This brief summarizes key challenges faced by the rural ambulatory safety net in delivering primary care and behavioral health services since COVID-19 and the policy changes that have been implemented in response to those challenges. It also offers state-level policy recommendations to improve rural-specific primary care and behavioral health care through sustaining and supporting the movement towards telehealth, addressing social needs, and advancing value-based payment and care.
This review is an initial exploration of team development within effective integrated primary and behavioral healthcare teams. Six integrated teams in safety net primary care settings were interviewed on the development of the clinical team.
The Excellence in Mental Health and Addiction Act, one of the most significant developments in behavioral health funding in decades, was designed to increase Americans’ access to community mental health and substance use treatment services via the creation of Certified Community Behavioral Health Centers (CCBHCs) in 8 states, while improving Medicaid reimbursement for these services.
The Institute for Clinical Systems Improvement (ICSI) launched its DIAMOND (Depression Improvement Across Minnesota, Offering a New Direction) model in 2008 to change how care for patients with depression was delivered and paid for in primary care.