A look to the past, directions for the future

This article represents the history of primary care and behavioral health i ntegration at Group Health Cooperative (GHC) over the last decade, and fore shadows probable futures for this work into the next decade. To build from a logical progression, the article responds to a series of questions: 1. Wh y integrate primary care and behavioral health? 2. What has been done so fa r and how well has it worked? 3. Keeping the end in mind, what's the ideali zed picture of integration for the future? 4. How to get from here to there ? What will help or hinder the effort? and 5. Again, why make these efforts to integrate?