Table 4.

Barriers to Behavioral Health Integration at Community Health Centers (N=77)

	Strongly Disagree / Disagree	Undecided	Strongly Agree / Agree
Reimbursement rates from payers adequately cover the cost of providing BH services	38 (51%)	16 (21%)	21 (28%)
Reimbursement rates from payers adequately cover the cost of integrating BH services and medical care	38 (51%)	22 (30%)	14 (19%)
Financial barriers prevent patients from being seen by primary care and BH providers on the same day	46 (61%)	3 (4%)	27 (36%)
Certification or licensure requirements prevent trained providers from providing BH services	54 (70%)	9 (12%)	14 (18%)
We have difficulty recruiting or retaining BH counselors	28 (36%)	14 (18%)	35 (45%)
We have difficulty recruiting or retaining psychiatrists	8 (11%)	10 (14%)	55 (75%)

BH=behavioral health.