Community of Practice: Interventions for Integrated Management of Chronic Conditions

October 21, 2025 – January 26, 2026
(Every other Tuesday, with a two-week holiday break)
2:00 – 3:00 PM ET
3:00 – 3:30 p.m. ET optional office hours

Description:

Many patients with chronic medical conditions, such as diabetes or heart disease, also have co-occurring behavioral health conditions, such as depression, anxiety, or substance use disorders (SUD). Addressing behaviors associated with chronic conditions by providing behavioral health interventions to patients with chronic conditions can help improve their health outcomes. This eight-session Community of Practice (CoP) will support medical, behavioral health, and clinical and non-clinical support staff at HRSA-supported health centers to develop a more integrated care approach to treating patients with chronic conditions. Leveraging expert-led presentations and facilitated peer discussions, this CoP will provide health centers the opportunity to learn about and exchange effective strategies to provide impactful, team-based behavioral interventions that improve outcomes for patients with chronic conditions.

Behavioral health professionals may earn one continuing education credit for attending each CoP session.

Objectives:

At the end of this CoP, participants will be able to:

• Articulate how an integrated, team-based care approach supports improved health outcomes for patients with chronic conditions.
• Consider and discuss how to share and/or split team roles to more effectively and efficiently provide care to patients with chronic conditions.
• Develop strategies to provide effective brief behavioral interventions for patients with diabetes and metabolic syndrome and heart disease and hypertension.
• Use a Plan, Do, Study, Act continuous process model to apply learnings to their health centers.

Facilitator: