The “Behavioral Health Vital Signs” Initiative

NEJM October 24, 2019
Leigh Kimberg, MD, Eliza Hayes Bakken, MD, Ellen Chen, MD & Dean Schillinger, MD

Aware of the high prevalence of traumatic experiences including interpersonal violence (IPV) in the safety-net setting and the devastating impact of IPV on mental and physical health, a team at the University of California, San Francisco (UCSF), implemented a multi-sector partnership program called ARISE (Aspire to Realize Improved Safety and Equity) to improve the health and safety of adults and children affected by IPV. Through ARISE, we launched an IPV program by successfully aligning our program goals with the primary care–behavioral health integration goals of the San Francisco Health Network (SFHN), the public health care delivery system in San Francisco. Our collaboration resulted in a key innovation, called the “Behavioral Health Vital Signs,” which catalyzed trauma-informed quality improvement efforts in...

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