Whole-Person Mental Health and Substance Use

Mind, Body, Spirit

Whole-Person Mental Health and Substance Use

The clinical and financial benefits of implementing a collaborative care model addressing the whole-person view of a patient have been well documented.  Our integrated care model with a network of behavioral and substance use providers enables immediate access managed by a behavioral care manager and supported by a team including primary care providers, psychiatrist, and pharmacists.

Expansion of EAP Support

Co-morbid Impact

Patients with multiple chronic conditions, including behavioral health, cost 5 – 6X more in overall medical spend

Medication Therapy

50% of patients may be on medication therapy: lead to adverse drug events (ADE) which contribute to ER usage and inpatient admissions

Access at PCP

Less than 25% of patients have access to behavioral care support at primary care office but close to 50% receive prescriptions for depression and anxiety from PCP

High Cost

Total annual patient care costs for patients with behavioral or substance use diagnosis runs over $43k per covered life. Proactive integrated care can reduce this by 5 – 15% annually!

The goal of our integrated collaborative care program is proactively identify behavioral and/or substance use support for your employees, reduce burnout from work-related stress, and support your management team for immediate access to professional care.

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Frequently Asked Questions

Whole-person care looks at the physical medicine and behavioral care medicine needs of a patient consecutively.   This provides the following benefits:

  • Personalized care plans including specialists working in conjunction with primary care
  • Dedicated behavioral care manager supporting your employee
  • Consultations on care plan with psychiatrist and pharmacists to assist in monitoring and assessing of progress
  • Digital therapy platform for 24/7 support

Our care management platform works alongside each care providers EMR.  We track all patient interaction events and document amount of time care managers spend working with patients and their care team.  For most behavioral care plans we utilize a targeted care approach utilizing measurable clinical assessment tools with a target of 50% reduction (improvement related to reduced scores). 

Our patient mobile application platform tracks user usage and is also utilized for assessment documentation and care plan compliance such as medication usage/compliance.  

This collaborative care program is administered by the employees primary care provider and any cost sharing relates to primary care co-pays, if applicable.  Total employee cost-sharing will vary based on each employers plan design.

A referral to a specialist behavioral or substance use professional would then fall under the specialty care benefit construction of the employer benefit plan design.

There are two approaches:

  1. Proactive assessments are sent to each employee, typically as part of EAP program. If behavioral or substance use care is needed, an immediate referral is made to a PrometheusPX network provider.   These care providers are trained to identify a patients primary care provider and approach for implementing a collaborative care program, including the behavioral care manager.  Once complete, patient consent for participation documented and care provided.
  2. Employer provides data file for employees with historical behavioral or substance use needs. Proactive assessments are sent to these employees and results managed by care navigator.   Patient primary care provider identified and approached for collaborative care integration.   A care team of psychiatrist, pharmacists and care manager are assigned to each primary care group and service provided to the employee. 

It is important to note, patients have immediate access to outpatient therapy, outpatient psychiatric therapy, inpatient substance use and inpatient mental health providers should the need arise.