In May 2017, IHS received funding to implement its Behavioral Health Integration Initiative (BH2I). The BH2I program is authorized under The Snyder Act, 25 U.S.C. 13, and 25 U.S.C. 1665j and is described in the Catalog of Federal Domestic Assistance (CFDA) under 93.933 as a demonstration project.

The purpose of the BH2I program is to improve the physical and mental health status of people with behavioral health issues by developing an integrative, coordinated system of care between behavioral health and primary care providers. This demonstration project is designed to increase capacity among IHS, tribal, and urban Indian health facilities to implement an integrative approach in the delivery of behavioral health services, including trauma-informed care, substance use treatment, nutrition services, exercise programming, and social, spiritual, cultural, and primary care services to improve morbidity and mortality outcomes among the AI/AN population.

Other intended outcomes of the BH2I effort include improved mental health services that increase access to integrated health and social well-being services and promote the early identification and intervention of mental health and serious physical health issues, including chronic disease. Further, the program identifies and assesses various models that address the unique integrative needs, challenges, barriers, and successes in AI/AN health systems. The ultimate goal of the program is to create an improvement in the overall health of patients participating in integrative programs.

IHS understands unique challenges and circumstances exist across tribal communities and sites. Integrative models of care vary according to needs and capabilities, but all strive to enhance clinical processes and workflow across multi-disciplinary teams. Under the BH2I program, IHS funds grantees who have identified gaps in services and established efforts that move toward linking those critical connections.

Timeline

2017

  • May 2017, U.S. Congress funds BH2I demonstration projects
  • August 14, 2017, Funding Opportunity Announcement released
  • September 16, 2017, Applications due
  • September 28, 2017, BH2I Training and Technical Assistance (T/TA) Center opens
  • September 30, 2017, BH2I project start date
  • October 2017, Outreach to BH2I Grantees from T/TA Center staff
  • November 2017, IHS “Payment Management System” Webinar
  • November 2017, BH2I Monthly Grantee Coaching Calls begin
  • December 2017, BH2I Monthly Grantee Coaching Calls

2018

  • January 2018, BH2I Monthly Grantee Coaching Calls
  • January 17, 2018, “Evidence-based Interventions” Webinar
  • February 2018, BH2I Monthly Grantee Coaching Calls
  • February 14, 2018, “Logic Models” Webinar
  • March 2018, BH2I Monthly Grantee Coaching Calls
  • March 14-15, 2018, First BH2I Annual Grantee Convening, Suquamish, Washington
  • April 2018, BH2I Monthly Grantee Coaching Calls
  • April 25, 2018, “BH2I Evaluation: A to Z” Webinar
  • May 2018, BH2I Monthly Grantee Coaching Calls
  • June 2018, BH2I Monthly Grantee Coaching Calls
  • June 2018, Be Here 2 Inspire Newsletter premiere distribution
  • June 26, 2018, Yellowhawk Site Visit
  • June 2018, SWOT CAFÉ, BHICA, and Provider Survey documents sent to grantees
  • June 27, 2018, “Gathering of Native Americans (GONA)” Webinar
  • July 2018, Be Here 2 Inspire Newsletter distribution
  • July 2018, BH2I Monthly Grantee Coaching Calls
  • July 5, 2018, “GONA” Discussion
  • July 9 & 10, 2018, Yellowhawk Site Visit
  • July 13, 2018, “Presenting Integrated Care Findings” Webinar
  • July 18, 2018, “Indigenous Knowledge Informed Care: Becoming a Trauma Informed Organization” Webinar
  • July 23 & 24, 2018, Indian Health Board of Minneapolis, Inc., Site Visit
  • July 25, 2018, “Indigenous Knowledge Informed Care: Becoming a Trauma Informed Organization” Discussion
  • August 2018, BH2I Monthly Grantee Coaching Calls
  • August 2018, BH2I Digital Toolkit launched
  • August 2018, Be Here 2 Inspire Newsletter distribution
  • August 8, 2018, “Traditional Health Integration: An Urban Indian Organization Experience” Webinar
  • August 10, 2018, “Brief Interventions” Webinar
  • August 15, 2018, “Traditional Health Integration: An Urban Indian Organization Experience” Discussion
  • August 17, 2018, “Data Analysis Methods” Webinar
  • August 24, 2018, “Opioid and Controlled Substance Management in Integrated Care” Webinar
  • August 29, 2018, “Why Trauma informed care and culturally competent care are one and the same in Indian Country” Webinar
  • August 29 & 30, 2018, United American Indian Involvement, Inc. Site Visit
  • September 2018, Be Here 2 Inspire Newsletter distribution
  • September 2018, BH2I Monthly Grantee Coaching Calls
  • September 5, 2018, “Why Trauma informed care and culturally competent care are one and the same in Indian Country” Discussion
  • September 10,2018, Indian Health Center of Santa Clara Valley Site Visit
  • September 19, 2018, “Our Bodies, Our Stories” Webinar
  • September 20 & 21, 2018, Kodiak Area Native Association Site Visit
  • September 20 & 21, 2018, Chippewa Cree of Rocky Boy’s Reservation Health Board Site Visit
  • September 26, 2018, “Our Bodies, Our Stories” Discussion
  • September 29, 2018, Year 1 concludes
  • September 30, 2018, Year 2 begins
  • October 2018, Be Here 2 Inspire Newsletter distribution
  • October 2018, BH2I Monthly Grantee Coaching Calls
  • November 2018, BH2I Monthly Grantee Coaching Calls
  • November 2018, Be Here 2 Inspire Newsletter distribution
  • November 2, 2018, “What’s New for Year 2?” Webinar
  • November 15 & 16, 2018, Ho-Chunk Nation Health Department Site Visit
  • November 19 & 20, 2018, Red Lake Nation IHS Site Visit
  • November 27, 2018, “Communication in the Integrated Clinic” Webinar
  • December 2018, Be Here 2 Inspire Newsletter distribution
  • December 2018, BH2I Monthly Grantee Coaching Calls
  • December 4, 2018, “Communication in the Integrated Clinic” Discussion
  • December 6 & 7, 2018, Northern Cheyenne Tribe Health Board Site Visit
  • December 13 & 14, 2018, South Dakota Urban Indian Health, Inc. Site Visit
  • December 19, 2018, “Partnership Engagement” Webinar
  • December 22, 2018 – December 31, 2018, U.S. Government Shutdown

