Kentucky integrated care - the kentucky cabinet for health and family services, department for behavioral health/developmental and intellectual disabilities (DBHDID) will implement kentucky integrated…

Kentucky integrated care - the kentucky cabinet for health and family services, department for behavioral health/developmental and intellectual disabilities (DBHDID) will implement kentucky integrated care (KIC), promoting bidirectional primary and behavioral health care integration via collaborative clinical practice, improved care models, and a comprehensive service continuum for focus populations who have physical health conditions or have/risk developing chronic diseases, including adults (18+) with mental illness, serious mental illness (SMI), substance use disorder (SUD), or cooccurring disorder (COD). Partnering community mental health centers (CMHCS) will include lifeskills INC. (WARREN) and pennyroyal center (CHRISTIAN). Federally qualified health centers (FQHCS) will include fairview community health (FCH, WARREN) and community medical center (CMC, CHRISTIAN). Sub focus populations include women, minoritized populations including blacks and refugees/immigrants, and military-connected individuals. Physical health conditions that will be prioritized include obesity, diabetes, hypertension, hyperlipidemia, sexually transmitted diseases, viral hepatitis, and nicotine dependence.mental health and physical health are interrelated and untreated mental illness can result in severe emotional, behavioral, and physical health problems (mayo clinic, 2015). Adults with mental illness DIE on average 10 years and adults with SMI, 15-25 years earlier than the general population, largely due to treatable/ preventable health conditions (e.g., cardiovascular, pulmonary, infectious diseases) (insel, 2015; DE hert, ET AL., 2011; parks, ET AL., 2006). Up to 68% of adults with a mental illness have one or more treatable/preventable chronic physical conditions (samhsa, 2014).the KCI initiative will utilize the comprehensive healthcare integration framework (CHIF) for the bidirectional integration of primary health care services in the behavioral health setting, and behavioral health care services in the primary care setting, in two kentucky counties (CHRISTIAN and WARREN). Efforts will prioritize a continuum of care for those with mental illness, SMI, SUD, or COD who have a physical health condition or have a risk of developing chronic diseases. KCI will provide CO-located, integrated services, including evidence-based screening/assessment, diagnosis, prevention, and treatment according to a shared, individualized care plan, as well as outreach, engagement, and retention strategies. Total number of people to be served across the project is 450.