Screening and Monitoring for Primary Care as a CCBHC

Certified Community Behavioral Health Clinics (CCBHCs) play an increasingly vital role in facilitating access to care, improving outcomes and addressing community needs. A hallmark of the model is whole-person care — CCBHCs provide or coordinate access to primary health screenings, monitoring of comorbid health conditions, and connections to primary care and other providers who specialize in chronic disease prevention and management.

This resource is for CCBHCs, including Substance Abuse and Mental Health Services Administration (SAMHSA) CCBHC Expansion grantees, to use in implementing high-quality outpatient primary care screening and monitoring services. It was developed in partnership with Third Horizon Strategies, a strategic health care advisory firm with a deep bench of behavioral health expertise.

Learn More About Other CCBHC Innovations


This publication was made possible by Grant No. 1H79SM085856 from SAMHSA. Its contents are solely the responsibility of the authors and do not necessarily represent the official views, opinions or policies of SAMHSA or the U.S. Department of Health and Human Services.