Colleen J. O’Brien, Psy.D. is Associate Director of Primary Care Behavioral Health at the Cambridge Health Alliance, where primary care and multidisciplinary behavioral health are integrated at 12 urban sites. She is active in strategic planning, program development, payment reform, and the promotion of sustainable, patient-centered care. Her career has included work as an administrator and clinician in a range of hospital and community settings, and she has leadership experience in quality improvement and healthcare consulting. She was the Senior Clinical Consultant to Vermont’s RWJ Depression in Primary Care initiative, which piloted integration at rural primary care centers, introduced population screening, disease management and peer support interventions, and assessed patient outcomes – demonstrating the promise of integrated care and supporting necessary payment reform. She is an Instructor in Psychology in the Department of Psychiatry, Harvard Medical School.