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Collaborative behavioral health

Behavioral health inside primary care

A team approach to depression, anxiety, and other behavioral health conditions: the primary care provider, a care manager, and a psychiatric consultant working from one record.

Mary Cassatt, The Tea, c. 1880A quiet conversation over tea. Behavioral health that sits beside the rest of care.
The problem

Why behavioral health stalls in primary care.

Most patients with depression or anxiety are first seen by their primary care provider. What happens next is often a long wait and a split record.

  • Long waits for a referral

    A patient with depression or anxiety is referred out, and the first appointment is months away.

    In practiceThe patient is back in the primary care office twice before the referral appointment comes through.

  • No measure of progress

    Treatment starts, but nobody tracks whether the patient is actually getting better.

    In practiceA screening is done once at intake and never repeated.

  • Care split across offices

    The primary care provider and the behavioral health team keep separate notes in separate systems.

    In practiceA medication change made in one office is not seen in the other until the patient mentions it.

  • The care manager's work goes unrecorded

    Check-in calls and consultant reviews happen, but they rarely make it into the record.

    In practiceA week of calls lives in a notebook instead of on the patient's chart.

What changes

Three roles, one record, and progress everyone can see.

Each member of the team works from the same patient record. AI assistance suggests and flags; clinicians review, decide, and sign.

  • Behavioral health care manager

    One caseload, one list

    Weekly check-ins, repeat screenings, and plan changes in one place, with the note written while the call happens.

  • Primary care provider

    Screening at the visit

    Scores are stored on the patient's record, next to the rest of their care.

  • Psychiatric consultant

    Reviews on the same record

    The consultant reviews the caseload, and recommendations reach the provider who prescribes.

  • Practice leaders

    Progress you can see

    Treatment is measured and adjusted until patients reach their goal, so you can see who is improving and who needs more.

How it runs

A month of collaborative care, on one record.

Screening, weekly follow-up, and consultant review run as one documented workflow, so the record shows the care that was given.

  • A registry of every patient in collaborative care
  • PHQ-9 and GAD-7 screening, scored and stored on the record
  • Psychiatric consultation scheduling
  • Treatment adjusted until patients reach their goal
  • Care manager notes written while the work happens
  • Works inside the EHR you already use

Help where patients already are. Measured, and on the same record.

Collaborative behavioral health

Start collaborative behavioral health in your practice

From setup to daily operation, Hoss Care provides the software and support to bring behavioral health into primary care.