Models of Integrated Care

Revised Four Quadrant Model
The National Council’s widely used Four Quadrant Model represents a population-based planning framework for the clinical integration of health and behavioral health services. The revised model incorporates the concept of the person-centered healthcare home.

MacArthur Initiative on Depression and Primary Care
The MacArthur Foundation Initiative on Depression and Primary Care at Dartmouth and Duke has created a Depression Tool Kit, which is intended to help primary care clinicians recognize and manage depression.

IMPACT Model of Depression Care
Developed by Jurgen Unutzer at the University of Washington. The IMPACT model of depression care is one of the most widely implemented programs for treating depression in primary care. The website includes online training and clinical toolkits for implementing the model.

Wagner Chronic Care Model
The Chronic Care Model was developed by Ed Wagner, MD, MPH, Director of the MacColl Institute for Healthcare Innovation, and colleagues of the Improving Chronic Illness Care program with support from The Robert Wood Johnson Foundation.

HARP (Health and Recovery Peer) Project
A adaptation of Standford's Chronic Disease Self-Management Program for mental health consumers. HARP is a peer-led, manualized program designed to improve individuals' self-management of chronic illnesses.

Primary Care Access, Referral, and Evaluation study (PCARE)
PCARE is a team-based model of medical care management for individuals with serious mental illnesses. **Article in press

AHRQ Report: Integration of Mental Health/Substance Abuse and Primary Care 
A review and description of models of integrated care used in the United States. Download a PDF copy of the Report
 

Screening Tools

Kessler 6 & 10
Kessler 6 & 10 are two tool used for screening mental health issues in a general adult population.
Kessler 6
Kessler 10

DEPRESSION

Patient Health Questionnaire (PHQ-9)
PHQ-9 is the most common screening tool used for identifying depression. 

Patient Health Questionnaire (PHQ-9) Spanish

Patient Health Questionnaire (PHQ-9) Adolescents


DRUG AND ALCOHOL USE

CAGE AID Questionnaire
The CAGE AID is a commonly used, five question tool used to screen for drug and alcohol use.

AUDIT-C Questionnaire
The AUDIT-C is a simple three question screen for hazardous or harmful drinking that can stand alone or be incorporated into general health history questionnaires.

Screening, Brief Intervention, and Referral to Treatment (SBIRT)
SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are at risk of developing these disorders for use in community settings. The website includes curricula, online resources, and publications designed to help implement SBIRT initiatives.

BIPOLAR DISORDER

STABLE Resource Toolkit
The STABLE Resource Toolkit was developed by CQAIMH. The toolkit provides quality improvement resources to assist the clinician in the identification and management of bipolar disorder.

The Mood Disorder Questionnaire (MDQ)
The MDQ includes 13 questions associated with the symptoms of bipolar disorder.

SUICIDE RISK

SAFE-T (Suicide Assessment Five-Step Evaluation and Triage)
SAFE-T was developed in collaboration with the Suicide Prevention Resource Center and Screening for Mental Health. Visit www.stopasuicide.org for additional resources.

Suicide Behaviors Questionnaire
The SBQ-R assesses suicide-related thoughts and behaviors.

Other Tools and Resources

Care Management of Patients with Complex Health Care Needs
A new report from Robert Wood Johnson Foundation’s Synthesis Project explores the various care management programs which seek to reduce costs and enhance quality for people with complex health care needs. A PowerPoint presentation is also available.

Suicide Prevention Toolkit for use in Primary Care
Piloted in rural primary care centers, this web-based toolkit contains information and tools to implement state of the art suicide prevention practices and overcome the significant hurdles this life-saving work faces in primary care practices.http://www.sprc.org/pctoolkit/index.asp 

Measuring Key Health Indicators in Behavioral Health
The NASMHPD Report on Measuring Health Status for People with Serious Mental Illnesses recommends the collection of key health measures, such as HgA1c and certain cholesterol measures. Tools are affordable for behavioral health providers to have onsite. The following websites provide information on ordering key products to assist in collecting these measures.
HgA1c Kits
Cholesterol/lipid panels
Fasting blood sugar
Additional Site for Similar Products: http://www.hmscweb.com/

Teen Screen for Primary Care
TeenScreen Primary Care provides free evidence-based screening tools to medical providers to provide annual mental health checkups to adolescent patients as part of their routine healthcare and to help them determine if their adolescent patients are suffering from depression, anxiety or other conditions and also ascertain if they are at risk for suicide.