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National Models AND KEY TRENDS IN Primary Care and behavioral Health INTEGRATION

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Presented by: Kathleen Reynolds, LMSW ACSW The National Council for Community Behavioral Healthcare Principles of the Patient-Centered Medical Home Personal physician ... – PowerPoint PPT presentation

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Title: National Models AND KEY TRENDS IN Primary Care and behavioral Health INTEGRATION


1
National Models AND KEY TRENDS IN Primary Care
and behavioral Health INTEGRATION
  • Presented by
  • Kathleen Reynolds, LMSW ACSW
  • The National Council for Community Behavioral
    Healthcare

2
The National Medical Home Discussion
  • Principles of the Patient-Centered Medical Home
  • Personal physician
  • Physician directed medical practice (team care
    that collectively takes responsibility for the
    ongoing care of patients)
  • Whole person orientation
  • Care that is coordinated and/or integrated
  • Quality and safety (including evidence based
    care, use of information technology and
    performance measurement/quality improvement)
  • Enhanced access to care
  • Payment structure that reflects these
    characteristics beyond the current
    encounter-based reimbursement mechanisms
  • The American Academy of Family Physicians,
    American Academy of Pediatrics,
  • American College of Physicians, and American
    Osteopathic Association
  • http//www.pcpcc.net/

3
Inclusion of Behavioral Health in the
Healthcare Home
  • Most articles on the medical home do not include
    behavioral health interventions even though they
    are linked to increased positive health outcomes
  • A large portion of psychiatric medications (70)
    are prescribed in primary care
  • A large proportion of primary care visits are for
    behavioral health issues

4
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5
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6
Bi-Directional Integration Model
  • Masters prepared behavioral health professional
    (LCSW, CSW, LPC, LLP) based on reimbursement
  • Short term solution focused sessions
  • Case Management
  • 1-3 sessions
  • Psychiatrist part time/Primary Care Provider
  • Curbside Consultation
  • Some evaluations
  • Clinic hours for PCP
  • Creation of a team

7
Public Models of Doing Bidirectional Integration
  • One organization does the full range of services
  • Partnership models
  • FQHCs CMHCs working together
  • Private Practitioners and Behavioral Health
    working together
  • Academic Medicine Centers and Behavioral Health

8
Care Management Models
  • Active Care Management Roles are emerging as key
    components of the team
  • Do disease management functions but more
    personal, more interactive
  • PCARE Ben Druss, Emory University
  • Health Navigators New role for mental health
    case managers

9
Consumer Support and Involvement
  • Peer wellness coaches ( Warbrick - Boston)
  • Promatoras (Health Centers)
  • Peer Support Services (HARP Loring Stanford)

10
Contact Information
  • Kathleen Reynolds, LMSW ACSW
  • kathyr_at_thenationalcouncilc.org
  • 734-476-9879
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