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Behavioral Health Conditions

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Depression and alcohol use disorder are common behavioral health conditions in adults, yet they are often under-identified in primary care settings.

Additionally, challenges in effective care coordination for these and other behavioral health conditions contribute to high hospital readmission rates and problems with treatment adherence.

We are determined to change this, but we need your help to do it.

atom Alliance is actively seeking to partner with primary care providers (PCPs) and inpatient psychiatric facilities (IPFs).


What We’ll Accompish

  • Increase the identification in primary care settings of adults with depression or alcohol use disorder
  • Reduce the 30-day readmission rate
  • Increase outpatient follow-up for psychiatric discharges

How We’ll Accomplish It

atom Alliance will

  • Provide technical assistance and targeted training to primary care providers, inpatient psychiatric facilities and associated providers and communities
  • Monitor and evaluate the success of assistance and interventions
  • Invite and involve providers and patients in Learning and Action Networks (LANs)
  • Engage with organizations, agencies and other entities working to advance the same goals

Providers will strive to

  • Successfully transmit discharge information to follow-up practitioners
  • Follow-up with patients through visits or calls
  • Communicate with the next level practitioner to confirm discharge plan and maintenance of follow-up appointment
  • Actively engage and educate patients, families and caregivers in discharge planning and treatment goals
  • Monitor performance and continuously improve

Behavioral Health Infographic

See how atom Alliance initiatives allign with Behavioral Health.

If you have any questions or comments, please Contact Us

Featured Resources

CMS Equity Plan
CMS Equity Plan

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433.40 KB | Last Updated: January 26, 2016

Advancing Behavioral Health Screening and Improving Care Coordination
Advancing Behavioral Health Screening and Improving Care Coordination

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3.11 MB | Last Updated: January 26, 2016

Behavioral Health News

Use the tabs to the right to search for specific tools and resources related to this page.

You can also search our comprehensive library of online resources, where you can sort by atom Alliance state, initiative, patient or provider focus or simply type in a keyword for quick access to the tools and resources you need.

Routine Screening for Depression, Alcohol Problems, and Domestic Violence
Offers evidence-based tools to assist family physicians in improving their decision-making at the point of care by addressing the following clinical question: How can physicians most effectively screen their patients for depression, alcohol use disorders, and domestic violence?”
SAMHSA Billing Tools: Paying for Primary Care and Behavioral Health Services Provided in Integrated Care Settings
Includes state billing and financial worksheets, billing and financing tools and webinars
AHRQ: The Academy—Integrating Behavioral Health and Primary Care
Provides a comprehensive set of resources to assist providers in behavioral health integration efforts
Hospitalizations Involving Mental and Substance Use Disorders Among Adults, 2012
Substance Abuse and Mental Health Services Administration (SAMHSA)
Agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation
National Institute of Mental Health
Strives to transform the understanding and treatment of mental illnesses through basic and clinical research, paving the way for prevention, recovery and cure
National Alliance on Mental Illness (NAMI)
The National Council for Behavioral Health (National Council)
A unifying voice of America’s community mental health and addictions treatment organizations
Suicide Safe
Free SAMHSA suicide prevention app for mobile devices and optimized for tablets to help providers integrate suicide prevention strategies into their practice and address suicide risk among their patients
SAMHSA Center for the Application of Prevention Technologies (CAPT)
A national substance abuse prevention training and technical assistance system dedicated to strengthening prevention systems and the nation’s behavioral health workforce
SAMHSA Co-Occurring Disorders
Shows co-occurring disorders offers related screening, training, statistics and more.
Screening, Brief Intervention, and Referral to Treatment (SBIRT)
An approach to the delivery of early intervention and treatment to people with substance use disorders and those at risk of developing these disorders.
Treatment of Depression in Older Adults Evidence-Based Practices (EBP) Kit
Offers information about an array of evidence-based practices for treatment and services to improve outcomes for older adults with depression, including dysthymia. Considers planning, implementation, and maintenance.
NAMI Fact Sheet Library
Fact sheets providing clear, concise information on mental health topics
A Guide to Substance Abuse Services for Primary Care Clinicians
Helps physicians, nurses, physician assistants, and advanced practice nurses (nurse practitioners and clinical nurse specialists) screen their patients for substance use disorders, conduct brief interventions for patients in the early stages of problem development and refer more severely affected patients for in-depth assessment and treatment
A Primary Care Approach to Substance Misuse
Offers an effective approach to office-based treatment, including a framework for identifying and managing substance use disorders and specific strategies to promote behavior change
SAMHSA Screening Tools
Provides screening tools for primary care and other healthcare settings to enable earlier identification of mental health and substance use disorders
SAMHSA Motivational Interviewing
Resources and webinars to encourage and teach clinical practices motivational interviewing to help people with mental health and substance use disorders and other chronic conditions make positive behavioral changes to support better health
American Academy of Family Physicians Screening Instruments for Depression
Provides a variety of screening instruments for depression
Screening Tools for Depression in Primary Care
The effects of culture, gender, and somatic symptoms on the detection of depression
Screening for Depression in Adults and Older Adults in Primary Care: An Updated Systematic Review
Updates the evidence for the benefits and harms of screening primary care patients for depression in order to initiate or modify treatment aimed at providing relief from depression
Center for Integrated Health Solutions
Promotes the development of integrated primary and behavioral health services; provides training and technical assistance
Agency for Healthcare Research and Quality (AHRQ), the Academy for Integrating Behavioral Health and Primary Care
Functions as both a coordinating center and a national resource for people committed to delivering comprehensive, integrated healthcare
SAMHSA: What Is Integrated Care? Overview of Integrated Care
Provides overview of integrated care, including links to basic webinars and resources
SAMHSA: Screening Tools
Offers mental health screening tools for primary care and other healthcare providers
Institute for Healthcare Improvement (IHI)
Serves as leading innovator, convener, partner and driver of results in health and health care improvement worldwide
Center for Integrated Primary Care
Offers training for integrated care teams through the University of Massachusetts Medical School
Care Transitions Interventions in Mental Health
Provides a review of intervention models for facilitating care transitions from inpatient to outpatient psychiatric care
Train the Trainer Manual
Train the Trainer Manual

