Sometimes you just need to get some healthcare policy stuff off your chest... https://open.substack.com/pub/integratedcare/p/a-problem-without-a-solution?r=6plrgq&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true

In case you were wondering... it was awesome. Make plans now for next year, St. Louis for CFHA 2026: The Integrated Care Conference, Oct 8-10. Or better yet, get involved now with your colleagues making integrated care the standard of care for all. https://www.cfha.net/select-your-membership/

Just an example of what medical professionals can expect at CFHA: The Integrated Care Conference 2025! #integratedcare #primarycare #behavioral health

Treating each patient encounter as if you've got one shot at it is akin to taking Eminem's advice seriously. We've got a training to help primary care behavioral health clinicians seize each encounter with gusto! https://www.cfha.net/the-power-of-one-transforming-care-in-a-single-session/

Who says health care clinicians can't get creative? Poetry and Prose is happening again at our conference for integrated care professionals because creative language is good for the soul (& body). :) https://integratedcareconference.com

You're probably tired of hearing about AI but we've got to talk about (or it will just happen to us). Join us on the 17th of September. https://www.cfha.net/event/community-conversation-3-9/

Interested in coming to CFHA: 2025 in Raleigh but need financial support to do so? If you are passionate about integrated care we don't want anything to stop you from joining our community poised to change healthcare. https://www.cfha.net/cfha-financial-assistance-program/

It's conference time for integrated care professionals and we have a great lineup of deep-dives: 8 topics spanning kids & families, collaborative care, leadership, racial equity, and more. Just $49 trainees/team | $99 professionals. Add one when you register: https://cfha.swoogo.com/cfha2025/ELOs

How awesome is that!? An MD, an RD and a CMA presenting on: "How It Started, How It's Going: Establishing an Integrated Nutrition Program in a Pediatric Medical Home." Only at a CFHA: The Integrated Care Conference! https://integratedcareconference.com

Evaluating Generative Pretrained Transformer (GPT) models for suicide risk assessment in synthetic patient journal entries - BMC Psychiatry Over 700,000 individuals die by suicide globally each year, with rapid progression from suicidal ideation (SI) to attempt often precluding opportunities for intervention. Digital behavioral health (DBH) platforms offer novel means of collecting SI indicators outside the clinic, but the actionable utility of these data may be limited by clinician-dependent workflows such as reviewing patients’ journaling exercises for signs of SI. Large language models (LLMs) provide a methodology to streamline this task by rapidly risk-stratifying text based on the presence and severity of SI; however, this application has yet to be reliably evaluated. To test this approach, we first generated and validated a corpus of 125 synthetic journal responses to prompts from a real-world DBH platform. The responses varied on the presence and severity of suicidal ideation, readability, length, use of emojis, and other common language features, allowing for over 1 trillion feature permutations. Next, five collaborating behavioral health experts worked independently to stratify these responses as no-, low-, moderate-, or high-risk SI. Finally, we risk-stratified the responses using several tailored implementations of OpenAI’s Generative Pretrained Transformer (GPT) models and compared the results to those of our raters. Using clinician consensus as “ground truth,” our ensemble LLM performed significantly above chance (30.38%) in exact risk-assessment agreement (65.60%; χ2 = 86.58). The ensemble model also aligned with 92% of clinicians’ “do/do not intervene” decisions (Cohen’s Kappa = 0.84) and achieved 94% sensitivity and 91% specificity in that task. Additional results of precision-recall, time-to-decision, and cost analyses are reported. While further testing and exploration of ethical considerations remain critical, our results offer preliminary evidence that LLM-powered risk stratification can serve as a powerful and cost-effective tool to enhance suicide prevention frameworks.

Can LLMs effectively identify suicide risk in patient writing materials (such as journals or entries into an online MH platform)? Apparently, yes. https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-025-07088-5#Sec17

These two are a powerhouse. And we are happy to be the beneficiaries of their talents in describing, teaching and leading Primary Care Behavioral Health model programs. Check their asynchronous course out today! https://www.cfha.net/training-experiences/ #PCBH #primarycare #integratedcare

One good thing about tough times in life is that it causes good people to join forces with other good people. This is one such example. Check out the list of orgs signing on including CFHA: The Integrated Care Association. https://unitedsciencealliance.org/good-science-is-a-necessity #science

This describes most of my career: helping people re-interpret behavioral health as a function of healthcare, not a department. In other words, it is interwoven in every aspect of healthcare. Only in the minority of cases should patients be seen separately by BH specialties. #integratedcare

Helping this wonderful group of physician colleagues (FMLC) map out the future of family medicine was an honor. I'll ask you what they asked us: What should be the priority of family medicine in the next decade?

