A Case Study Report - Altarum Institute

Touchstone innovarè
Touchstone innovarè (TI), which is supported by network180, was formed in 1998 through
the merger of three similar organizations with roots dating to 1956. TI provides psychiatric,
therapy, case management, and psychosocial rehabilitation services for individuals with SMI.
Co-occurring substance use disorders are common in nearly half (40%) of the client population.
Most clients have public insurance—85% of clients have Medicaid, and 45% of clients
have Medicare. During 2010, approximately 2,900 individuals received mental health services
from TI, and in 2009, 92,800 client encounters were documented (G. Dziadosz, personal
communication, April 29, 2011).
Proaction Behavioral Health Alliance
Originally Project Rehab, Proaction Behavioral Health Alliance was established in 1968. The
organization was created to provide residential and outpatient substance abuse treatment.
Currently, Proaction provides residential treatment for federal and state correctional systems;
outpatient counseling for mental health, substance use, and co-occurring disorders; medication
assisted treatment (i.e., methadone, suboxone); and employee assistance programs
(G. Dziadosz, personal communication, April 29, 2011). In 2010, Proaction documented
approximately 176,000 outpatient encounters and 56,700 residential treatment days (i.e., the
number of days is according to number of individuals who were in residential treatment; G.
Dziadosz, personal communication, April 29, 2011).
network180
Since 1987, network180 has provided community-based mental health services in Kent
County (network180, 2011). As the county’s mental health authority, network180 provides
payment for services for mental health, substance use, and developmental disabilities to
individuals enrolled in Medicaid. Although network180 directly provides emergency access
center services, all other mental health services are contractednetwork180, 2011). In 2010,
network180 served 92,554 individuals (network180, 2010).
Initiative theory of change
As the three partner organizations collaboratively roll out the integration initiative, four
shared elements have been identified as collectively moving the initiative forward. These
include (1) the adaptation of the chronic care model, (2) an established network of partnerships,
(3) the strategic investment of organizational resources, and (4) a commitment to meet
the community’s chronic health care needs. Together, these characteristics have served as
the foundation for the initiative’s four chronological stages, which include:
1. Integration development,
2. Piloting,
3. Sustainability, and
4. Replication.
Integrated Primary Care and Behavioral Health www.altarum.org 19
A Case Study Report