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1. ICARE Kids
(Innovative, Coordinated, Accessible, Research Based, and Efficient)
Integrated Primary and Behavioral Health Care for Children
Callie Livingston, MS, LCPC Integrated Care Coordinator, LifeLinks
2. ICARE Kids
Focused on Federally Qualified Health Care Clinics operated by SIHF Healthcare in
Rural Communities:
7 cities (Mattoon, Charleston, Greenup, Effingham, Olney, Salem and Vandalia)
In 6 counties (Coles, Cumberland, Effingham, Fayette, Richland and Marion)
Served children ages 5-17 years
LifeLinks and our Primary Care Partner, SIHF Healthcare identified issues in several
rural communities in Southeastern Illinois:
High unemployment
Rates of child abuse and neglect above the state average
Many low income families with few options for care
Transportation issues making it difficult for them to travel to other providers
Limited or no mental health services for children in many rural communities
No integrated care model in the region where children could receive primary and
behavioral health care in one location
3. ICARE Kids
Projected to serve 5,670 children
Universal Screening of children and adolescents ages 5-18 for social emotional
issues within the primary care office setting
Consumer centered communication and coordination with primary health care
team (doctors, nurse practitioners, support team), behavioral health
clinicians, and families working together to meet the child’s needs
All treatment interventions are evidence based or evidence informed
Use of standardized tools at regular intervals to measure the child’s
functional improvement as well as any decrease in the severity of the issue
4. ICARE Kids
Primary Care staff turnover
Fewer number of children presenting for primary care services than
anticipated
Front desk support team members did not all buy in to the value and process
of universal screening
Recruiting and retaining ICARE Kids counselors in these very rural areas
Some families/parents dropped out of treatment before it was completed
Creativity was required to achieve warm hand offs as clinicians became busier
Space issues – Rural FQHCs do not have room to house additional personnel-
funding for remodeling to accommodate integrated care is needed
5. ICARE Kids
ICARE Kids continues – Billing for services to Medicaid & Medicaid Management
Care has made it a self-sustaining program.
The success of ICARE Kids led LifeLinks to be one of only 3 agencies in the
State selected to participate in a SAMHSA funded grant – PIPBHC
Universal screening and outcome based measurement experience gained from
ICARE Kids will be continued in PIPBHC!
6. ICARE Kids
Early identification and treatment is effective!
The integrated care model with Behavioral Health Clinicians embedded in the
Primary Care office setting reduces some barriers to treatment.
Outcome measurements used to measure progress can be motivators for
consumers, families, staff and primary care personnel.
Planning is important – a good timeline helps keep implementation on track
Universal staff training ensures the program is replicated in each site in the
same way.
Flexibility and openness to change must be embraced for a new program like
this to work.