Program planners may also need to develop a formal communication and supervisory structure to monitor collaboration between behavioral health and primary care staff. Cross-training may be necessary in order to ensure that team members understand both their own roles and responsibilities and the intersection between primary care and behavioral health. Additional considerations for training staff are described in Module 3: Training. Though consultations, warm hand-offs, conferences, team meetings, and case management can be critical to the success of an integrated care practice, these activities take time and are often not billable.
Integrating Behavioral and Physical Health Care in the Real World: Early Lessons from Advancing Care Together Document Describes the results of a mixed-methods study that assessed and compared how multiple practices were integrating care. The article describes the study methods, practice-level changes, integration challenges, and strategies for addressing those challenges.
Author s : Davis, M. This presentation describes the mental health services integration design developed and used by Cherokee Health Systems. Partners in Health: Mental Health, Primary Care and Substance Use Inter-Agency Collaboration Tool Kit Document A comprehensive toolkit that includes sample agreements and contracts, screening instruments, evaluation measures, operational forms, and several other valuable resources.
Rural Behavioral Health Programs and Promising Practices Document This report is a summary and analysis of rural behavioral health programs. Descriptions of programs are provided along with highlights of promising practices. Rural Mental Health Website This topic guide from the Rural Health Information Hub focuses on mental health in rural areas and helps health and human services providers in their efforts to develop, maintain, and expand mental health services in rural communities.
Organization s : Rural Health Information Hub. CIHS reviews the latest resources and research related to integrated care for children and youth, and compiles the most helpful resources. State Options for Rural Health Care Integration Website This page provides a brief overview of different ways to integrate rural health care services. Key strategies include health information technologies, community health workers, and integration of primary and behavioral healthcare. Organization s : National Conference of State Legislators.
A Primer for Primary Care Providers Document This toolkit offers tools and resources for rural primary care providers who are seeking to implement suicide prevention and treatment practices.
It includes assessment guidelines, safety plans, billing tips, sample protocols, and more. Author s : Dehay, T. This latest test is drawn from their extensive research and practice focusing on child temperament. It creates an approach for providers at the front line of pediatrics to aid families in managing childhood behavioral concerns. Early on, the authors discuss clinical vignettes of children with difficult behaviors.
The layout of the book is well done with easy-to-read tables, algorithms, and figures. As expected, there is an excellent section dedicated to discussion of temperament. I found this chapter particularly helpful because not only did it describe the dimensions of temperament, but it also provided strategies for dealing with children when their temperament leads to problem behaviors.
Other topics such as the role of medication in management, providing feedback to caregivers, and psychosocial problems in caregivers were only briefly discussed. Given their importance and relevance in behavior management, I would have wanted to read more about them. I found the discussion of the impact of temperamental variability on a child's behavioral profile helpful. This perspective can help parents understand their child's behavior and ultimately guide clinicians to appropriate clinical interventions.
The appendix provides simplified questionnaires for clinicians to use with families to identify children's temperamental profile. While this is referred to as a rapid clinical survey, in practice, its administration may be more time consuming than described. Overall, this book was clear and user-friendly, which makes it highly accessible to a busy pediatric primary care clinician.
The recommendations the authors offer are useful and descriptive. This book conveys the importance of understanding temperament. More importantly, the impact of temperament on behavioral management for children and adolescents is considered theoretically but with clear practical applications.
You may be trying to access this site from a secured browser on the server. The team might also benefit from activities that strengthen team functioning and promote on-going changes in work processes to maximize use of the behavioral health specialist s. It includes a recurring teleconference that joins primary care providers and behavioral health specialists to discuss cases and brief didactics to improve health outcomes for patients with complex illnesses. Learn how Community Health Centers, Inc. We're here to help.
And if we can't answer your question, we can probably connect you with someone who can. Behavioral health services Level D are difficult to obtain reliably. Level C are available from mental health specialists but are neither timely nor convenient. Level B are available from community specialists and are generally timely and convenient. Level A are readily available from behavior health specialists who are on-site members of the care team or who work in a community organization with which the practice has a referral protocol or agreement.
What Do Your Choices Mean? If you score in Level D in any area, your practice is just getting started and may want to review our resources page to help you prepare for the key changes described in that section of the guide. If you score in Level C in any area, your practice is in the early stages of change and can benefit from the action steps and resources in that section of the guide. If you score in Level B in any area, your practice has implemented basic changes and can build upon your success with the action steps and resources in that section of the guide.
If you scored in Level A in any area, your practice has achieved most or all of the important changes required. You can still use the actions steps and resources in that section of the guide to find new ways to improve. The Behavioral Health Specialist When a behavioral health specialist is an integral part of the practice team, patients with behavioral health needs face less stigma and have easier access to care.
ADHD Treatment Recommendations | CDC
Assess your practice Print Learning Module. How should the role of the behavioral health specialist change? In LEAP practices, behavioral health specialists most often were: Co-located with or near the primary care team.
Available for warm hand-offs. Focused on short-term therapy.
Helpful in referring people with more severe, long-term mental health issues for more specialized care. Able to efficiently communicate with other members of the primary care team. What do we gain by making these changes? Patients are often reluctant to seek help for behavioral health issues for a number of reasons, including: Stigma associated with seeing a behavioral health specialist. Lack of awareness or recognition of behavioral health issues. Lack of insurance coverage for behavioral health services. Limited knowledge about insurance coverage due to the complexity of how behavioral health benefits are administered in many organizations and states.
Inability or unwillingness to find or go to a new health care provider. If your practice has a behavioral health specialist, assess whether they are actively participating in team-based care. Role features.