This document summarizes HealthRight 360, an organization that provides integrated behavioral health and primary care services. It grew through mergers of several substance abuse treatment and mental health organizations. It now serves over 27,000 people per year across 7 California counties, 3 state prisons, 2 county jails, and 2 juvenile halls. The organization's mission is to improve overall health for those in need, regardless of entry point. It has found success in offering medication-assisted treatment, managing chronic pain and co-occurring conditions, and decreasing emergency department use for substance abuse clients in residential treatment. Challenges include some restrictive policies, inconsistent health plan coverage, lack of integrated electronic health records, and workforce recruitment and training issues.

1. INTEGRATION OF
BEHAVIORAL
HEALTH AND
PRIMARY CARE
A VIEW FROM THE FIELD
6/11/2015 V. Eisen California Innovations Summit on Integrated Care
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2. 6/11/2015 V. Eisen California Innovations Summit on Integrated Care
HEALTHRIGHT 360
Whole person care for low-income adults, youth, and families
Substance use disorder treatment, mental health and primary
medical care
Support services that address the social determinants of
health: education, employment prep, transitional housing
and housing case management
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3. 6/11/2015 V. Eisen California Innovations Summit on Integrated Care
HEALTHRIGHT 360
Grew through mergers: Haight Ashbury Free Clinics, Walden
House, Asian American Recovery Services, Women’s
Recovery Association of San Mateo County, North County
Serenity House in San Diego County, Lyon Martin Health
Services, and took on operation of health center for Glide
Foundation (center now called Tenderloin Health Services)
Provide services in 7 CA counties, 3 state prisons, 2 county
jails, and in 2 juvenile halls.
Served 27,000 people last year
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4. 6/11/2015 V. Eisen California Innovations Summit on Integrated Care
OUR MISSION AND MODEL
Mission: Build health, give hope, and change lives for people in
need.
View overall health improvement as our primary purpose—no
matter which point of entry.
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Client
SUD
Tx
MH Tx Medical
Social
Svces

5. 6/11/2015 V. Eisen California Innovations Summit on Integrated Care
WHAT’S WORKING
Ability to offer MAT for behavioral health and primary care
patients
Better able to manage needs of chronic pain patients with co-
occurring SUD
Ability to offer robust continuum of SUD services to primary
care patients
Improved ability to attend to and manage co-occurring
chronic health conditions for SUD clients
Decreased ED utilization for SUD clients in residential
treatment
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6. 6/11/2015 V. Eisen California Innovations Summit on Integrated Care
CHALLENGES
Policy: Same day visit prohibition
Policy: Prohibition on any medical care in residential SUD tx
Health plan medication formularies: e.g., Vivitrol not in;
Klonazepam is (difficult to detect in UA)
EHR: Not integrated
No clear national standard for SUD treatment outcomes
(quality standards more process than outcome oriented)
Workforce: Recruitment, training, certification and licensure
Building team trust:
• Same goal, different demands
• Psychiatrists and mental health clinicians
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