support. Doing so ensures women feel understood, appropriately treated, and empowered during this critical life transition.

In an era of burnout, overwhelming demands, and mounting pressures, how we show up clinically has never mattered more. This healing Extended Learning Opportunity invites providers of all disciplines to reconnect with their values and reengage with the honor of serving in primary care. Through the lens of SEEing—Shared vulnerability, Embodied Empathy, Inquiry, Noticing exceptions, and Guiding—we’ll explore a human-centered clinical stance and learn practical strategies to bring meaning, connection, and joy back into our daily work.

This extended learning opportunity (ELO) reviews the steps to creating evidenced-based clinical pathways specifically for pediatric populations in integrated settings. Content will cover clinical, operational, and technical considerations unique to children, adolescents, and families within several integrated frameworks, including Primary Care Behavioral Health (PCBH), Collaborative Care Model (CoCM), and prevention-focused models. Instruction will highlight how developmental, family‑system, and school‑related factors shape pathway creation. This interactive instruction will be followed by a panel of experts in these models from various disciplines to answer specific questions about pathway creation and improving clinical care.

Group therapy is a modality that has been utilized within integrated pediatric primary care settings in order to increase patient and family access to mental health interventions. This presentation will highlight four groups that have been utilized in medical settings. Participants will engage in interactive discussion regarding common challenges in implementing groups within a primary care setting as well as strategies for group success.

AI developments in healthcare proceed on an almost weekly if not daily pace. Much of these developments focus on specialty care and not primary care. Behavioral Health Integration is generally not even discussed. If integration is to succeed it must be part of workflow. Workflow in the future goes through AI. This preconference is designed for bh folks just beginning the AI journey, as well as folks who are further along.

Join us for our welcome reception.Open to everyone.

Registration is currently invitation-only.

Join us for the 5th Annual Poetry and Prose session at the 202g CFHA Conference. All are welcome to listen as well as participate.

Any interested conference attendee is invited to bring poems, short stories, or essays to the session. This session validates creative expression among the CFHA membership, encourages emotional reflection on the themes of healing and the life cycle, and creates intimacy and safety among colleagues.

Light snacks provided.

Open to everyone. Learn more about CFHA's Just Medicine Committee.

The Just Medicine Committee (JMC) is focused on advancing the mission of CFHA to be more inclusive and equitable. We are engaged and passionate about discussing solutions to the missing pieces that this committee has identified.

Learn more about the JMC on the website here or with this brochure.

Registration and Information Desk is open. Stop by with any questions. Pick up your badge here.

Visit our conference exhibitors.

This workshop is appropriate for anyone interested in exploring ways to use emerging AI technology in their work. Specifically, it will center on using these tools in writing and publication processes. Participants are asked to arrive with a writing or publication idea and be ready to use online tools to expand their competencies and skills. Facilitators will lead a didactic presentation, paired with small group work and individual writing activities.

Roundtable “Discussion Groups” are highly interactive and provide attendees ample time to share thoughts and ask questions about a topic. The concept is to exchange information around a particular subject and foster lively conversation among table guests. 

HOW IT WORKS

• A list of the Discussion Group topics and facilitators will be listed in the CFHA conference mobile app.
• Discussion Group topics will be posted on a round tables in the Ballroom. Seats will be reserved for the designated Facilitator; up to 9 seats will be available for conference attendees.
• Boxed lunches will be available at 11:45 as morning sessions adjourn. Conference registrants will pick up a lunch and find a seat at one of the 60+ tables holding Discussion Groups.
• The Facilitator will begin discussions at 12:05. Start with a brief introduction about their experience and work in the subject – no more than 5 minutes.
• Discussions end no later than 1:15 PM to allow transition time for afternoon sessions that convene at 1:30 PM.

Join us to visit the posters and for the reception.

Families Systems and Health Editorial Meeting - welcome for all who are interested.

"Hot Topics" discussion focusing on real-life examples of "difficult" situations that we may face working in integrated health/primary care. The discussion will be collaborative with those who attend the meeting in hopes of learning from the experiences of others in the field. It is going to be led by Dr. Emily Faust, the current member-at-large for the PCBH SIG.

Learn about two of CFHA's Workgroups

• Value-Based Payments
• Measurement-Based Care

Registration and Information Desk is open. Stop by with any questions. Pick up your badge here.

Visit our conference exhibitors.

Join us as we celebrate the 2025 Award Winners.