Defeating the Deadly Double: Diabetes and Depression (DDD)

To mark its 25th anniversary, the Virginia Health Care Foundation (VHCF) recently announced Beyond Blue, a new $1.5 million multi-pronged behavioral health initiative designed to increase access to mental health services for medically underserved and uninsured Virginians

Defeating the Deadly Double:  Diabetes and Depression”, a special two-year grant opportunity for eligible health safety net organizations (HSNs), is the first component of Beyond Blue.

Defeating the Deadly Double (DDD) is designed to help address the devastating effect of depression on HSN diabetic patients; enhance the degree of behavioral health integration in participating HSN organizations; and cultivate data driven decision-making in the HSN via a population health approach. It will enable HSN organizations that currently provide co-located, behavioral health and primary care to elevate the degree of care integration for patients who have both depression and diabetes.

About five DDD grants will be given. Each DDD grantee will target at least 100 active patients at its practice site who have diabetes and a PHQ-9 score of 10 or greater. The goal is to reduce the severity of depression in diabetic patients so they are better able to engage in their diabetic treatment plans. Grantees will evaluate and determine how to improve existing protocols and workflows to achieve DDD goals.

In addition to the amount requested, VHCF will provide a stipend of $10,000/year ($20,000 total). This is intended to help defray the overall costs of developing the new protocols and workflows that strengthen integration of primary and behavioral health care and improve care for high-need, complex patients. Grantees will also receive technical assistance in developing new protocols and workflows.

We believe DDD can have a significant impact on improving the care of patients with depression and diabetes and further the integration of behavioral health and primary care in Virginia’s HSN.

If your organization is not eligible for DDD and you are interested in expanding behavioral health services or in the integration of behavioral health and primary care, please let us know! Your plans may be a fit for another type of VHCF grant.

DDD Proposal Materials


Important Dates

  • Pre-Proposal Workshop: September 18, 2017
  • Proposals Due (no later than 5pm): November 8, 2017
    Note: Hard copies only. No electronic submissions will be accepted.
  • Notice of Award: January 30, 2018
  • Grant Start Date: February 1, 2018


Please contact Denise Daly Konrad about DDD (; 804.828.5867).

Please contact Cat Hulburt (; 804.525.1483) or Andrea Lancaster (; 804.828.7481) if you are interested in adding/expanding Behavioral Health services via another type of VHCF grant.



VHCF is grateful for the input and advice of leaders from the Virginia Community Healthcare Association, the Virginia Association of Free and Charitable Clinics,
and Community Health Solutions in developing this initiative.