The North Carolina Department of Health and Human Services is investing $5 million to help integrate mental health care into primary care. This funding will support the Collaborative Care Model, where primary care doctors, behavioral health case managers, and psychiatric consultants work together to meet patients' mental health needs. NC Health and Human Services Secretary Kody H. Kinsley noted that this initiative addresses rising anxiety and depression rates after COVID-19, aiming to "Collaborative Care can serve more people earlier by supporting primary care providers in reaching people at the onset of behavioral health symptoms," according to the North Carolina Department of Health and Human Services.
The funding is part of an effort to make behavioral and physical health services more accessible. Research shows that behavioral health conditions increased from 11% to 41% between 2019 and 2021. Dr. Carrie Brown, Chief Psychiatrist for the North Carolina Department of Health and Human Services, said, "The Collaborative Care partnership between primary care and psychiatrists is one example of the department’s efforts to increase access to behavioral health care for those who need it as we focus on whole-person health." Grants of up to $50,000 per site are available for providers in rural or high-need areas with less access to these services.
The investment also includes support for primary care practices in areas impacted by Hurricane Helene. Practices interested in the Collaborative Care Model can apply for funding, especially those affected by the disaster. This model is covered by NC Medicaid, Medicare, and most commercial insurance, making it easier for patients to get help in a familiar setting. Between April 2023 and May 2024, nearly all NC Medicaid primary care providers have increased their use of this program.
Kelly Crosbie, MSW, LCSW, Director of the North Carolina Division of Mental Health, stated, "This ensures our community receives the mental health care they need and deserve, in a setting where they are most comfortable." The model addresses the shortage of mental health professionals, as 28 counties in North Carolina do not have a practicing psychiatrist. This initiative is part of a long-term plan to improve the state's behavioral health system, backed by an $835 million allocation from the NC General Assembly, as stated by the North Carolina Department of Health and Human Services.
