The Redwood Community Health Coalition (RCHC) collaborative, comprised of county agencies, community health centers, behavioral health providers, hospitals, and a Medi-Cal managed care plan is leading the primary care and behavioral health integration initiative in Sonoma, Marin, Napa and Yolo Counties. This collaborative has primarily focused on training primary care providers to improve mental health and substance use services.

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The collaborative may serve as a resource to others interested in pursuing similar work as it continues to develop expertise in these areas:

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Workforce competency trainings for primary care providers on topics such as psychotropic medication prescribing, identifying and managing behavioral health conditions, and trauma-informed care

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Advancing shared care-planning and improved coordination across primary and behavioral health providers for patients who are transitioning between care settings. This includes work by the pilot site to develop a new care coordinator / referral coordinator position and work flow specific to behavioral health integration to improve tracking between agencies and follow up with patients.

 

Convening representatives from each of the four counties and identifying effective evidence-based models that advance systems transformation and integration. Models being used at different health centers of varying sizes were shared including Marin Community Clinics, West County Health Centers, and Winters Healthcare Foundation.

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Gaining consensus among stakeholders on a set of countywide metrics to measure system progress in advancing behavioral health integration and participated in the Dashboard Learning Community Cluster

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Lead Contacts:

Teresa Tillman, Redwood Community Health Coalition, ttillman@rchc.net

Colleen Peterson, Redwood Community Health Coalition, cpetersen@rchc.net

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