Dr. Anthony Billittier

By Anthony J. Billittier IV, MD, FACEP, Chief Medical Officer

Behavioral Health Integration continues to be one of single largest initiatives at Millennium Collaborative Care.

In our Q4 Update, we discussed our collaborative work with local Behavioral Health providers and primary care physicians to develop community best practices for depression and substance abuse. In response to the growing needs of the primary care community for better access to behavioral health treatment, Millennium’s Behavioral Health Delivery System Reform Incentive Payment Program (DSRIP) Partners have developed and expanded on open access intake hours to expedite the process to get a patient into treatment.

We are excited to share the services that our Behavioral Health Partners are offering in one single place. (Please click here to download a pdf of our BH providers, the services they offer, and their open access hours for intake.)ECMC Open Access Brochure


As the Millennium team continues to maximize opportunities for behavioral health integration within primary care, we must not forget about substance use disorder (SUD). While much of our work has been spent tracking Patient Health Questionnaires (PHQ2s) and (PHQ9s) for depression screening, we are now focusing on bringing education and awareness to the importance of screening for substance use disorder within primary care practices.The New York State Office of Alcoholism and Substance Abuse Services (OASAS) estimated in 2010 that approximately 12 percent of State residents 12 years and older experience a substance use disorder annually. Additionally, over 1.9 million State residents (1.77 million adults and 156,000 youth aged 12-17), have a substance abuse problem.


Screening, Brief Intervention and Referral to Treatment (SBIRT) is an effective tool for identifying individuals who may not be seeking help for a substance use problem. It’s an early intervention, evidence-based approach used in primary care and other healthcare settings to identify patients who use alcohol and other drugs at risky levels and deliver brief intervention.

As a primary care provider, you may have apprehension about bringing on yet another screening tool that cuts in to the limited time you have with your patients. What you may not know is that the screening can be as brief as three questions and can be administered by non-clinical staff. Existing data shows that less than 10 percent of patients screened score positive for substance use disorder.

Secondarily, and equally important, are concerns around access to SUD resources in the community for patients that screen positive. We have dedicated partners across the Performing Provider System (PPS) that are positioned to collaborate with primary care practices that may lack confidence in referring patients for SUD services. The primary care team at Millennium can facilitate and support these deeper partnerships.

The goal of SBIRT is to reduce and prevent health related consequences, accidents, disease, and injuries from risky substance use. SBIRT can easily be implemented in primary care settings and is an effective tool for identifying those who may not be seeking help for a substance use problem. There are numerous training opportunities available for practices that are interested; in a variety of modalities to address different learning styles. Please review the list below – including links — to upcoming training sessions:

SBIRT Core Training Program – a four hour online SBIRT Training program for healthcare professionals offered by Center for Practice Innovations. To enroll in SBIRT Training Click here

Screening, Brief Intervention, and Referral to Treatment (SBIRT) Training Provider Certification – a certification program offered by OASAS and The New York State Department of Health (DOH), that promotes the creation, standardization and certification of course work/training to enhance the skills and knowledge of individuals performing SBIRT in general and behavioral health settings.
For more information Click here

Additional training opportunities are also offered by the Erie County Department of Health.


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The Erie County Medical Center Corporation (ECMCC) is the parent organization of Millennium Collaborative Care

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