"The Challenges of Measuring Quality
and Costs of Behavioral Health Services in Primary Care"
Presented by Virna Little, PsyD, LCSW-r, MBA, CCM, SAP
Associate Director for Clinical Innovation, Center for Innovation in Mental Health

February 21 2018, CUNY SPH Room 822, 4-5:30 PM

You can view the presentation HERE!

The ACA's parity requirements and recommendations from the United States Preventive Services Task Force have encouraged primary care providers to respond to screening for behavioral health (depression, alcohol use) in unprecedented ways.  Even as the science about the ability to detect and improve behavioral health issues in primary care deepens, providers remain stretched thin to meet a myriad of patient, clinical, and organizational expectations.

In addition to considerable time constraints, assessing the delivery of behavioral health screening presents its own set of challenges.  Unlike diabetes interventions, it is harder to measure the fidelity of behavioral health interventions and change is harder to measure than a-1-c levels.  Even within integrated primary care settings, referrals remain common but information on the services delivered or gains made is often not easily accessible by the primary care provider.


3/19/18: "Improving Mental Health Treatment in Rio de Janeiro Primary Care Settings"
Presented by Sandra Fortes, Associate Professor of Medical Psychology and Mental Health
School of Medical Sciences, University of Rio de Janeiro State (UERJ)

Monday March 19, 2018 | 4-5:30 PM | CUNY SPH Room 822

You can view the presentation HERE!

In 1990 Brazil began to focus its mental health system away from a psychiatric hospital system to psychosocial community health centers. Between 2002-2014, Brazil reduce the number of psychiatric hospital beds by nearly 60% while increasing the number of psychosocial centers from approximately 1 per 500,000 to 1 per 100,000. At the same time, Brazil expanded its primary care system. Medical teams (comprised of a physician, nurse, medical technician and 6 community workers) are placed in clinics across the country. Each team is assigned to approximately 5,000 people. Nearly half of the centers in Rio have been assigned a mental health professional (often a psychologist) to support local treatment of mental health and substance use disorders. Dr. Fortes will describe the successes and challenges of ongoing efforts in Rio to expand local mental health services through training, quality improvement efforts, and educational campaigns.


4/16/18: “An Introduction to LADDERS: A Dynamic Paradigm for Planning, Implementing, and Evaluating Sustainable Transformational Change”

Presented by Paul Meissner, MSPH
Director, Research Program Development, Montefiore Medical Center