- Potential economic impact of integrated medical-behavioral healthcare: Updated projections for 2017
- Integrated Care: Working at the Interface of Primary and Behavioral Health Care (By Lori Raney, M.D.)
- Integrated Care: A Guide for Effective Implementation (By Lori Raney, M.D., Gina Lasky, Ph.D., and Clare Scott)
Rates of depression, anxiety, trauma, substance use and grief are rising across large segments of the population—particularly for youth and black, indigenous and people of color. Primary care will be the first responders to this mental health crisis across the country. There has never been a more important time for the integration of behavioral health in primary care for early identification, treatment of mild to moderate conditions, and enhanced referral to specialty care. Integrated care has also shifted to telehealth and there are emerging lessons. Join us for a discussion on the importance of integrated care for supporting public health, behavioral health, and health equity during Covid-19.
Key Themes: Expansion of access to behavioral health services, universal screening of behavioral health conditions, brief interventions, core elements of effective integrated care, expansion of psychiatry and emerging trends in virtual integrated care.
- Participants will be able to describe the central role of integrated care in Covid-19
- Participants will be able to describe and share in lessons learned from virtual integration
- Participants will review the need, disparities and risks in a rising behavioral health crisis
- Participants will identify the role of integrated care in management of coronavirus for vulnerable populations
Gina Lasky, Ph.D., MAPL, Principal, Health Management Associates
Dr. Lasky has decades of experience in public sector behavioral health. She works across the country on projects related to behavioral health system design, practice transformation, and integration of behavioral health for states, counties, managed care plans, and large providers. Her work focuses on development of effective stepped care approaches levering a continuum of services tailored to population need. This includes behavioral health quality improvement and innovation, such as enhancing measurement-based care, using human centered design thinking, bringing behavioral health services into the community, and partnership development and collective impact initiatives.
Dr. Lasky has examined state policy and administrative barriers to integrated care and has published work on leadership and team development in integrated care with the Center for Integrated Health Solutions and the American Psychiatric Association. She is co-editor of Integrated Care: A Guide to Effective Implementation for the American Psychiatric Association. She works nationally with States, managed care and providers on effective implementation of integrated care.
Prior to coming to HMA, Dr. Lasky provided direct clinical care for numerous non-profit organizations, a public hospital, and a state psychiatric hospital where she specialized in serious mental illness and working with individuals who were aggressive towards themselves and others. Gina has had leadership responsibility for an acute treatment unit, a detox program, crisis services, outpatient mental health clinics, and substance use treatment programs in community behavioral health. She has been responsible for clinical program development, quality improvement, and directly supervised clinical managers and therapists.
Dr. Lasky earned her masters and doctorate in counseling psychology from the University of Denver and a master’s degree in public leadership with a specialization in multi-sector management from George Washington University. She is the current Past President of the Board for The College for Behavioral Health Leadership.
Lori Raney, MD, Principal, Health Management Associates
Dr. Lori Raney is a board-certified psychiatrist and Principal with Health Management Associates in Denver, Colorado. She is considered a leading authority on the collaborative care model and the bidirectional integration of primary care and behavioral health. Her work focuses on service evaluation, gap analysis and design and training of multidisciplinary teams to implement evidence based practices to improve the identification and treatment of mental illness in the primary care setting and improve the health status of patients with serious mental illness behavioral health settings. She has worked with clients implementing 2703 Health Home State Plan Amendments for behavioral health populations, state innovation model (SIM) and transforming clinical practice initiatives (TCPI), and provided training for personnel implementing Primary and Behavioral Health Care Integration (PBHCI) grants. She is the editor of two books Integrated Care: Working at the Interface of Primary Care and Behavioral Health and Integrated Care: A Guide for Effective Implementation. In addition she has published numerous articles in peer reviewed journals on topics related to integration. She was selected to be a Master Trainer for the American Psychiatric Association’s Support and Alignment grant to train 3,500 psychiatrists in the collaborative care model. Her current work also includes evaluating hospitals and clinics in recognizing and developing strategies to deal with the impact of behavioral health across health care systems including the design and implementation of integrated care in their primary care practices.
Dr. Raney served for 15 years as the medical director of a community mental health center in rural Colorado, where she fostered the development of a full range of evidence-based services including the development of a telepsychiatry program, working in and deploying psychiatric providers in corrections settings, developing an inpatient psychiatric treatment unit, managing the psychiatric medical team in implementing prescribing best practices including metabolic monitoring, encouraging medication assisted treatment of substance use disorders, and establishing hospital-based psychiatric consultation. In her administrative capacity she has extensive experience in psychiatric medical leadership, innovative strategies for hiring and retaining the psychiatric workforce, established performance measures for good psychiatric care and implemented strategies to meet key performance indicators required by Medicaid. During her tenure, she led efforts to implement the collaborative care model of integrated care in diverse primary care locations including Federally Qualified Health Centers, a Rural Health Center, tribal clinics, and school-based health centers, and has served as a consultant psychiatrist at these locations. Dr. Raney participated in the design of a fully integrated healthcare facility that combined primary care and traditional behavioral health, which made it possible for her to rapidly address the physical health issues in patients with serious mental illness.
She has worked for over 15 years with tribal populations with the Indian Health Service in remote clinics in the Southwest and continues her clinical work with the Ute Mountain Ute tribe in Towaco, Colorado. She also worked both as a staff psychiatrist and as the Clinical Director for an ambulatory care center in rural Arizona on the Navajo Reservation.