Northwest Colorado Health: Integrated model improves access to mental health support |

Northwest Colorado Health: Integrated model improves access to mental health support

Tamera Manzanares/For Craig Press
Family practice physician Anna Lundeen and Lilia Luna, clinical psychologist, meet with a patient at Northwest Colorado Health.
Northwest Colorado Health/courtesy

A doctor diagnoses a patient with diabetes. The patient is overwhelmed by physical symptoms and disheartened by fear, worry and sadness. The prospect of making life adjustments to manage her disease seems insurmountable.

Another patient complains of sleep problems. He’s recently experienced a major loss, and the resulting stress and anxiety is affecting his work and ability to enjoy outdoor activities and exercise. He’s started smoking again and is not eating healthy.

These situations seem different, but both show how the dynamics between physical and emotional health can affect a person’s wellbeing. This understanding is the basis of the integrated health approach at Northwest Colorado Health’s clinics in Craig and Steamboat Springs, where teams of health care providers, dental providers and behavioral health specialists address patients’ often complex symptoms under one roof.

The goal is simple – remove financial, language and other barriers, including stigma sometimes associated with mental health support, to help patients get the health care they need.

Lilia Luna is a clinical psychologist at Northwest Colorado Health. She and her team of behavioral health specialists work closely with medical and dental providers and a psychiatric nurse practitioner — available through the organization’s telepsychiatry program — to help patients with chronic stress, anxiety, depression and other mental health symptoms contributing to larger health issues

“We are expanding people’s idea of what behavioral and emotional health is,” she said. “It doesn’t exist on an island. The more we can integrate the concept that your emotional health is part of your overall health, the less stigma there will be, and the more people will access our services.”

More than 510 patients utilized Northwest Colorado Health’s behavioral health services in Craig last year. If a doctor thinks a patient may benefit from behavioral health support, he or she can often meet with a specialist during the same visit. Patients can also receive up to six behavioral health follow up appointments.

Just like medical care, dental needs can have an emotional health component. Behavioral health specialists also work with dental providers at Northwest Colorado Health to help patients coping with confidence issues related to their oral health or anxiety about receiving dental care.
Behavioral health providers work with patients of all ages and use a variety of screening methods to help identify problems, provide support and, if needed, make recommendations for higher levels of care.

Having on-site mental health support is an opportunity to open difficult conversations people might not have otherwise, Luna said. The timeliness of this support and affordability — it’s available to all patients, regardless of ability to pay — improves the chances of helping them at a critical time of need.

“I believe we are reaching people struggling with thoughts of suicide or depression earlier, treating them earlier and referring them to resources that will help them heal,” she said.

Patients who have specialized medication needs can consult with a telepsychiatry provider. Northwest Colorado Health provides a private room and secure technology for videoconference appointments. The psychiatric nurse practitioner works with the patient’s behavioral health specialist and doctor to coordinate a medication management plan.

For more information about behavioral health services and to view a list of crisis resources, visit

At Northwest Colorado Health, we believe everyone deserves the chance to achieve their best health. Every day, we partner with individuals throughout Northwest Colorado at their homes, in our clinics and in the community, because healthy people and families create a healthy community. Tamera Manzanares can be reached at 970-871-7642 or


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