Integrated Care Training Program
In 2012, CHS’s Patient Experience Department partnered with Community Care Partners of Greater Mecklenburg (CCPGM) to foster the placement of student interns at medical practices with high percentages of Medicaid and uninsured patients with unmet behavioral health needs. In line with emerging and best practices, CCPGM is committed to fostering the integration of primary care and behavioral health services within patient-centered medical homes to comprehensively meet the whole-person healthcare needs of Medicaid recipients.
ICTP originated under the leadership of Reverend David Carl, and Dr. James Pruitt, and was originally titled, Integrated Pastoral Psychotherapy Training Program (IPPTP).As IPPTP developed, its focus expanded to include other disciplines. To align more with primary care integration, it eventually became the Integrative Psychotherapy Training Program.
Healthcare reform necessitates integration of services and coordination of care within patient-centric, comprehensive health homes. Research suggests that interdisciplinary care models, addressing the comprehensive needs of patients, ultimately improve access and quality, and lower healthcare costs. Moreover, patients are more apt to report behavioral health issues to their primary care physicians, half of all care for management of behavioral health issues occurs in the primary care setting (Alexander & Wilson 2010), and 90% of behavioral health presenting issues can be effectively managed within the primary care setting (Manderscheid & Kathol, 2014). Integrated care, a “bio-psychosocial approach to care planning and service delivery” (Crosby, Dickens & Lancaster, 2012), greatly enhances the transition to a patient-centered medical home or similar structure of care.To align with healthcare reform and best practice, in 2016, IPTP was renamed the Integrated Care Training Program (ICTP).
ICTP trains aspiring and provisionally licensed mental health clinicians to provide integrated patient care alongside primary care medical providers. ICTP participants serve as behavior consultants, and integrated therapists. Participants practice screening, assessment, prevention, intervention and follow up as part of interdisciplinary treatment teams. ICTP services are payer-agnostic thereby removing a barrier to mental healthcare. Patients served tend to suffer with complex psychological and physical trauma.
Community Care Partners of Greater Mecklenburg in collaboration with graduate programs in counseling, marriage and family, health psychology and social work offer internships for minimum of nine months.
Mental health graduate students (interns) working toward completing requirements of 750 hours of clinical practice, provide individual, group, and family therapeutic services under the supervision of licensed mental health professionals. Interns may participate in medical appointments with physician providers at specified sites. Each of the participating university graduate programs are accredited through the appropriate governing body.
Behavioral health integration internship is holistic, combining perspectives of medicine, psychotherapy, psychopathology, resiliency, trauma, human growth and development, relationships, sexuality, family, play therapy, and spirituality. Participants will learn and practice interventions aimed to improve function in areas such as school and work responsibilities, improving sleep, decreasing pain, reducing anxiety, improving mood, improving exercise and nutrition, symptom reduction, and functional improvement—with self-regulation such as deep breathing, relaxation, sleep hygiene, problem solving, and assertive communication (McDaniel, et al., 2014). In addition to weekly clinical supervision, interns train at monthly held peer-meeting; a combination of group process and didactic. Peer meeting curriculum is based on Primary Care Behavioral Health program designed by Dr. Alexander Blount at University of Massachusetts. The central tenet of ICTP is delivering effective and high quality primary care behavioral health services collaboratively with medical providers, patients and families.
Post-graduate students who already have completed a psychotherapy internship and are pursuing licenses, certifications, or multiple credentials simultaneously may apply for Integrated Care Training Program residency. A residency placement is a minimum of nine months with two days per week in clinic. Residents have supervision provided free-of-charge in exchange for unpaid clinical services that fulfill hours towards licensure.
- Biddle Point Family Practice
- NorthPark Clinic
- Myers Park Internal Medicine
- Myers Park Pediatrics*
- Elizabeth Family Medicine
- Union County Health Department*
- C.W. Williams
- Union Family Practice
- Randolph Primary Care
*requires fluency in Spanish
Click HERE for the faculty page.
The applicant must submit a formal application attaching the final evaluation(s) as well as other required materials. The formal application process included the following steps:
- A screening interview with program administration
- A screening interview with the respective placement site
- CCPGM-mandated screening and orientation
- Other orientations as deemed appropriate
Application Check List
- If applying for internship (not residency), confirm university on reference list
- CHS Educational Affiliation Checklist (proof of completion) Resume; supervision experience; personal psychotherapy reflection
- Agree to work at least two days weekly at your assigned clinical site. Weekly requirements for practicum = 12 hours, or internship/residency = 16 hours
- Liability insurance
- Completed application forms
Click HERE to submit an application to the Integrated Care Training Program