A Message from the CiMH President and CEO
Sandra Naylor Goodwin, PhD, MSW

Welcome to this Web site created for county mental health and substance use disorders integration efforts with primary care. This web page is an ongoing effort to display efforts by counties. There are more efforts than listed here. We will continue to collect information and post as we obtain it. County contacts are listed for the initiatives. We encourage interaction between individuals to increase learning.
If you are aware of an initiative not listed here, please contact Alice Washington at awashington@cimh.org to provide her with information which we will add to this site.
There is enormous change occurring all over California as we attempt to improve care to individuals in need. The work is impressive. And, the more we can help each other learn how to better our services, the faster our progress.

Navigating the site

Web site works best on Google, Google Chrome or an iPAD

If you are an Internet Explorer user, you will need to say, "Yes" to the security warning or choose to show all information so the site downloads;

Click on the bubbles to view content;
Use the up, down, right, left, and re-sizing navigation tool to move the maps. This tool is in the top left corner of the maps;
It is best not to place your cursor on the map when viewing the content;
To close the text box's, click on its "x".

If you cannot navigate the maps, go to the Roster page and download the "Listings and Descriptions" document as it contains the same information that is on the maps. This document is at the bottom of the page.

Use e-mail addresses to ask others questions;
Don't close the Web site when you prepare the e-mails.

Click on the listed topic to view its description;
Below you will find related Q & A;
Click on the Q&A you want to review;
Return to the topic's page by clicking on its name.

The topics are:

1. An Integrated Partnership Structure
2. Benefit Structure for Medicaid Waiver
3. Client Flow and Bi-directional Care
4. Financing and Sustainability
5. Information Technology
6. Preparing for Health System Reforms
7. Specialty Providers of Integrated Care: Core Activities/Services
8. Workforce Development 

At the left corner of the webpage, under the page heading, click on the current topic to return to its page and to access other Q&A or click on "Topics" to view other topics.


In an effort to assist counties and community-based organization (CBOs) engaged in or thinking about developing systems to integrate mental health, substance use and primary care, the California Institute for Mental Health (CiMH) has developed this Web site to describe the key elements of design and implementation strategies of most integration efforts underway in California.

Your responses to a CiMH integration survey was the basis for the content of this site.  The degree to which site content accurately and fully describes your initiatives is dependent on updates from users.  

Also, please note that the Roster of Contacts is based on information submitted in survey responses and may need to be expanded/updated.  

If you wish to update information on your program/county’s initiatives, please contact the site administrator. You may send updates to Alice J. Washington at awashington@cimh.org. 


Click here for an analysis of county integration initiatives by IBHP.

YouTube Video


Use this link to access the mapping of the
counties who have implemented or are implementing
integration initiatives

Los Angeles County Department of Mental Health and County Agencies
(under construction)