TY - JOUR KW - Behavioral Medicine/organization & administration KW - Delivery of Health Care, Integrated KW - Depressive Disorder/therapy KW - Humans KW - Local Government KW - Medicaid KW - Medically Uninsured KW - North Carolina KW - Poverty KW - Primary Health Care/organization & administration KW - Public Health Administration/education/manpower KW - Rural Health Services/organization & administration KW - Schools, Public Health KW - United States AU - S. Mims A1 - AB - The need for behavioral healthcare for the poor and indigent is well documented in rural North Carolina, and integrated behavioral healthcare--that is, mental health screening and treatment offered as part of primary care services--has proven a very effective and efficient method to improve patients' health. In 2000, the Buncombe County Health Center (BCHC) began a grant-funded program treating depressed patients in its public health clinics and school health programs. The Health Center used the opportunity to send a team to the Management Academy for Public Health to learn business principles that could be applied to the challenge of sustaining this program as part of its ongoing public health service delivery for the county. Using their business plan from the Management Academy, the BCHC sought funding from various stakeholders, and, through their support, was able to institute a fully integrated behavioral health program in 2004. The BCHC has now joined forces with other partners in the state to address statewide policy changes in support of such programs. These efforts are an example of how a community health center can apply entrepreneurial thinking and strategic business planning to improve healthcare and effect wide-ranging change. BT - Journal of public health management and practice : JPHMP C5 - Education & Workforce CP - 5 CY - United States IS - 5 JF - Journal of public health management and practice : JPHMP N2 - The need for behavioral healthcare for the poor and indigent is well documented in rural North Carolina, and integrated behavioral healthcare--that is, mental health screening and treatment offered as part of primary care services--has proven a very effective and efficient method to improve patients' health. In 2000, the Buncombe County Health Center (BCHC) began a grant-funded program treating depressed patients in its public health clinics and school health programs. The Health Center used the opportunity to send a team to the Management Academy for Public Health to learn business principles that could be applied to the challenge of sustaining this program as part of its ongoing public health service delivery for the county. Using their business plan from the Management Academy, the BCHC sought funding from various stakeholders, and, through their support, was able to institute a fully integrated behavioral health program in 2004. The BCHC has now joined forces with other partners in the state to address statewide policy changes in support of such programs. These efforts are an example of how a community health center can apply entrepreneurial thinking and strategic business planning to improve healthcare and effect wide-ranging change. PP - United States PY - 2006 SN - 1078-4659; 1078-4659 SP - 456 EP - 461 EP - T1 - A sustainable behavioral health program integrated with public health primary care T2 - Journal of public health management and practice : JPHMP TI - A sustainable behavioral health program integrated with public health primary care U1 - Education & Workforce U2 - 16912608 VL - 12 VO - 1078-4659; 1078-4659 Y1 - 2006 ER -