Preferred Family Healthcare's (PFH's) Integrated Care Project will establish and offer coordinated and integrated services through provision of health home services and co-location of primary health care to adult behavioral health consumers in our Community Psychiatric Rehabilitation Program (CPRP) in the rural areas of Kirksville, Hannibal and Trenton, Missouri.

PFH's Integrated Care Project service model is based on the National Council of Community Behavioral Healthcare's (NCCBH's) Four Quadrant Model which is focused on the clinical integration of primary care and behavioral health services. To take theory into practice, PFH will utilize the IMPACT model, an evidence-based practice proven to be effective with adults of all ages, to deliver the six prescribed health home services within the conceptual framework of the Four Quadrant Model and deliver on-site primary care services.

The project goal is to improve the overall health status of CPRP consumers. The outcome evaluation consists of measures consistent with the Missouri Department of Mental Health's (DMH's) Healthcare Home initiative that we are currently involved with which are measured and reported on a regular basis including: hospital readmissions, emergency room visits, medication adherence, contact upon hospital discharge, reduced substance use, outcomes related to chronic conditions (diabetes, cardiovascular disease, chronic obstructive pulmonary disease, obesity and tobacco use) and satisfaction with services.

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