PIC national objectives

• Develop a combined behavioral screening and intervention (BSI) incorporating IMAPCT and SBIRT
• Develop an implementation toolkit and marketing plan that can be adopted by multiple communities
• Train and provide implementation support to 50-90 primary care sites in Minnesota, Wisconsin, and Pennsylvania
• Disseminate through Network for Regional Healthcare Improvement's (NRHI) network of regional health improvement collaboratives

Core components of the PIC care delivery model

• Screening for depression and unhealthy alcohol and other drug use
• Dedicated role in primary care for patient engagement, brief behavioral interventions, longitudinal monitoring, and facilitation of team-based collaboration
• Brief interventions, using motivational interviewing
• Caseload review by consulting psychiatrist
• Systematic follow-up and tracking
• Stepped care approach

WIPHL works with Partners in Integrated Care (PIC), funded by the Agency for Healthcare Research and Quality (AHRQ). The Pittsburgh Regional Health Initiative (PRHI) is leading this three-year initiative to disseminate and implement evidence-based depression and unhealthy substance use services in primary care settings. PIC consists of a multi-state partnership among organizations that are renowned for implementing Screening, Brief Intervention, and Referral to Treatment (SBIRT) for unhealthy alcohol and other drug use and Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) for collaborative depression care management in primary care. Combining these programs creates a powerful, integrated approach for behavioral screening and intervention (BSI).

The PIC partners include WIPHL and the following organizations

• The Institute for Clinical Systems Improvement (ICSI)
• Network for Regional Healthcare Improvement (NRHI)
• Pittsburgh Regional Health Initiative (PRHI)
• Wisconsin Collaborative for Healthcare Quality (WCHQ)