Initiatives

Behavioral Health Home

About Behavioral Health Home

A Behavioral Health Home (BHH) is a healthcare service delivery model focused on combining primary care, mental health services, as well as social services and supports for adults and children diagnosed with mental illness.

The BHH will function as the central point of contact for directing individual-centered care across the broader health care system.  An individual will have a comprehensive treatment team including but not limited to a behavioral health specialist, nurse case manager, peer support specialist/community health worker, medical consultant, and psychiatric consultant.

 Let your case manager know if you are interested! 

What are the Core BHH Health Services Included in this Model?

  • Assessment of behavioral and physical health care needs
  • Development of individualized treatment plan
  • Periodic reassessment of each person’s treatment
  • And much, much more!
  • Organization of all aspects of the individual’s care
  • Management of all integrated primary and specialty medical services, behavioral health services, physical health services, and social, educational, vocation, housing and community services
  • Information sharing between providers, the individual, authorized representative(s), and family
  • Appointment making assistance, including coordinating transportation
  • Development and implementation of personalized care plan
  • And much, much more!
  • Providing patient-centered training (Diabetes education, nutrition education, etc.)
  • Connecting the individual to resources (Smoking cessation, substance use treatment, nutritional counseling, obesity reduction and prevention, disease-specific education, etc.)
  • Promoting healthy lifestyle interventions
  • Utilizing evidence-based practices to engage and help individuals participate in and manage their care
  • And much, much more!
  • Connecting the individual to health services
  • Receiving and reviewing care records, continuity of care documents and discharge summaries
  • Pharmacy coordination
  • Proactive care 
  • Specialized transitions when necessary 
  • Home visits to ensure stability through transitions
  • And much, much more!
  • Connecting the individual to health services
  • Receiving and reviewing care records, continuity of care documents and discharge summaries
  • Pharmacy coordination
  • Proactive care 
  • Specialized transitions when necessary 
  • Home visits to ensure stability through transitions
  • And much, much more!
  • Providing individuals with referrals to support services
  • Collaborating/coordinating with community-based organizations and key community stakeholders
  • Emphasizing resources closest to the individuals’ home
  • Emphasizing resources which present with fewest barriers
  • Providing resource materials pertinent to patient needs
  • Providing referral to housing resources
  • And much, much more!

Resources & Information