Models of Care



In May 2013, the John A. Hartford Foundation awarded grants totaling $1.94 million to improve depression care at five non-profit community health clinics in the WWAMI (Washington, Wyoming, Alaska, Montana, Idaho) region. The awards will help the clinics implement the Collaborative Care model, an evidence-based depression care model offered by the University of Washington AIMS Center, which doubles the benefits of usual depression treatment as shown in the IMPACT study, the largest-ever depression treatment trial in the U.S. The awards are made possible with funding from a Social Innovation Fund (SIF) grant provided by the Corporation for National and Community Service (CNCS) to the Hartford Foundation in 2012.  Through the SIF initiative, the federal government serves as a catalyst to bring together public and private resources to grow innovative, evidence-based solutions that transform lives, particularly in low-income communities. To continue in this effort, a second cohort was announced on May 22, 2014 as part of what now totals $3 million in grant funding from the SIF program with an additional $3 million in matching from the Hartford Foundation, with additional local matching funds from each site. 

The funds will go to non-profit community primary care organizations in rural areas which are either medically underserved or face a health professional shortage. The organizations receiving grants are:

  • The Community Health Center of Central Wyoming in Casper, Wyoming, the oldest and largest Federally Qualified Health Center (FQHC) in the state. In 2012, Wyoming had the nation’s highest suicide rate and the entire state is considered a mental health professional shortage area. Award amount: $314,000 for the first two years.
  • Mat-Su Health Services of Wasilla, Alaska. Mat-Su opened its doors in 1977 and became a Community Health Center in 2005. Award amount: $465,000 for the first two years.
  • Partnership Health Center in Missoula, Montana. PHC has provided health care services to the medically underserved for over 21 years. Award amount: $488,000 for the first two years.
  • Peninsula Community Health Services in Bremerton, Washington, which has used an integrated care approach to mental health in primary care since 2002. Award amount: $320,000 for the first two years.
  • Valley View Health Center in Chehalis, Washington. VVHC has been providing integrated behavioral health services since 2009. Patients served will include a group considered “high utilizers” - individuals who frequently end up in the criminal justice system or local emergency rooms due to untreated mental health and addiction issues. Award amount: $350,000 for the first two years.
  • Bighorn Valley Health Center in Hardin, Montana is a Federally Qualified Health Center located in southeastern Montana. It serves a diverse population of 13,000 spread over an area of nearly 5,000 square miles, encompassing most of the Crow Indian Reservation and part of the Northern Cheyenne Indian Reservation. Award amount: $230,000 over two years.
  • Butte Community Health Center in Butte, Montana, also a Federally Qualified Health Center, has provided primary care services to southwest Montana for more than 28 years. It serves nearly one-third of the population of southwest Montana, with more than 17,000 patients cared for annually. Award amount: $200,000 over two years.
  • Kodiak Area Native Association (KANA) in Kodiak, Alaska was formed in 1966 as a 501(c)(3) nonprofit corporation, to provide health and social services for Alaska Natives in the City of Kodiak and six remote Alaska Native villages (Akhiok, Karluk, Larsen Bay, Old Harbor, Ouzinkie and Port Lions), serving ten federally recognized Tribes of Kodiak Island. Award amount: $384,000 over two years.

For the most recent press release announcing the second cohort, click here.

For the full press release from 2013, click here

Hartford SIF Project Background

The John A. Hartford Foundation has received a multi-year, multi-million dollar Social Innovation Fund award to help primary care community health clinics implement a program to improve depression care in medically underserved rural communities in the Washington, Wyoming, Alaska, Montana and Idaho (WWAMI) region. The Social Innovation Fund, an initiative of the Corporation for National and Community Service, will help the Hartford Foundation spread the IMPACT model of depression care, in partnership with the University of Washington's Advancing Integrated Mental Health Solutions (AIMS) Center.  

Active Grants In This Portfolio

Organization Project
University of Washington Social Innovation Fund: Healthy Futures/IMPACT Expansion Renewal