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Behavioral Health Skills for Primary Care Team Members: Increased capacity to meet the need

Behavioral Health Skills for Primary Care Team Members: Increased capacity to meet the need. Larry Mauksch , M.Ed Senior Lecturer, Family Medicine, Univ of Washington Consultant. Presentation Objectives. Behavioral Health Role(s ): Integration Steps. Team Training and System

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Behavioral Health Skills for Primary Care Team Members: Increased capacity to meet the need

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  1. Behavioral Health Skills for Primary Care Team Members: Increased capacity to meet the need Larry Mauksch, M.Ed Senior Lecturer, Family Medicine, Univ of Washington Consultant

  2. Presentation Objectives

  3. Behavioral Health Role(s): Integration Steps Team Training and System Transformation Referral to BH onsite Shared records, shared planning Supervision of BH care management Referral to BH onsite Shared records Referral to BH onsite No collaboration BH part of team Disease mgmt for Complex patients Referral for BH offsite Shared records Referral to BH offsite No collaboration

  4. Mental Disorders in Primary CareJ of Fam Practice 200150(1), 41-47

  5. Primary Care Realities

  6. Teamwork The solution

  7. Patient Centered Medical Home:Two interdependent componentsRogers, PCMH Movement: Promise and peril for family medicine. JABFP, 2008 21(5) Larry Mauksch, M.Ed University of Washington Department of Family Medicine

  8. Why Are High Functioning Teams Essential To Primary Care

  9. Role versus Function Toward transdisciplinary teamwork

  10. Continuum of Role Function

  11. Behavioral Health Functions

  12. Mastering a Skill Domain

  13. Common Training Sequence Larry Mauksch, M.Ed University of Washington Department of Family Medicine

  14. Observer Reflections

  15. Observation Form Purpose and Training

  16. PCOF Use Larry Mauksch, M.Ed University of Washington Department of Family Medicine

  17. PCOF Categories

  18. Relationship Communication and Efficiency:Creating a model from a literature reviewMauksch, Dugdale, Dodson, Epstein 2008, Arch of Intern Med

  19. Agenda Creation

  20. Then ask Agenda Refinement “What is going on in your life that causes stress and feeling down?”

  21. Upfront Agenda Setting: Impressions Larry Mauksch, M.Ed University of Washington Department of Family Medicine

  22. Self Management-Complex(Integration of Goal Setting and Action Plan, Patient Activation and Motivational Models)

  23. Complexity Care Influences and Collaborators • Minnesota Complexity Assessment Model • Peek, Baird, Coleman • Bill Gunn, PhD and colleagues in Concord, NH • UW colleagues work on a Picker Foundation support pilot Study: • KavithaChunchu, MD., Carol Charles, MSW, Valerie Ross, MS., Judy Pauwels, MD • Family Care Network in Whatcom County, Wa • Berdi Safford, MD, Marcy Hipskind, MD. David Lynch, MD

  24. Collaborative Complexity Care Assessment, Goals and Action Plans

  25. Patient Centered Care Plan or Collaborative Care Plan

  26. Patient Centered Goal Setting

  27. Goal Setting Chart review

  28. Continued work

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