TY - JOUR KW - Behavioral health home KW - care coordination KW - co-located care KW - Community mental health center KW - Community Mental Health Centers/organization & administration KW - Community Mental Health Services/organization & administration KW - Comorbidity KW - Delivery of Health Care, Integrated/organization & administration KW - Federally qualified healthcare center KW - Humans KW - integrated care KW - Medical care of patients with serious mental illness KW - Medical co-morbidity KW - Mental Disorders/therapy KW - Peer health navigators KW - Primary Health Care/organization & administration KW - serious mental illness AU - A. Annamalai AU - M. Staeheli AU - R. A. Cole AU - J. L. Steiner A1 - AB - Integrating primary care with behavioral health services at community mental health centers is one response to the disparity in mortality and morbidity experienced by adults with serious mental illnesses and co-occurring substance use disorders. Many integration models have been developed in response to the Primary and Behavioral Health Care Integration (PBHCI) initiative of the Substance Abuse and Mental Health Services Administration (SAMHSA). One model is a primary care clinic co-located within the mental health center. The Connecticut Mental Health Center (CMHC) Wellness Center is one such co-located clinic developed as a partnership between CMHC and a Federally Qualified Health Center (FQHC). In this article, we describe the process of developing this on-site clinic along with lessons learned during implementation. We review different aspects of building and maintaining such a clinic and outline lessons learned from both successes and challenges. We briefly describe the demographics and health characteristics of the patient population served in this clinic. We make recommendations for providers and agencies that are considering or are already developing a model for integrating care. Finally, we briefly review status of our clinic after completion of grant funding. BT - The Psychiatric quarterly C5 - Healthcare Disparities; Opioids & Substance Use CP - 1 CY - United States DO - 10.1007/s11126-017-9523-x IS - 1 JF - The Psychiatric quarterly N2 - Integrating primary care with behavioral health services at community mental health centers is one response to the disparity in mortality and morbidity experienced by adults with serious mental illnesses and co-occurring substance use disorders. Many integration models have been developed in response to the Primary and Behavioral Health Care Integration (PBHCI) initiative of the Substance Abuse and Mental Health Services Administration (SAMHSA). One model is a primary care clinic co-located within the mental health center. The Connecticut Mental Health Center (CMHC) Wellness Center is one such co-located clinic developed as a partnership between CMHC and a Federally Qualified Health Center (FQHC). In this article, we describe the process of developing this on-site clinic along with lessons learned during implementation. We review different aspects of building and maintaining such a clinic and outline lessons learned from both successes and challenges. We briefly describe the demographics and health characteristics of the patient population served in this clinic. We make recommendations for providers and agencies that are considering or are already developing a model for integrating care. Finally, we briefly review status of our clinic after completion of grant funding. PP - United States PY - 2018 SN - 1573-6709; 0033-2720 SP - 169 EP - 181 EP - T1 - Establishing an Integrated Health Care Clinic in a Community Mental Health Center: Lessons Learned T2 - The Psychiatric quarterly TI - Establishing an Integrated Health Care Clinic in a Community Mental Health Center: Lessons Learned U1 - Healthcare Disparities; Opioids & Substance Use U2 - 28664447 U3 - 10.1007/s11126-017-9523-x VL - 89 VO - 1573-6709; 0033-2720 Y1 - 2018 ER -