Table 1.

FAHC primary care behavioral health intervention components

Clinical	• Full-time primary care behavioral health clinician (per 7,500 patient panel (Hunter et al. 2009)) with clinical and care management responsibilities
	• Clinician availability for personal, face to face introductions (“warm handoffs”) and consultation
	• Brief evidence-supported treatment interventions
	• Intensive training of primary care behavioral health clinicians, using treatment protocols for a broad range of psychological and medical problems amenable to behavioral health treatment
	• Population (panel)-based care using measurement-based, stepped treatment and other resources
Operational	• Screening for behavioral health and physician decision support seamlessly integrated into EHR
	• Practice reengineering of operational processes, e.g., “warm handoffs”
	• Automated referral and patient scheduling
	• Training physicians and staff in behavioral care procedures
	• Appointment frequency and interval consistent with primary care
	• Shared transparent EHR with two-way notes and access to information
	• Care management to coordinate referrals and information to/from specialty care as needed
Financial	• Brief interventions over brief time frames
	• Coordination of services and finances to optimize sustainability
	• Regular reports of performance, RVU, and financial data