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My work for Maine health involves translating
research evidence into daily practice.

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And one of the key things in doing that
work is that you have to pay attention

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to the details and help people think about how they
have to change the way they do their daily work

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to incorporate integration so that people can
develop new work processes and new habits.

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	There are several themes that I've noticed in
working with highly successful integrated practices.

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The first is that the behavioral health
clinician has to become a member

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of the primary care team developing relationships
with other members of the team, communicating well,

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and really becoming
a part of that team.

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Secondly you need to pay attention
to some key details of integration,

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especially as things are
getting up and running.

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That includes the balance between
accessibility and productivity.

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You need to make sure the clinician
is generating enough income to

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support the practice while at the same time being
accessible for that next patient who needs the service.

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	 Finally it's important to think about
ways to anticipate which patients

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may have need for integrated services because
in the midst of a busy primary care day

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the clinician may not be able to
remember and you need other mechanisms

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to make sure that those patients get the care they need.