Why is it so fun to sell T-Shirts? Literally this makes us so little money. I should be spending my time on lots of others things as a CEO. And yet, here I am hawking T-Shirts. (supporting students in integrated care is a good thing though) https://www.bonfire.com/store/cfha-apparel/

Investing in the behavioral health professionals entering the integrated care space is what we do! This event is FREE for prospective applicants and $99 for programs to participate. Both parties can learn more and register here: https://cfha.swoogo.com/postdoc-program-fair_2025

Ever wonder why progress in healthcare service delivery is slow or non-existent? Here's my attempt at system mapping why behavioral health mostly remains siloed from physical health service delivery. #integratedcare #primarycare

Post-doc fellowships (or other fellowship types) for integrate care, time to start promoting your positions! Join our fellowship fair on September 9th (free for applicants, $99 for programs). https://cfha.swoogo.com/postdoc-program-fair_2025

Growing the region’s behavioral health workforce Two grants totaling $3.7 million will help ETSU faculty focus on growing the behavioral health workforce in Northeast Tennessee by training, retaining grad students in behavioral health professions.

In the midst of a lot of bad news in healthcare there are still lots of good happening, including this funding to promote integrated care workforce development in Tennessee: https://www.etsu.edu/etsu-news/2025/07-july/behavioral-health-workforce-grants.php #primarycare #workforce #integratedcare

🗣️ CFHA Community Conversation: Leading Through Burnout and Change

Featuring two of CFHA’s most sought-after voices:

✨ Dave Bauman & Deepu George ✨

🗓 Wed, Aug 20 @ 🕐 1pm ET

🔗 Register here: https://us02web.zoom.us/meeting/register/tZEvdemurjIqH9VzjjjkGN0v3JLcRG12vsAW

New listing service for consulting psychiatrists! Do you provide e-consults, CoCM or gen primary care consultation? Sign up here: https://integratedcareconsultation.com/view-our-consulting-psychiatrists/?fwp_psy_consulting_roles=e-consultations

We titled our conference "Breaking Boundaries" because we know integrated care demands silos be dismantled. But we are totally fine with these kind of silos. Register now to break the bad kind of silos. https://www.integratedcareconference.com #primarycare #integratedcare #behavioralhealth

Let me know if I'm doing this right!? Trying to educate the general public and those in healthcare about billing for integrated care so we can advocate for more team based care in primary care. Helpful? Not helpful? https://www.tiktok.com/t/ZP8kSf7oR/ #integratedcare #primarycare

This guy is a pretty cool cat. If you want to learn how to think along with a single-session approach in primary care, you should learn from him. David Bauman, PsyD #PCBH #integratedcare #SST www.cfha.net/training-exp...

Maybe we just need to keep repeating true things to ourselves? The sky is blue. 1+1=2 Stocks going down is bad. Across the board tariffs have never historically worked. This administration uses ChatGPT to come up with its economic plans.

Tesler debadging has begun! And some interesting insights gained… #dogesucks #tesla

Debadging my Tesler Model 3. Follow along as I regain branding control of my car. #tesla #dogesucks #resistance

Trying to distract myself with mundane but real world issues given the calamity we are in. So… does anyone know of actual policy solutions to pollen? It really sucks here in NC. Maybe we can cut all of our pine trees down to make up for our Canada tariffs?

Trump’s Tariffs Send Deliberate Shock to Heart of Global Economy — Bloomberg As US President Donald Trump laid out a wave of new tariffs that will take average levies to their highest in more than a century, he drew cheers and laughs from aides and supporters in the White Hous...

So all of this under the auspices of an “emergency.” You know, at some point we might want to codify what an emergency is in actual law because I’m still struggling to understand how our economy was in a state of emergency. apple.news/A9qx72trnTMS... #whatsgoingon

Maybe it’s just me, but there sure seems to be some shady shit going on.