This is the Vermont Integration Profile (VIP), an organizational self-assessment survey operationalizing the ideas and Defining Clauses in C.J. Peek's Lexicon of Collaborative Care (2013).

The lexicon defines integration as:

The care that results from a practice team of primary care and behavioral health clinicians, working together with patients and families, using a systematic approach to provide patient-centered care for a defined population. This care may address mental health and substance abuse conditions, health behaviors (including their contribution to chronic medical illnesses), life stressors and crises, stress-related physical symptoms, and ineffective patterns of healthcare utilization.

The VIP takes about 10 minutes to complete and has two purposes. First, it is meant to help you and your practice to assess where you are with your integration efforts. Second, we will use the results to improve the survey itself. All information will be analyzed and reported in a form that does not identify you or your practice. Responding to all questions is extremely important.

In return for answering all questions in the survey, you will receive a graph of your practice profile for each of the dimensions of this measure. There is no cost to you or your practice for participation. You can choose whether or not to participate. The Vermont Integration Profile is still under development and we do not guarantee that your practice's performance on the survey corresponds to evidence-based practice or improved patient outcomes. If you have any questions or concerns about the project, please feel free to contact Rodger Kessler, PhD, Assistant Professor at the University of Vermont, at 802-656-4560 or Rodger.Kessler@med.uvm.edu.

Directions: We suggest that it be rated both by the Medical Director and a Senior Behavioral Health Clinician. First, please check that you have reviewed the terms and conditions. Then, read the statements in each of the eight dimensions and select the response that best reflects your organization. Most items ask for a rough approximation of how often your practice meets a particular criterion and with a numerator and denominator to guide your thinking. You don't need to collect specific data - just provide your best estimate. Where we refer to "patients", feel free to consider family, caregivers, surrogates and other stakeholders as appropriate. Some items are ordered such that each level implies that all the previous criteria are met. Please choose the highest level that applies based on current practice activities.

Created by: Rodger Kessler Ph.D. ABPP, Mark Kelly, Jon van Luling, Andrea Auxier Ph.D, Daniel Mullin Psy.D. MPH, C.R. Macchi Ph.D., Juvena Hitt, Benjamin Littenberg MDR

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