Deborah L. Trout, Ph.D., LLC provides consultation to health and managed care companies, state agencies and related organizations on the effective integration of behavioral and general medical services. Services include policy & strategic planning, program & training development, research & evaluation, contract compliance/audit and staff development. Services assist direct care practices and health management organizations to implement evidence based practices in the effective integration of behavioral health and general medical/surgical care. Examples of PCMH-related services include the development and assessment of: the integration of behavioral health specialists into a primary care medical home (on site or virtual), the associated structural and training requirements for such integration, integrated care and disease management programming, and all aspects of patient-centered medical homes for patients with serious mental illnesses.