Preview: Train the Trainer Manual
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6.77 MB | Last Updated: October 4, 2017

What Is Depression
What Is Depression

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593.44 KB | Last Updated: October 4, 2017

Do What You Use to Enjoy to Help Depression
Do What You Use to Enjoy to Help Depression

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723.02 KB | Last Updated: October 3, 2017

FAQs: Antidepressants
FAQs: Antidepressants

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266.36 KB | Last Updated: October 3, 2017

Medicare Screening Codes Related to Behavioral Health
Medicare Screening Codes Related to Behavioral Health

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99.50 KB | Last Updated: October 2, 2017

Behavioral Health Scoring and Billing
Behavioral Health Scoring and Billing

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107.60 KB | Last Updated: October 2, 2017

AUDIT Manual (WHO)
AUDIT Manual (WHO)

Preview: AUDIT Manual (WHO)
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171.76 KB | Last Updated: March 10, 2016

AUDIT Manual (WHO) - Spanish
AUDIT Manual (WHO) - Spanish

Preview: AUDIT Manual (WHO) - Spanish
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154.31 KB | Last Updated: March 10, 2016

Advancing Behavioral Health Screening and Improving Care Coordination
Advancing Behavioral Health Screening and Improving Care Coordination

Preview: Advancing Behavioral Health Screening and Improving Care Coordination
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3.11 MB | Last Updated: January 26, 2016

PHQ Audit Scoring
PHQ Audit Scoring

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139.46 KB | Last Updated: December 28, 2015

Behavioral Health Screening Tools
Behavioral Health Screening Tools

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336.65 KB | Last Updated: November 12, 2015

Motivational Interviewing in Primary Care
Motivational Interviewing in Primary Care

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285.26 KB | Last Updated: October 23, 2015

What You Can Do for Depression
What You Can Do for Depression

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414.36 KB | Last Updated: October 23, 2015

Enhancing Behavioral Health Interventions in Primary Care
Enhancing Behavioral Health Interventions in Primary Care

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904.48 KB | Last Updated: October 12, 2015

Enhancing Behavioral Health Interventions in Inpatient-Psychiatric Facilities
Enhancing Behavioral Health Interventions in Inpatient-Psychiatric Facilities
Enhancing Behavioral Health Infographic
Enhancing Behavioral Health Infographic

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24.01 MB | Last Updated: October 12, 2015

Promoting Effective Prevention and Treatment of Chronic Disease
Promoting Effective Prevention and Treatment of Chronic Disease

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2.28 MB | Last Updated: September 24, 2015

Screening in Primary Care
Screening in Primary Care

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501.80 KB | Last Updated: October 12, 2015

Audit-C
Audit-C

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38.37 KB | Last Updated: December 20, 2016

ICSI Adult Depression in Primary Care Guideline
ICSI Adult Depression in Primary Care Guideline

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2.76 MB | Last Updated: September 10, 2015

The Economics of Behavioral Health Services in Medical Settings: A Summary of the Evidence
The Economics of Behavioral Health Services in Medical Settings: A Summary of the Evidence
Patient Health Questionnaire-2 (PHQ-2)
Patient Health Questionnaire-2 (PHQ-2)

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37.71 KB | Last Updated: December 20, 2016

Patient Health Questionnaire-9 (PHQ-9)
Patient Health Questionnaire-9 (PHQ-9)

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44.42 KB | Last Updated: December 20, 2016

Texas Medication Algorithm Project
Texas Medication Algorithm Project

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677.45 KB | Last Updated: September 10, 2015

Fact Sheet: Advancing Behavioral Health
Fact Sheet: Advancing Behavioral Health

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1.09 MB | Last Updated: July 28, 2016

Recommended Actions for Improved Care Transitions: Mental Illness and or Substance Use Disorders
Recommended Actions for Improved Care Transitions: Mental Illness and or Substance Use Disorders
MLN Mental Health Services
MLN Mental Health Services

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1.69 MB | Last Updated: July 28, 2015

A Guidebook of Professional Practices for Behavioral Health and Primary Care Integration
A Guidebook of Professional Practices for Behavioral Health and Primary Care Integration
A Standard Framework for Levels of Integrated Healthcare
A Standard Framework for Levels of Integrated Healthcare

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414.58 KB | Last Updated: August 20, 2015

SAMHSA Core Competencies for Behavioral Health and Integrated Primary Care
SAMHSA Core Competencies for Behavioral Health and Integrated Primary Care
Institute for Clinical Systems Improvement Adult Depression in Primary Care Guideline
Institute for Clinical Systems Improvement Adult Depression in Primary Care Guideline
The Four Quadrant Clinical Integration Model
The Four Quadrant Clinical Integration Model

Preview: The Four Quadrant Clinical Integration Model
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62.40 KB | Last Updated: August 20, 2015

Video: Advancing Behavioral Health Screening and Improving Care Coordination

Patient Education
Patient Insight: Depression and Diabetes

The Other Side
An evocative rendition of the journey from despair and loneliness to hope and community, as told by those who’ve recovered from mental illness and addictions

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