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State Mental Health Policy: Mending Missouri's Safety Net: Transforming Systems of Care by Integrating Primary and Behavioral Health Care

Mr. Schuffman is senior consultant, Missouri Behavioral Health/Primary Care Integration Initiative, and Dr. Parks is director of the Missouri Department of Mental Health, Jefferson City. Dr. Druss is Rosalynn Carter Chair in Mental Health, Rollins School of Public Health, Emory University, Atlanta. Send correspondence to Dr. Druss at the Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Rd. NE, Room 606, Atlanta GA 30322 (e-mail: bdruss{at}emory.edu). Fred C. Osher, M.D., is editor of this column.

Missouri has begun a three-year pilot program across the state to integrate the primary care services provided by federally qualified health centers (FQHCs) and the behavioral health services provided by community mental health centers (CMHCs). This column describes the integration initiative, in which start-up funds were provided in 2008 to seven FQHC-CMHC partnerships (a total of $700,000 to each pair over 3.5 years). It reviews lessons learned during the first year of the project in bringing these two very different public systems of care together to mend the public health safety net.

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