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

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 Salutes:

The movement to support and advance medical practices’ implementing medical-behavioral health care is gaining momentum nationally.
NHMH salutes the following 12 practices across the country now delivering high-quality integrated care to their patients.

Penn Primary Care, Philadelphia, Pennsylvania
Marana Health Care, Tucson, Arizona
Washtenaw County Community Mental Health, Ypsilanti, Michigan
Partners in Recovery, Gilbert, Arizona
Cherokee Health Systems, Chattanooga, Tennessee
Intermountain Health Systems, Salt Lake City, Utah

Salud Family Health Centers, Colorado
Community Health Network, Indiannapolis, Indiana
Community Health Alliance, Reno, Nevada
Montefiorel Medical Center, The Bronx, New York City
Institute for Community Living, New York City
Lowell Community Health Center, Lowell, Massachusetts

To read more about how practices are specifically implementing integrated care, click here…

Read More

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:

Read More

NHMH

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

Read more

A RECOGNIZED LEADER

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

Read more

BRINGS VALUE

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

Read more

WE GET RESULTS THAT MATTER TO PATIENTS

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.

Read More

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.



Stay Connected

Sign up to and stay up to date with our newsletter and follow us on social media!

Subscribe to Newsletter

Facebook
Schizophrenia Second Only To Age as Greatest Risk Factor for COVID-19 Death25-Jan-2021 7:00 PM EST, by NYU Langone Health Contact Patient ServicesNewswise — People with schizophrenia, a mental disorder that affects mood and perception of reality, are almost three times more likely to die from the coronavirus than those without the psychiatric illness, a new study shows. Their higher risk, the investigators say, cannot be explained by other factors that often accompany serious mental health disorders, such as higher rates of heart disease, diabetes, and smoking.Led by researchers at NYU Grossman School of Medicine, the investigation showed that schizophrenia is by far the biggest risk factor (2.7 times increased odds of dying) after age (being 75 or older increased the odds of dying 35.7 times). Male sex, heart disease, and race ranked next after schizophrenia in order. “Our findings illustrate that people with schizophrenia are extremely vulnerable to the effects of COVID-19,” says study lead author Katlyn Nemani, MD. “With this newfound understanding, health care providers can better prioritize vaccine distribution, testing, and medical care for this group,” adds Nemani, a research assistant professor in the Department of Psychiatry at NYU Langone Health. The study also showed that people with other mental health problems such as mood or anxiety disorders were not at increased risk of death from coronavirus infection.Since the beginning of the pandemic, experts have searched for risk factors that make people more likely to succumb to the disease to bolster protective measures and allocate limited resources to people with the greatest need. Although previous studies have linked psychiatric disorders in general to an increased risk of dying from the virus, the relationship between the coronavirus and schizophrenia specifically has remained unclear. A higher risk of mortality was expected among those with schizophrenia, but not at the magnitude the study found, the researchers say.The new investigation is publishing Jan. 27 in the journal JAMA Psychiatry. Researchers believed that other issues such as heart disease, depression, and barriers in getting care were behind the low life expectancy seen in schizophrenia patients, who on average die 15 years earlier than those without the disorder. The results of the new study, however, suggest that there may be something about the biology of schizophrenia itself that is making those who have it more vulnerable to COVID-19 and other viral infections. One likely explanation is an immune system disturbance, possibly tied to the genetics of the disorder, says Nemani.For the investigation, the research team analyzed 7,348 patient records of men and women treated for COVID-19 at the height of the pandemic in NYU Langone hospitals in New York City and Long Island between March 3 and May 31, 2020. Of these cases, they identified 14 percent who were diagnosed with schizophrenia, mood disorders, or anxiety. Then, the researchers calculated patient death rates within 45 days of testing positive for the virus.They note that this large sample of patients who all were infected with the same virus provided a unique opportunity to study the underlying effects of schizophrenia on the body.“Now that we have a better understanding of the disease, we can more deeply examine what, if any, immune system problems might contribute to the high death rates seen in these patients with schizophrenia,” says study senior author Donald Goff, MD. Goff is the Marvin Stern Professor of Psychiatry at NYU Langone.Goff, also the director of the Nathan S. Kline Institute for Psychiatric Research at NYU Langone, says the study investigators plan to explore whether medications used to treat schizophrenia, such as antipsychotic drugs, may play a role as well.He cautions that the study authors could only determine the risk for patients with schizophrenia who had access to testing and medical care. Further research is needed, he says, to clarify how dangerous the virus may be for those who lack these resources. Goff is also the vice chair for research in the Department of Psychiatry at NYU Langone.Study funding was provided by NYU Langone.In addition to Nemani and Goff, other NYU Langone researchers included Chenxiang Li, PhD; Esther Blessing, MD; PhD; Narges Razavian, PhD; Ji Chen, MS; and Eva Petkova, PhD. Another study investigator was Mark Olfson, MD, MPH, at Columbia University in New York. ... See MoreSee Less
View on Facebook
NHMH LTE to Financial Times published in today's edition highlighting role public sector plays in mental health programs, coverage, and driving innovation. ... See MoreSee Less
View on Facebook
Twitter

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.

NHMH – No Health Without Mental Health a 501(c)3
Non Profit.
San Francisco – Washington DC

Sign Up for the NHMH newsletter
Stay up to date with the latest news & developments.

©  2019 NHMH. All rights reserved.
Privacy Policy
 

©  2019 NHMH. All rights reserved.  Privacy Policy