Integrated Care

When it comes to health care, there are many ways to get care.

There are organizations that provide different care for different needs, like primary care centers, ERs, dentists, pharmacies and behavioral health centers.

When you have multiple health issues, you traditionally have to set up multiple appointments with these different specialists. Sometimes, people get help for only some of their concerns.

When that happens, it’s hard to get well.

At Aunt Martha’s, We Think Differently About Health Care

Although certain concerns may seem unrelated, they are all part of a whole person, a system; and it’s hard for the person’s healthcare provider to help them reach whole health and wellness unless they are aware of, and know about all the concerns.

When they know all the concerns, they can help the person decide which options for care may be more effective.

We’re Taking a New Approach – Integrated Health Care

For people with multiple health concerns, including mental illness and addiction, Aunt Martha’s is adopting an integrated care model.

That means our health care providers are working together to offer primary and preventative medical care, dental care, mental health care and addictions treatment services that are coordinated to address each patient’s unique needs.

What is Integration?

Integration is a system for providing all of the services a patient needs in a coordinated way. It incorporates the patient’s primary care provider, their dentist, as well as any mental health and/or substance abuse services they may be receiving.

How Does Integrated Care Work?
  • Communication: Your care team has regular face-to-face meetings to discuss your treatment and your progress toward your goals.
  • Care Coordination: Based on your unique needs, and only with your consent, the information your care team needs to help you reach your goals is shared and available in real-time. This might include: medications, allergies, general wellness and/or education needs, significant life changes.
  • Screening: Depression screening, chronic disease screening, substance abuse screening, cancer screening. When done on a regular basis, these simple steps can help identify potentially serious issues and take care of them before they become really serious problems.
  • Self-Management: You know your body, your life, your history. Your care team is here to help, but they need you to play an active role in your care. Self-management means you are taking charge of your care. It means staying educated and communicating with your care team.
Integrated Care Makes Your Life Easier

The healthcare system is complicated. For every patient there are different levels of care, screening, communication and education. That’s where Aunt Martha’s Care Coordinators come in.

As part of your care team, your care coordinator will work directly with you to:

  • Eliminate barriers that might keep you from getting the services you need when you need them;
  • Follow-up with you and your providers to make sure everyone is on the same page and working toward the same goals; and,
  • Connect you with other resources and services in your community that can help keep you looking, feeling and being your best.


Contact Us

To learn more about the work we’re doing to advance integrated care at Aunt Martha’s, please contact our Excellence & Innovations Department at innovations@auntmarthas.org.



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