Nearly 1 in 5 adults in the United States experiences a mental health condition each year, according to the National Alliance on Mental Illness. Yet, many people do not receive treatment.

Difficulty getting seen by a doctor, stigma and general lack of knowing where to start often prevent patients from seeking support. One solution gaining momentum nationwide is integrating behavioral health into primary care settings.

At CU Medicine primary care clinics, including the Aurora Wellness Community Health Center, mental health screening and behavioral health support are incorporated into routine medical visits.

What is Behavioral Health in Primary Care?

Behavioral health in primary care means mental health screening and connecting with a mental health expert during or shortly after your regular doctor’s appointments at your primary care doctor.

“We do something called a warm hand-off,” explained Kelet Robinson, MD, medical director of the Aurora Wellness Community Health Center. “We do initial mental health screenings and periodically check-in throughout patient care to make sure that if someone is needing help, we can connect them right there in clinic or virtually.”

Mental health screening often includes checking for:

• Depression
• Anxiety
• Substance use
• Stress-related conditions
• Trauma-related symptoms

Instead of treating physical and mental health as separate issues, integrated care recognizes that both are important parts of a person’s overall well-being.

Normalizing Mental Health Conversations

“One goal we have is to reduce stigma,” said Dr. Robinson. “I might ask you about your stress levels and in the same breath ask when the last time you had a colonoscopy was.”

Another point Dr. Robinson makes is that there is a relationship between physical health and mental health. People with chronic illness or chronic pain may experience more mental health conditions and vice versa.

When asked about integrating behavioral health and physical health, Dr. Robinson said, “The best care happens when we integrate and offer all of these services together.”

Frequently Asked Questions About Behavioral Health in Primary Care

Is behavioral health the same as mental health?

Behavioral health includes mental health as well as behaviors that affect overall health, such as substance use and stress management. The terms are often used together in healthcare settings.

Is it normal for a primary care provider to ask about mental health?

Yes. Mental health screening is a standard part of comprehensive primary care and is recommended by national guidelines.

Will I need a separate behavioral health appointment?

Not always. Many concerns can be addressed within the primary care setting. If more specialized support is needed, providers will coordinate next steps with the patient.

Learn more about Dr. Kelet Robinson or schedule an appointment at the Aurora Wellness Community Health Center.

If you are experiencing a mental health emergency, dial 988.