NO HEALTH
WITHOUT
MENTAL HEALTH

Changing the U.S. healthcare system to make mental health services available as a routine, normal part of a patient’s medical encounters.

We work for a future where you can see a trained, qualified mental health professional for a consultation in the privacy of your primary care doctor’s office.

NHMH has done great work advocating for integrated care models which should help so many patients and families; I am inspired by its advocacy to improve the care of so many.

– Dr. Wayne J. Katon (Dec’d).

University of Washington, creator of the collaborative care/TEAMcare model of integrated care

Explains How Integrated Care Drives Quality

WHAT NEXT?

Where We Are: Ultimately integrating BH services into general medical care will not be sustainable in a fee-for-service world where physicians are paid for volume not value. Sustainable integrated care will only occur with a value-based (VB) payment system that provides flexibility and shared accountability and incentivizes high quality care in a meaningful manner.

Need to Develop Quality Measures: A VB payment system necessarily entails establishing a set of quality measures – structural, process, and outcome – which demonstrate value, efficiency and outcomes results, and hence allow payers, government and commercial insurers, to pay those practices rewarding them for high-quality care delivered.

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A CALL TO ALL BEHAVIORAL HEALTH INTEGRATION STAKEHOLDERS:   PUT PATIENTS F-I-R-S-T!

To make behavioral integration into medical settings a reality NHMH calls upon all stakeholders to Put Patients First! and relinquish narrow vested interests tied to the status quo.  Now is a time for innovation and for putting the whole health needs of American citizens, mental and physical, first and work together to get that done.  Now is the time for implementing effective, proven integrated medical-behavioral care that is team-based, measurement-based and value-based.

In this first installment of our new NHMH 2021 Mission Statement we discuss:

* Issue overview
* The human toll (true story from frontlines)
* How siloed behavioral-medical care delivery and payment came to be
* Healthcare system changes required now
* Cost to fix
* NHMH specific legislative and regulatory “Asks”

Mission/Policy Statement

One Stop Shop: Getting Mental Health Care in our Medical Doctor’s Office

One Stop Shop:                                                      Brief Overview

Tailored BHI Implementation Needed:      Appendix A – Range of Variations in Primary Care Practices

Potential Cost Savings:                                       Appendix B – 2018 Milliman Report

NHMH IN SCIENTIFIC-MEDICAL RESEARCH

“Having a deeply engaged policy influencer and thought leader as NHMH on this project has made an enormous difference to the researchers. They take NHMH’s contributions as guidance for turning the results of research into population-level change. NHMH has made a big difference. “

— Constance van Eeghen, Dr.PH, the Robert Larner MD College of Medicine, University of Vermont.


NHMH participates in scientific-medical research projects as we appreciate that all 3 domains of health transformation — science/medical research; clinical care/practice protocols; and health policy legislation, regulation and policy-making — all are vital to our mission of advancing the integration of mental health/addiction care into medical settings.

Everything changed for patients in medical/health research in 2010 when Congress passed a law creating a new research institute, funded by the American public, that makes patients and stakeholders an integral, long-term component of research studies, rather than a separate external periodic influence. It is called the Patient-Centered Outcomes Research Institute or PCORI. In December 2019, Congress re-funded PCORI for another 10 years, i.e. until December 2029.

Early on, NHMH recognized the value of PCORI research, and are gratified to have been selected to be part of several ongoing PCORI national clinical trials, ALL on the subject of behavioral (MH+SUD) integration into medical settings.

Below are news updates and published articles from research projects NHMH is participating in:

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NHMH

Is a nonprofit advocacy organization working at the federal and state policy level to make effective behavioral…

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A RECOGNIZED LEADER

In advocacy for medical-behavioral integrated care which means having both your physical…

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BRINGS VALUE

In improved physical and behavioral health outcomes and lowered total  healthcare costs…

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WE GET RESULTS THAT MATTER TO PATIENTS

2022:

2021:

  • New High-Level Bipartisan Call for Health Policy Change Enabling Behavioral Health Integration.

