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Reorganizing to provide integrated care: three agencies aim for better coordinated care in Northeast Colorado.

Publication: Behavioral Healthcare
Publication Date: 01-MAY-09 		Format: Online
Delivery: Immediate Online Access
Full Article Title: Reorganizing to provide integrated care: three agencies aim for better coordinated care in Northeast Colorado.(CARE COORDINATION)

Article Excerpt
By nature of how they were created, mental health and substance use treatment organizations often serve specific populations in specific locations. But over time agencies have realized that these service separations are artificial barriers to effective care. This is a story of how three publicly funded agencies in Northeast Colorado overcame systemic barriers to develop a fully integrated service system for individuals with a mental illness, substance use disorder, or both.

A history of separation

In Colorado, as in some other states, public funding for mental illness and substance use treatment comes through separate subdivisions of state government. Furthermore, in many parts of Colorado mental illness and substance use treatment are provided by separate provider agencies. Such was the case in Larimer and Weld Counties. Larimer Center for Mental Health (LCMH) and North Range Behavioral Health (NRBH) provided publicly funded mental healthcare in Larimer and Weld Counties, respectively, and Island Grove Regional Treatment Center (IGRTC) provided publicly funded substance use treatment in both counties. All three agencies (or their predecessors) had been providing services separately for more than 35 years.

Early forays into integration

In the 1990s, the...

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