Integration Models

Collaborative Care for Chronic Pain

Report and Recommendations from the Bree Collaborative

Treatment of pain varies widely between systems and clinicians with high financial and human cost. Moving to a collaborative or team-based approach to managing complex pain has been shown to result in better patient outcomes.

However, most approaches to pain management including chronic opioid therapy involved siloed health care providers. This workgroup met from January 2018 to January 2019 and defined minimum standards for:

Opioid Response Network

Providing education and training at a local level for evidence-based practices in the prevention, treatment and recovery of opioid use disorders, the State Targeted Response Technical Assistance Consortium (STR-TA), funded by SAMHSA, is a response from a large coalition of national professional organizations. The Opioid Response Network, ORN, provides local training and education free of charge for specific needs at a community level. 

Six Building Blocks

A Team-Based Approach to Improving Opioid Management in Primary Care

This website introduces the Six Building Blocks, provides tools and resources for improving care, and offers implementation guidance. The Six Building Blocks can help anyone who is interested in improving the care of patients using long-term opioid therapy.

Using Pharmacies to Access Naloxone: A guide for community-based agencies

A New Guide: Using Pharmacies to Access Naloxone

The University of Washington's Center for Opioid Safety Education has a new guide, Using Pharmacies to Access Naloxone: a guide for community-based agencies. The guide gives an overview of how agencies can work with pharmacies to provide naloxone directly, easily, and at low cost, to specific clients at risk of overdose.

The Center also has available:

Primary Care Integration: Lake Whatcom Residential and Treatment Center, Case Example

Development of an Integrated Program

Lake Whatcom Residential and Treatment Center (LWC) strives to be a hub of services to its clients and to treat the whole person through primary care integration.  Between 2011 and 2013, LWC participated in Washington State’s Healthy Communities, Washington Healthcare Improvement Network in order to develop a system to manage care for clients with complex medical needs and to strengthen behavioral health agency collaboration with primary care providers.

Food Lifeline and Sea Mar Community Health Centers

About Food Lifeline and Sea Mar Community Health Centers

Founded in 1979, Food Lifeline is part of the national “Feeding America” network that assists in collecting food that would otherwise go to waste to provide meals to thousands of people across Western Washington. Food Lifeline rescues millions of pounds of this surplus food from farmers, manufacturers, grocery stores, and restaurants and focuses on a long term solution to hunger.

Valley View Case Example

Valley View Health Center is a non-profit health center providing medical, dental, behavioral health, and pharmacy services to patients. They joined the Washington State Mental Health Integration Program (MHIP) to learn more about the Collaborative Care Model for behavioral health integration from the Advancing Integrated Mental Health Solutions (AIMS) center at the University of Washington. 

Topics covered in this resource: