Integrating Behavioral Health and Physical Health – Structuring a Delivery System to Meet Michigan’s Needs

Integrating Behavioral Health and Physical Health – Structuring a Delivery System to Meet Michigan’s Needs

The value to the patient of integrating behavioral and physical health is well documented and accepted. The controversy is how to achieve this integration in the best interest of the patients. Recent discussions have resulted in acrimony, confusion and misinformation. Please join us for an informed discussion of the options and obstacles Michigan faces in integrating behavioral and physical health.

1:00 p.m.Welcome
Randolph Rasch PhD. RN. FAANP, Dean, Michigan State University College of Nursing

1:15 p.m. Keynote Speaker
Laura Galbreath MPP, Director, SAMSHA-HRSA Center for Integrated Health Solutions, National Council for Behavioral Health "The Value of Integration and Lessons to be Learned from Other States"

2:00 p.m. Focus on Michigan
Lynda Zeller, Deputy Director, Behavioral Health and Developmental Disabilities, Michigan Department of Health and Human Services “The Michigan Constellation of Services”

2:30 p.m. Break

2:45 p.m. Foundation for the Michigan Solution: Panel Discussion.
Moderator: Lynda Zeller, Deputy Director, Behavioral Health and Developmental Disabilities. MDHHS
Consumer Perspective: Elmer Cerano, Executive Director, Michigan Protection and Advocacy Services
Community Mental Health Outreach: Scott Gilman, Executive Director, Network 180 Access Center
FQHC Outreach: Melissa DaSilva, Chief Innovation Officer, Detroit Central City Community Mental Health

3:30 p.m. Questions-and-Answer Session

4:00 p.m. Concluding Comments and Adjourn
Dennis Paradis MPH, Executive Director, Michigan Health Policy Forum.


Laura Galbreath

PHOTO of Laura Galbreath

Laura Galbreath leads the SAMHSA/HRSA Center for Integrated Health Solutions, a national training and technical assistance center dedicated to promoting the development of integrated primary and behavioral health services to better address the needs of individuals with mental health and substance use conditions, whether seen in specialty behavioral health or primary care provider settings.

As Director, Ms. Galbreath is focused on ensuring high quality technical assistance to SAMHSA’s 96 Primary and Behavioral Health Care Integration (PBHCI) grantees, health centers, and other safety net providers working to integrate primary and behavioral health care. In addition, she directs aggressive efforts to share practice tools; measurement instruments and outcomes; lessons learned; and poignant consumer stories from the PBHCI grantees to the broader healthcare field, as well as build and strengthen strategic partnerships to support policy, clinical, and organizational change that promote successful community healthcare integration efforts.

Apt at adapting to a changing healthcare landscape, Ms. Galbreath brings extensive experience in healthcare integration policy and practice improvement, community organizing, and strategic relationships. As CIHS Deputy Director, Ms. Galbreath managed CIHS’ day-to-day operations, led learning communities to support integration, created collaborative care infrastructures for shared patients, and increased access to primary care services for people with mental illnesses and addictions. Prior to joining CIHS, Ms. Galbreath held leadership roles at the National Council, Mental Health America, and the National Mental Health Association of Georgia where she conducted state policy issue tracking and analysis, technical assistance, and facilitated state, local, or multi-state advocacy meetings on a range of issues including Medicaid reform, Mental Health Insurance Parity, Medicare Part D, and healthcare reform. She received her Master of Public Policy from George Mason University.

Lynda Zeller

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Lynda Zeller, Deputy Director for the Behavioral Health and Developmental Disabilities Administration. Provides policy leadership for public behavioral health and developmental disabilities services. Exercises executive and administrative direction and oversight for operations through the Bureau of Community Based Services; Bureau of Hospitals and Administrative Operations; and the Children and Adults with Autism Spectrum Disorders Section.

30 plus years of experience in the field of behavioral health and developmental disabilities services. Served in executive positions with various health care and non-profit agencies. Most recently, served as the Health Services Administrator for the Michigan Department of Corrections for all health, behavioral health and dental services for the state's correctional system. She has served on numerous local, state and national boards in areas of health, behavioral health and justice.

Elmer L. Cerano

Image of Elmer L. Cerano

Elmer L. Cerano, is a nationally recognized advocate for people with disabilities. His impact as an uncompromising advocate has been recognized in Michigan, Pennsylvania, Maryland, Washington, D.C. and throughout the nation.

Mr. Cerano currently serves as the Executive Director of Michigan Protection & Advocacy Service Inc. (MPAS). MPAS is a federally funded, state-wide private non-profit agency that advocates and protects the legal rights of people with disabilities.

Prior to joining MPAS in 2002, Cerano served as:

  • The Executive Director of the Arc Maryland
  • The President and Chief Operating Officer of United Cerebral Palsy Association of Metropolitan Detroit.
  • The Executive Director of the Pennsylvania Protection and Advocacy Service.

Cerano earned a Bachelor of Arts Degree from Western Michigan University and a Master’s Degree in Educational Sociology from Wayne State University in Detroit. In addition, Cerano completed an emersion program on Governing for Nonprofit Excellence at Harvard Business School, in Boston, Massachusetts and earned a Certificate D’Assiduite from the University De Grenoble in Grenoble, France.

