ABSTRACT
This chapter focuses on the successful decade-long implementation of an integrated care program, centered on the Primary Care Behavioral Health model, at a Federally Qualified Health Center (FQHC). The core of the integrated care program at Access is defined well by the description put forth by P. J. Robinson and J. T. Reiter in their seminal text on the PCBH model, otherwise known as the Behavioral Health Consultant (BHC) model. Much like the consulting psychiatry service, the BHC may initiate a referral to the consult service through the electronic health records messaging system using a template, and this message is routed to the BHC in charge of managing the service. Primary care clinicians also heavily influence clinic administration given that they are the most expensive and vital resource most clinics have. Each clinic has its own challenges based on subpopulations that require additional attention and resources.
