Integrated Behavioral Health & Practice Across the Continuum of Service Needs

Foundations of Integrated Behavioral Health Care: Whole Person Care

Addresses physical health, mental health, substance use, and health-related behaviors within coordinated services

Foundations of Integrated Behavioral Health Care: Bidirectional Integration

Incorporates behavioral health into primary care & primary care into behavioral health settings

Foundations of Integrated Behavioral Health Care: Interprofessional Collaboration

Brings providers together to address connected health needs and improve continuity of care.

Integrated Behavioral Health Service Settings: Patient-Centered Medical Homes (PCMHs)

Coordinate comprehensive, patient-centered primary care through interprofessional teams

Integrated Behavioral Health Service Settings: Federally Qualified Health Centers (FQHCs)

Provide community based primary care for medically underserved populations, including people with limited financial resources

Integrated Behavioral Health Service Settings: Certified Community Behavioral Health Clinics (CCBHCs)

Provide comprehensive behavioral health services, including crisis care, treatment planning, and care coordination.

Continuum of Mental Health & Wellness to Mental Illness: Crisis

Significant symptoms and difficulties functioning in daily life.

Continuum of Mental Health & Wellness to Mental Illness: Struggling

Mental health challenges interfere with adaptation and participation

Continuum of Mental Health & Wellness to Mental Illness: Surviving

Individuals manage symptoms while rebuilding everyday routines

Continuum of Mental Health & Wellness to Mental Illness: Thriving

Increased participation, coping, and engagement in valued roles

Continuum of Mental Health & Wellness to Mental Illness: Excelling

Positive mental health, meaningful participation, and flourishing

Levels of Mental Health Service Intensity: Inpatient Psychiatric Hospitalization

Provides intensive secured treatment and safety during acute psychiatric crises

Levels of Mental Health Service Intensity: Partial Hospitalization Programs (PHPs)

Deliver structured intensive daytime treatment without overnight hospitalization

Levels of Mental Health Service Intensity: Intensive Outpatient Programs (IOPs)

Provide scheduled therapeutic scheduled therapeutic services while individuals continue living in the community

Levels of Mental Health Service Intensity: Community Mental Health Services

Support symptom management, recovery, and participation in everyday roles

Community-Based Mental Health Service Models: Assertive Community Treatment (ACT)

Provides intensive multidisciplinary, community-based treatment rehabilitation, and support for individuals with significant mental health needs

Community-Based Mental Health Service Models: Psychosocial Clubhouses

Support recovery through relationships, meaningful occupations, employment, education, and community engagement

Community-Based Mental Health Service Models: Community Case Management

Connects individuals with services and resources while addressing barriers to getting and maintaining community supports.

Occupational Therapy in Integrated Behavioral Health: Health Promotion & Disease Prevention

Supports healthy routines, health-related behaviors, and occupational participation to promote wellness and reduce disability

Occupational Therapy in Integrated Behavioral Health: Chronic Disease Management

Addresses self-management of physical and behavioral health conditions through daily routines, symptom management, and participation.

Occupational Therapy in Integrated Behavioral Health: Care Coordination

Supports communication, services navigation, and continuity of care across providers and service settings

Occupation-Centered Interventions in Integrated Behavioral Health: Health-Management Routines

Build medications, symptom monitoring, and appointments into established habits

Occupational Therapy in Integrated Behavioral Health: Functional Cognition

Use memory aids, cures, sequencing, and compensatory strategies for self-management

Occupational Therapy in Integrated Behavioral Health: Wellness Occupations

Adult sleep, activity, meal preparation, and stress-management routines

Occupational Therapy in Integrated Behavioral Health: Occupational Balance

Use pacing and energy conservation across self-care, work, rest, and leisure

Occupational Therapy in Integrated Behavioral Health: Brief Functional Interventions

Target one priority occupational barrier with a strategy practiced between visits

Occupational Therapy in Integrated Behavioral Health: Interdisciplinary

Share functional findings and align goals with primary care and behavioral health

OT Across Service Setting: Inpatient Psychiatric Settings

Emphasize safety, functional assessment, coping strategies, therapeutic activities, and discharge preparation

OT Across Service Setting: Partial Hospitalization and Intensive Outpatient Programs

Support symptom management, daily routines, functional skill development, and transition to community living

OT Across Service Setting: Community-Based Services

Emphasize OT evaluation and intervention targeting independent living skills, functional cognition, routine development, environmental adaptation, and performance of valued occupational roles

Grading OT Interventions Across MHC: Inpatient Stablilization

Use manageable activities for coping, routines, and occupational assessment within safety requirements

Grading OT Interventions Across MHC: Partial Hospitalization

Practice daily living skills, activity scheduling, coping, and increasingly complex problem-solving

Grading OT Interventions Across MHC: Intensive Outpatient Services

Apply self-management and routine strategies between treatment sessions

Grading OT Interventions Across MHC: Grade Intervention Demands

Adjust complexity, simulation, cueing duration, and independence to performance

Grading OT Interventions Across MHC: Support Transitions

Practice discharge routines and coordinate carryover supports across settings.

Care Coordination & Transitions Across MHS: Importance of Care Transitions

Transitions between mental health service settings are important for maintaining continuity of care, responding to changing service needs, and supporting recovery and occupational participation

Care Coordination & Transitions Across MHS: Continuity of Care

Maintains coordinated services as individuals move between different levels of mental health care

Care Coordination & Transitions Across MHS: Discharge Planning

Identifies ongoing treatment needs, community resources, and supports for returning to everyday activities

Care Coordination & Transitions Across MHS: Interprofessional Communication

Facilitates information sharing among primary care, behavioral health, and community service providers

Care Coordination & Transitions Across MHS: Recovery-Oriented Services

Emphasize self-determination, personal recovery goals, and participation in community life

Care Coordination & Transitions Across MHS: Suport Transitions

Practice discharge routines and coordinate carryover supports across settings