The first blog in this two-blog series outlined the circuitous historical route that the mind body connection in medicine has traveled over the ages. A recent original research article and editorial in the Annals of Internal Medicine addresses the factors influencing physician practices adoption of behavioral health integration in the United States. The authors report the results of a qualitative study in which they interviewed the leaders and clinicians of 30 physician practices who had already implemented behavioral health integration. There are several approaches to integrating behavioral health into a practice. The first is a co- located model in which the behavioral health practitioners and the practice providers share a common physical space, allowing patients to be treated by both disciplines seamlessly. This model also fosters collaboration, relationships and interaction among the patient’s different providers as they share the same office space and interact with one another on a daily basis. The second model is the collaborative model whereby offsite behavioral health clinicians collaborate with providers to create common care plans or joint interventions. In some cases, psychiatrists might be offsite, but offering collaborative support to a team of behavioral health care managers onsite who are interacting directly with the patient. A recent study found that only 44% of primary care providers co-located with behavioral health clinicians. In rural practices the number of co-located practices was even lower at only 26%. The Annals study found that practices that had undertaken integration with behavioral health were motivated by a desire to improve access to behavioral health services for patients as well as improve responsiveness to patient’s needs identified in the behavioral health screenings which all practices are now required to conduct. There was also a perception among practices that having this type of practice model enhanced the reputation of the practice.