Scaling Behavioral Health Integration Across California < California Quality Collaborative
August 6, 2025

Scaling Behavioral Health Integration Across California

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Through CalHIVE BHI, CQC advanced scalable solutions for depression screening, diagnosis, and access to care.
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How CQC’s 2024 initiatives supported whole-person care for 730,000 Californians

Behavioral health is essential—but many Californians still struggle to access it.

At CQC, we’re helping primary care teams close that gap by integrating behavioral health services in ways that are sustainable, equitable and scalable.

CQC’s Behavioral Health Integration (BHI) Initiative is a multi-year statewide effort to accelerate behavioral health integration in small and independent primary care practices. The initiative supports practices in improving screening, diagnosis and treatment of mild-to-moderate behavioral health conditions—such as depression, anxiety and substance use—through direct technical assistance, peer learning and systems-level alignment.

In 2024, our CalHIVE BHI collaborative supported eight organizations as they advanced integration across California—reaching more than 730,000 lives.

We also launched a youth-focused learning exchange, extended technical assistance statewide and emphasized partnerships tha thelp families get faster, easier access to behavioral health.

2024 Highlights

  • 730,000 Californians served by eight primary care organizations through CalHIVE BHI
    • 9.8% increase in depression screening, with 32,500 additional patients screened
    • 1,554 new depression diagnoses and 1,143 patients connected to care
    • 200+ hours of improvement coaching delivered
  • 554 attendees participated in 33 learning events and trainings
  • 15 strategic actions recommended to advance sustainable BHI payment models

Explore the lessons and strategies that drove this work:

Read the 2024 BHI Integration Initiative Annual Report

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