    On March 30, 2021 the highly respected independent Bipartisan Policy Center issued a detailed report urgently calling for integration of mental health into primary care. The Report led by a BPC Task Force comprised of experts and former Members of Congress from both parties, details specific policy actions that should be taken by Congress and relevant health agencies to make effective, evidence-based mental health services available in primary care across the country. NHMH has been engaged with the BPC since 2014 to advance BHI and believes this Report to be a major breakthrough to place BHI high on the health policy reform agenda.

    Tackling America’s Mental Health and Addiction Crisis Through Primary Care Integration | Bipartisan Policy Center

2020:

  • Congress Enacts New Law Effective 2020 Helping States to Enforce Compliance with 2008 Federal Parity Law

    The 2020 federal law provides States with badly needed new funding to allow them to carry out mental health parity enforcement and implementation required by the federal parity law passed in 2008. Parity = Access to mental health care. With that in mind, Congress passed the 2008 federal parity law to require a majority of health insurance plans, including those provided by private employers, to cover treatment for mental health conditions no more restrictively than treatment for physical conditions. Implementation of the 2008 federal law requirement by insurers has been slow. The 2020 law funds States to support their oversight of health plans’ compliance with parity requirements as long as States collect and review comparative analyses from insurers.

    MHLG Letter to Senators Murphy and Cassidy

  • Number of Nurse Practitioners Doubles Playing Key Role in Primary Care

    Between 2010-2017 the number of nurse practitioners (nurses with advanced training) grew by 109%, as compared with growth of RNs of 22% and physicians 9%. NPs play a vital role in team-based care such as the integrated medical-physical care in primary care. The significant growth of this key healthcare worker category reflects the increasing focus on improving primary care advocated by groups such as NHMH. Increased educational programs in nursing schools, part of NHMH’s advocacy focus, allows for graduation of more NPs to join primary care clinical care teams.

    nurse-practitioner-workforce-doubles-amid-primary-care-push

2019:

  • Congress Renews Patient-Centered Research Organization Working to Advance Behavioral Integration into Primary Care

    NHMH was one of a coalition of 200 organizations that successfully advocated for Congress to re-authorize the Patient-Centered Outcomes Research Institute (PCORI). With the signing of HR 1865 into law on December 20, 2019, PCORI was re-authorized by Congress to continue its research trials developing information for patients and providers on which treatment approaches work best for what conditions and for which patients, until September 29, 2029. Currently, NHMH is participating in several ongoing PCORI national and regional research studies, all comparing different approaches to integrating mental health treatment into primary care for their effects on patient outcomes, with the aim to make that information available to patients and their doctors.

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We Need Your Help!

NHMH is a national leader in patient advocacy for the integration of medical and behavioral healthcare services.  Why? Because we have kept this one single focus and mission since our establishment in 2007. We also have deep, decades-long understanding of behavioral health policy and practice, as we grew out of NAMI. NHMH receives no government, corporate, pharma or insurance industry money.  This allows us to be an independent voice for the patient and families, always putting their interests first.

In addition to receiving online donations via Paypal, debit or credit card, or by check, NHMH also accepts stock donations.  Please contact us for details.



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NHMH Salutes the Passing of American Scientist Dr. Paul Greengard, a Pioneer in Brain Research and Mental Health Treament. We owe Dr. Greengard a great debt for his incredible, break-through work, and his amazing life of service.

https://www.rockefeller.edu/news/25634-pioneering-neuroscientist-nobel-laureate-paul-greengard-dies-93/

Share you story, if for example if you had successful
treatment of a behavioral health issue at your
primary care office… or didn’t…  (first names only)

OUR PARTNERS & COLLABORATORS

“If you have doubts about the efficacy of offering collaborative care in the primary care setting, just ask a primary care physician who has been exposed to this efficient consultative support, and ask patients who have seen both their physical and behavioral issues addressed in one place in a coordinated fashion and see what response you get!”

Dr. Mark Williams, Mayo Clinic

Read full interview with Dr. Mark Williams of the Mayo Clinic.

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