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sort I'm the director here of the integrated mental health program at UCSF Fresno at the ambulatory care center at crmc and our program is based on the University of Washington Ames center model demonstrated by the impact study which was done a few years ago and the program here is about a year old although I joined about six months ago as director and the program really built up at that point because we have full-time staff the program is based on the model of involving Universal screening of depression having a console ting consulting psychiatrist and a care management team made up of therapists and social workers to manage the patients and the medical setting here and this is something that is demonstrated by our research would be very very effective and provide better care at a better cost that's very relevant to the Affordable Care Act because we're being asked in in health care now to provide better care at for less cost and with the parity laws to provide more care for mental an

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