Elmer Cerano is the a Past Chairman of the Board of Directors of SourceAmerica (Formerly Nish), a national non-profit organization, based in Vienna, Virginia, that facilitates employment opportunities for approximately 45,000 people with disabilities through the federal AbilityOne Program.

In his role with SourceAmerica, Cerano has challenged traditional ways of thinking related to employment designs and opportunities for people with significant disabilities. “The diversification of employment opportunities both within the AbilityOne program and in the commercial sector has created wonderful options for people with disabilities to earn a decent wage while performing valuable work”.

Cerano currently serves on the Board of Directors of:

  • The Community Housing Network Inc. (Troy Michigan)
  • The AIDS Drug Advocacy Project (ADAP) (Washington D.C,)
  • The Michigan Developmental Disabilities Council (Lansing, Michigan)
  • The National Disability Rights Network (Treasurer) (Washington D.C.)
  • Michigan’s Behavioral Health Advisory Council (Lansing, Michigan)
  • The SourceAmerica Institute on Economic Empowerment Advisory Council, (Vienna, Virginia)
  • SourceAmerica Board – Board Member Emeritus,

In addition to other writings, Cerano has written position statements entitled:

  • The Use Restraints and Seclusion in Schools Must Stop
  • Disability Movement --- Past, Present and Future
  • “R” Word.
  • Twenty Years After the Signing of the ADA.... and Counting.
  • Why Do We Still Have Segregated Work Sites?
  • The Debate on Deviated Wages Continues

Cerano and his wife Judy have five daughters, three sons-in-law, and 9 grand children.

Scott Gilman

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Scott Gilman, MSA, CBHE, LBSW serves as the CEO for Network180 in Kent County Michigan. With a budget of $140 million, Network180 is the 4th largest community mental health system in Michigan. Network180 connects behavioral health treatment and prevention services to more than 25,000 individuals annually through its provider network. Gilman has more than 23 years of successful healthcare leadership experience, providing fiscal, strategic and operational management across a diverse spectrum of primary care and behavioral health agencies, and treatment and prevention entities. Prior to joining Network180 in 2013 Gilman served as CEO of the Shiawassee County Community Mental Health Authority. A certified healthcare executive, Gilman holds a bachelor’s degree in psychology from Saginaw Valley State University and a master of science in administration from Central Michigan University.

Melissa DaSilva

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Reports and Resources

  1. Integrating Behavioral Health & Primary Care in 2015: One-Third Achieve Close Collaboration On-Site
  2. Reimagine Community Mental Health In A Self Determined Way
  3. Sharing Behavioral Health Information in Massachusetts: Obstacles and Potential Solutions
  4. Privatization of mental health system is in eye of beholder
  5. Medical doctors and mental health professionals are finally talking
  6. Official: Snyder not privatizing mental health
  7. Privatizing mental health care spending is outrageous
  8. Michigan would privatize mental health funding, services under Snyder's proposed budget
  9. Using Peers to Support Physical and Mental Health Integration for Adults with Serious Mental Illness
  10. Why is GDAHC convening discussions around behavioral health?
  11. Bridging The Gap Between Medical And Mental Health Care
  12. Integrating Physical and Behavioral Health Care: Promising Medicaid Models
  13. The Commonwealth Fund Connection
  14. Jürgen Unützer, MD, MA, MPH
  15. Integrating Behavioral Health into Primary Care
  16. The Early Impact of the "Alternative Quality Contract" on Mental Health Service Use and Spending in Massachusetts
  17. Care Management Processes Used Less Often For Depression Than For Other Chronic Conditions In US Primary Care Practices
  18. MDHHS Budget Boilerplate, Sec. 8-290 of Bill number regarding service integration
  19. Lt. Gov. Calley to lead effort to find consensus on mental health funding
  20. Health focused grant awarded to Saginaw County; $50,000 provided for first year implementation
  21. Integrated Health Work Group Phase 1: Community Engagement and Strategic Planning Report - Part 1
  22. Integrated Health Work Group Phase 1: Community Engagement and Strategic Planning Report - Part 2
  23. House panel expresses concerns about Snyder proposal to use Medicaid HMOs to manage mental health services
  24. Care Management Processes Used Less Often For Depression Than For Other Chronic Conditions In US Primary Care Practices
  25. Adults Reporting Mental Illness in the Past Year
  26. Sheehan: State moving toward robust public behavioral health system
  27. A Wake-Up Call for Congress on Mental-Health Reform
  28. Saving Amanda: One Family’s Struggle To Deal With A Daughter’s Mental Illness
  29. Despite bipartisan support, mental health reform bill could be derailed
  30. Mental health care in emergencies 'not an optional luxury': experts
  31. Integrating Behavioral Health into Medicaid Managed Care: Design and Implementation Lessons from State Innovators
  32. An Update On The State Medicaid Behavioral Health Carve-Out Landscape
  33. The Landscape Of Behavioral Health Carve-Ins
  34. Are You Ready To Be A Certified Community Behavioral Health Center?
  35. State Options for Integrating Physical and Behavioral Health Care
  36. Community Mental Health in Michigan: Evidence and Innovation
  37. Creating Connections