It is necessary to move up stream if you wish to effectively manage the mental health of a population. This requires more than simply integrating mental health services with primary care. Chances are good that less than half of your members even have a primary care physician.

To move up stream, you have to engage prevention through the workplace as well as the community. Depression and stress are the risk factors that have the greatest impact on healthcare costs and quality of life for any population. Effective preventive strategies can have a significant impact on total costs as well as health and productivity.