2019

  • January 1, 2019 – January 25, 2019, U.S. Government Shutdown
  • February 2019, Be Here 2 Inspire Newsletter distribution
  • February 2019, BH2I Monthly Grantee Coaching Calls
  • February 12, 2019, “Evaluation Update, Cross-site information and Prep for Convening” Webinar
  • February 19, 2019, “Evaluation Update, Cross-site information and Prep for Convening” Discussion
  • February 22, 2019, “Effective Design and Implementation of Integrated Care Programs” Webinar
  • March 2019, Be Here 2 Inspire Newsletter distribution
  • March 2019, BH2I Monthly Grantee Coaching Calls
  • March 1, 2019, “Grantee Convening Preparation” Webinar
  • March 18-22, 2019, BH2I Annual Grantee Convening, Seattle, Washington
  • April 2019, Be Here 2 Inspire Newsletter distribution
  • April 2019, BH2I Monthly Grantee Coaching Calls
  • April 29 & 30, 2019, Choctaw Nation of Oklahoma-Behavioral Health Site Visit
  • May 2019, Be Here 2 Inspire Newsletter distribution
  • May 2019, BH2I Monthly Grantee Coaching Calls
  • May 2 & 3, 2019, Muscogee (Creek) Nation-Behavioral Health Site Visit
  • June 2019, Be Here 2 Inspire Newsletter distribution
  • June 2019, BH2I Monthly Grantee Coaching Calls
  • June 5, 2019, “Indigenous Knowledge Informed Systems of Care” Webinar
  • June 12, 2019, “Indigenous Knowledge Informed Systems of Care” Discussion
  • July 2019, Be Here 2 Inspire Newsletter distribution
  • July 2019, BH2I Monthly Grantee Coaching Calls
  • July 17, 2019, “CareAdopt: Care Management Technology” Webinar
  • July 25 & 26, 2019, Yellowhawk Tribal Health Center Site Visit
  • August 2019, Be Here 2 Inspire Newsletter distribution
  • August 2019, BH2I Monthly Grantee Coaching Calls
  • August 14, 2019, “BH2I SWOT-CAFÉ Aggregate Findings” Webinar
  • September 2019, Be Here 2 Inspire Newsletter distribution
  • September 2019, BH2I Monthly Grantee Coaching Calls
  • September 4, 2019, “Billing and Integrated Care” Webinar
  • September 11, 2019, “Billing and Integrated Care” Discussion
  • September 29, 2019, Year 2 concludes
  • September 30, 2019, Year 3 begins
  • October 2019, Be Here 2 Inspire Newsletter distribution
  • October 2019, BH2I Monthly Grantee Coaching Calls
  • October 24, 2019, IHS BH2I Cohort Call Year 3 Kickoff “What’s New for Year 3?” Webinar
  • November 2019, Be Here 2 Inspire Newsletter distribution
  • November 2019, BH2I Monthly Grantee Coaching Calls
  • November 20, 2019, “Chronic Disease Management & Integrated BH Care,” United American Indian Involvement, Inc. requested individual training for staff
  • November 21 & 22, 2019, Kodiak Area Native Association Site Visit
  • December 2019, Be Here 2 Inspire Newsletter distribution
  • December 2019, BH2I Monthly Grantee Coaching Calls

