Services at Trilogy: Integrated Healthcare
Primary healthcare is a necessary component for all our lives and is especially critical for Trilogy clients as they engage in their personal recovery. Forty-percent of the people who apply for services at Trilogy—at the time of application—do not have a primary care physician and have difficulty accessing quality medical care due to symptoms associated with their illness, the poverty often linked with debilitating mental illness, homelessness, stigma, or to obstacles endemic to the healthcare and public entitlement systems.
Trilogy's Integrated Healthcare Program was established in September 2008, with a grant from the Lloyd A. Fry Foundation to help address this need and incorporate a holistic, multidisciplinary team approach to treatment to foster improvement in the overall quality of life for the people we serve. This generous funding allowed us to hire a part-time Rush University College of Nursing faculty Advanced Practice Nurse for the position of Medical Services Coordinator (MSC). The addition of our MSC allowed us to increase access to primary care for our client populations, and further our goal of increasing access to more holistic care for our client populations and providing the most innovative and comprehensive mental health services possible.
Our partnership with Rush allowed us to create a dynamic nursing internship program. This program increased access to affordable healthcare for our underserved client population by leveraging the enthusiasm and resources of the Rush nursing students. Collaborating with Rush also allowed us to take the next step toward the integration of medical screening, prevention, early intervention, and primary healthcare treatment with mental health services on-site as well as offering more community health outreach services to individuals who lacked insight into their illness or have not responded well to traditional outpatient mental health services.
In 2009, we invited Heartland Health Center (HHC) to be our Integrated Healthcare Program's primary healthcare partner in order to improve accessibility and affordability of a comprehensive primary and mental healthcare system for individuals with serious mental illness. In 2010, Trilogy and HHC successfully applied for and received a Substance Abuse Mental Health Services Administration (SAMHSA) four-year multi-million dollar federal grant in support of expanding our Integrated Healthcare Program. This substantial grant helps us better coordinate a holistic strategy for care for our client base by providing primary care services at our healthcare clinic. In 2011, SAMHSA awarded Trilogy a one-time Health Information Technology (HIT) grant under Primary and Behavioral Health Care Integration (PBHCI). This funding was used to transition Trilogy clinical records to a complete electronic medical record system.
Today, Trilogy Heartland Integrated Healthcare—a partnership between Trilogy and Heartland International Health Center Trilogy—is an award winning nationally recognized Integrated Healthcare program serving more than 900 people per year. In 2012, Trilogy received the National Council for Behavioral Health First Place Reintegration Award sponsored by Eli Lilly and Company for Clinical Medicine and the 2012 NAMI-IL Heroes Program Award for our Integrated Healthcare Program. We continue to remove barriers and provide better access to quality primary and behavioral healthcare.