01/28/2026
The UNC Department of Family Medicine has launched UNC Health’s first fully embedded Primary Care Behavioral Health Collaborative, a private practice–based model that brings mental health services directly into primary care to improve access, reduce stigma, and support earlier intervention across the lifespan. Based at UNC Health Family Medicine & Pediatrics at East Pittsboro, the initiative is supported by donor funding.
Patients can now meet with a behavioral health specialist through real-time warm handoffs during their medical visit, ensuring timely, compassionate support for concerns such as depression, anxiety, trauma, grief, substance use, and behavioral health needs tied to chronic conditions.
Led by Medical Director Erik Butler, DO, and behavioral health consultant Jacqueline Fuentes, LCSW, the program is transforming care through short-term counseling, immediate consultation, and seamless collaboration between medical and behavioral health providers.
The initiative builds on UNC Family Medicine’s long-standing commitment to integrated behavioral health, including its nationally recognized residency training model led by Linda Myerholtz, PhD, and faculty leadership in the UNC Behavioral Health Workforce Research Center, directed by Briana Lombardi, PhD, MSW.
It extends more than a decade of integrated behavioral health at UNC Health across 81 primary care and pediatric practices, including clinic-based specialists, crisis support, virtual care, and sustainable models that improve outcomes. What sets East Pittsboro apart is philanthropy-supported, real-time warm handoffs that bridge reimbursement gaps and connect patients directly with behavioral health care during their visit.
This work honors Dr. James B. Holt, who served Chatham and Lee counties for more than 40 years. Dr. Butler worked alongside Dr. Holt in Pittsboro, and the program continues his legacy through the Dr. James B. Holt Endowment. “Dr. Holt modeled nonjudgmental care,” Butler said. “This program keeps that spirit alive by making behavioral health an essential part of primary care for our community.”
Read more:
go.unc.edu/EastPittsboro-PCBH