2020

  • January 2020, Be Here 2 Inspire Newsletter distribution
  • January 2020, BH2I Monthly Grantee Coaching Calls
  • January 9, 2020, TBHCE & BH2I T/TA Center, “Effective Design and Implementation of Integrated Care Programs” Webinar
  • January 16, 2020, IHS BH2I Cohort Call, “Poster Presentation” & “Billing for Integrated Care” Webinar
  • January 23, 2020, TBHCE & BH2I T/TA Center, “Integrated Care Evaluation Tools” Webinar
  • February 2020 – March 2020 COVID-19 Pandemic Response enacted
  • February 2020, Be Here 2 Inspire Newsletter distribution
  • February 2020, BH2I Monthly Grantee Coaching Calls
  • February 13, 2020, TBHCE & BH2I T/TA Center, “Primary Care Engagement” Webinar
  • February 27, 2020, “BH2I Final Year: BHICA, Provider Survey, SWOT-Café” Webinar
  • March 2020, Be Here 2 Inspire Newsletter distribution
  • March 2020, BH2I Monthly Grantee Coaching Calls
  • March 5, 2020, TBHCE & BH2I T/TA Center, “Documenting Behavioral Health Encounters” Webinar
  • March 12, 2020, TBHCE & BH2I T/TA Center, “Measurement-based Care 101” Webinar
  • March 26, 2020, TBHCE & BH2I T/TA Center, “Measurement-based Care 201” Webinar
  • April 2020, Be Here 2 Inspire Newsletter distribution
  • April 2020, BH2I Monthly Grantee Coaching Calls
  • April 9, 2020, TBHCE & BH2I T/TA Center, “Behavioral Health Integration and COVID-19 Response” Webinar
  • April 16, 2020, IHS BH2I Cohort Call, “Sharing COVID-19 Experiences” Webinar
  • April 30, 2020, TBHCE & BH2I T/TA Center, “Pediatric Model of Integrated Care” Webinar
  • May 2020, Be Here 2 Inspire Newsletter distribution
  • May 2020, BH2I Monthly Grantee Coaching Calls
  • May 2020, Continuance for Year 4 approved by IHS
  • May 14, 2020, TBHCE & BH2I T/TA Center, “COVID-19: Physically Distant and Culturally Connected” Webinar
  • May 28, 2020, TBHCE & BH2I T/TA Center, “Supporting the Mental Health of Healthcare Workers During COVID- 19” Webinar
  • June 2020, Be Here 2 Inspire Newsletter distribution
  • June 2020, BH2I Monthly Grantee Coaching Calls
  • June 18, 2020, TBHCE & BH2I T/TA Center, “COVID-19: Adapting Behavioral Health Care to a Public Health Crisis” Webinar
  • June 25, 2020, TBHCE & BH2I T/TA Center, “Reopening In-Person Behavioral Health Services: Identifying the New Normal” Webinar
  • July 2020, Be Here 2 Inspire Newsletter distribution
  • July 2020, BH2I Monthly Grantee Coaching Calls
  • July 9, 2020, TBHCE & BH2I T/TA Center, “Social Determinants of Health and COVID-19” Webinar
  • July 23, 2020, TBHCE & BH2I T/TA Center, “Treating Substance Use Disorders and Supporting Recovery During a Pandemic” Webinar
  • July 30, 2020, TBHCE & BH2I T/TA Center, “The Necessity of Behavioral Health Integration During and Following a Pandemic” Webinar
  • August 2020, Be Here 2 Inspire Newsletter distribution
  • August 2020, BH2I Monthly Grantee Coaching Calls
  • August 27, 2020, IHS BH2I Cohort Call, “Convening Prep & COVID-19 Sharing” Webinar
  • September 2020, Be Here 2 Inspire Newsletter distribution
  • September 2020, BH2I Monthly Grantee Coaching Calls
  • September 10, 2020, IHS BH2I Cohort Call, “Convening Virtual Practice” Webinar
  • September 22-24, 2020, BH2I Annual Grantee Convening, Virtual, Zoom
  • September 29, 2020, Year 3 concludes
  • September 30, 2020, Year 4 begins (no cost extension year due to COVID-19 pandemic)
  • October 2020, Be Here 2 Inspire Newsletter distribution
  • October 2020, BH2I Monthly Grantee Coaching Calls
  • October 15, 2020, TBHCE & BH2I T/TA Center, “Evidence Based Screeners, Interventions, Programs & Practices” Webinar
  • October 22, 2020, TBHCE & BH2I T/TA Center, “Pediatric Model of Integrated Care” Webinar
  • November 2020, Be Here 2 Inspire Newsletter distribution
  • November 2020, BH2I Monthly Grantee Coaching Calls
  • November 5, 2020, TBHCE & BH2I T/TA Center, “Social Determinants of Health: Culturally Adapted for AI/AN Communities” Webinar
  • November 12, 2020, IHS BH2I Cohort Call, “Evaluation Tools & Peer-to-Peer Networking” Webinar
  • December 2020, Be Here 2 Inspire Newsletter distribution
  • December 2020, BH2I Monthly Grantee Coaching Calls
  • December 3, 2020, TBHCE & BH2I T/TA Center, “Psychotropic Medications in an Integrated Care Setting” Webinar
  • December 17, 2020, DDTP & BH2I T/TA Center, “Integrated Care: Behavioral Health Services and Primary Care / Diabetes” Webinar
  • December 28, 2020, IHS BH2I Cohort Call, “BH2I T/TA Services in 2021” Webinar
  • December 29, 2021, BH2I T/TA Center closes

2021

  • September 29, 2021, Year 4 concludes