People’s minds and bodies are inseparable, except when it comes to health care. All too often, physical and mental health conditions are treated apart from one another. Different insurance plans cover physical and mental health care. Providers in unrelated offices or clinics treat physical and mental health conditions. Medical records with important details about test results, diagnoses and medications, are scattered and incomplete.
A growing body of research and experience shows that integrating, or systematically coordinating, physical and behavioral health care to treat the whole person can improve health. Since 2006 the Hogg Foundation has been studying, promoting, and funding cutting edge work in this area.
Below is a distilled timeline of our commitment(s).
2006: Collaborative Care Grant Initiative
The Hogg Foundation’s work in this area began in 2006 with the award of $2.6 million in three-year grants to bring the “collaborative care” model of integrated health care to several clinics in Texas. Several models to integrate physical and mental health care are in use in the U.S. The collaborative care model places a primary care physician and a mental health professional at the same site to improve access to both types of care. The model proved so successful that most of the grantees continued using it after the grant ended.
2008: Statewide Conference on Integrated Health Care
More than 400 stakeholders in health care from across Texas gathered at the Hyatt Regency in Austin on Sept. 8 and 9, 2008 to discuss bringing to Texan an emerging national movement to improve people’s health by treating physical and behavioral illnesses together. “Integrated Health: Connecting Body and Mind” explored the substantial research and emerging practice that support this forward-thinking approach to improving physical and behavioral health. Presenters included more than 50 national, state and local physical and behavioral care experts, providers and consumers with experience in systematically coordinating physical and behavioral health care.
In 2009, the Hogg Foundation awarded a one-year grant to Mental Health America of Greater Houston to create a statewide learning community on integrated health care. Since then, with MHA Greater Houston’s faciliation, members have been collaborating in person and online to share information and experiences with implementing different integrated health care models, components and strategies. The foundation has aggregated findings from the assessments. Click here to read the executive summary.
2009: Policy Workgroup
The Hogg Foundation’s staff was appointed as a member to the Texas Integration of Health and Behavioral Health Workgroup. The workgroup was created by House Bill 2196 in 2009 to recommend best practices in policy, training and service delivery to promote the integration of health and behavioral health services in Texas. Members were appointed by the Texas Health and Human Services’ executive commissioner and represent stakeholders such as consumers, family members, advocacy groups, providers, health care workers and state agencies. The Hogg Foundation hosted meetings and provided administrative support to the workgroup. The workgroup published its report on Integration of Health and Behavioral Health Workgroup before the 82nd Legislature convened in 2011.
2011: Integrated Health Care Financing Webinar
On July 26, 2011, the Hogg Foundation teamed up with national expert Kathleen Reynolds, LMSW, ACSW to host a free webinar on how to finance integrated health care, both nationally and in Texas. The webinar presented several ways to fund collaborative care and integrated health care initiatives today. Attendees also learned about a free new financing worksheet developed for Texas that can serve as an example for other states. View the webinar recording and the worksheet (updated July 2014) here.
On February 7, 2012, the Hogg Foundation in partnership with the federal Office of Minority Health hosted a one-day conference to promote integrated health care as a means of eliminating health disparities in racial and ethnic minority populations and persons with limited English proficiency. Conference attendees learned about integrated health care service models and practices, key components of cultural and linguistic competency, and recommendations developed by a national consensus panel of experts on how to bring these together to achieve quality health care for all. Participants also learned how these recommendations can be effectively implemented.
In June 2012, the Hogg Foundation and the Office of Minority Health released “Enhancing the Delivery of Health Care: Eliminating Health Disparities through a Culturally & Linguistically Centered Integrated Health Care Approach.” The report is based on research conducted by the Hogg Foundation and proceedings from the 2011 national consensus meeting titled: “Eliminating Behavioral Health Disparities through the Integration of Behavioral Health and Primary Care Services for Racial and Ethnic Minority Populations and Those with Limited English Proficiency (LEP).” The literature review report, which examines reports and articles from peer and non-peer reviewed publications, compiles the available evidence from practice, and summarizes the knowledge base on cultural and linguistic competence in health care delivery, served to inform the national consensus meeting.
The report shares best practices, insights and strategies to create a framework for integrated health care, placing focus on racial and ethnic minorities, and people with LEP.
In February 2012 the Hogg Foundation hosted a roundtable discussion attended by representatives from a diverse group of national, regional, and local foundations that support integrated health care. The group was brought together by a common concern: exploring how integrated health care can help eliminate health disparities among racial and ethnic minorities and people with limited English proficiency? Grantmakers In Health and the Hogg Foundation bring you a special report titled, A Window of Opportunity: Philanthropy’s Role in Eliminating Health Disparities through Integrated Health Care. The report captures key discussion points and presents a set of recommendations that foundations can undertake to improve the health status of some of the nation’s most vulnerable populations through integrated health care.
In August 2012, the Hogg Foundation awarded $720,950 to support the planning and implementation of integrated behavioral and physical health care programs at 10 organizations across Texas. Five organizations in the early stages of adopting an integrated health care program received up to $25,000 each to support their planning process. After one year, these grantees will be eligible for a second year upon successful completion of the one-year planning activities. Five additional organizations that have completed the planning phase were awarded up to $100,000 each over a two-year period to implement their integrated health care plan. One organization, will receive both types of grants.
An evaluation summary report highlights the key lessons learned and offers reflections on building evaluation capacity in integrated health care organizations. Grantee spotlight examples are included in the summary. Evaluation can help organizations and agencies assess the effectiveness of their programs and use data in a thoughtful and strategic manner to drive performance improvement efforts.
In 2014 the foundation awarded $900,000 in grants to three Texas community health centers (CHCs) to advance peer support in the delivery of integrated health care (IHC). Peer support is the principle and practice of incorporating individuals with lived experience of mental illness as key members of the care team. This grant program aims to further establish recovery and peer support as core principles in the delivery of care.