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PCBH Frequently Asked Questions

What is the Primary Care Behavioral Health Consultation model?
The Primary Care Behavioral Health Consultation model (PCBH) is a psychological approach to population-based clinical health care that is simultaneously co-located, collaborative, and integrated within the primary care clinic. The goal of PCBH is to improve and promote overall health within the general population. Read more.


How are primary care behavioral health programs funded?
There are a variety of ways that organizations use to fund primary care behavioral health programs.  Some organizations decide to forgo billing for services rendered either because of existing grant funding, difficulties with billing for services in their state or county or simply a philosophical decision to fold the costs of the behavioral health consultation service into the overall budget of the clinic. Read more


How do primary care behavioral health programs provide informed consent for treatment?

The practice of informed consent in the primary care behavioral health model differs significantly from that in specialty mental health in large part due to the difference in the nature of the relationship between the patient and the behavioral health consultant versus the nature of the relationship between the patient and therapist. Read more.

How are behavioral health consultant appointments/medical team consultations documented in the medical record?
A cornerstone of integrated care is that documentation of physical and behavioral healthcare resides in one medical record.  Many PCBH programs have adopted the Subjective, Objective, Assessment, Plan (SOAP) note format because it mirrors the documentation format used in primary care.  Good SOAP notes reflect integrative thinking.  This means not just reporting details but combining them into a coherent whole that frames the information in a functional way.  Read more.

What is a Safety Net Setting and how do I go about setting up a PCBH practice in a Safety Net Setting?  
“The Institute of Medicine defines the health care safety net as: ‘Those providers that organize and deliver a significant level of health care and other related services to uninsured, Medicaid, and other vulnerable populations’. Read more.

How do medical providers generally respond to working with BHCs/BHPs within the PCBH model?
Many BHCs conduct program evaluations in order to formally assess their services, with many of them having very positive findings.  Read more.

As a BHC/BHP what are some strategies for improving engagement and communication with medical providers?
Provide quick assessments of patient problems, relay clear diagnostic information to the PCP, provide useful interventions based on treatment goals aimed at increasing functional restoration when working with patients.   Read more. 

What can a BHC/BHP do if there is a medical provider who is resistant or reluctant to work with a BHC?
Communicating in a concise, jargon-free way, accentuating only the most pertinent information of a case is a good way to gain respect and have successful interactions while working with often overstretched primary care providers.  Read more.  


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P. O. Box 23980,
Rochester, New York
14692-3980 USA

What We Do

CFHA is a member-based, 501(c)(3) non-profit organization dedicated to making integrated behavioral and physical health the standard of care nationally. CFHA achieves this by organizing the integrated care community, providing expert technical assistance and producing educational content.